In the simplest of terms, Rhinoplasty does refer to a surgical procedure that’s meant to restructure the nose. This usually consists of anything from changing the angularity of the nose, changing the size of the nose by making it smaller or bigger, making its tip smaller or larger to correcting any present defects such as indentations or bumps. At times, this surgery is a medical requirement so as to correct chronic congestion issues or breathing problems. The main goal though of Rhinoplasty is usually to bring the nose into more aesthetic harmony with the other facial features. After the surgery, your nose will resemble an earlier predetermined shape which is proportional, functional and aesthetic.
The best candidates for this procedure are usually non-smokers who are generally in good health and who have a realistic and positive outlook about the outcome. Before the operation, the surgeon will most likely order some lab tests to confirm your overall health status prior to operating. He or she may also require that you start to, adjust or cease taking certain medications in the week or two before the operation. One should also avoid taking anti-inflammatory drugs, aspirin as well as herbal supplements at least 2 weeks before the operation because these can significantly increase the bleeding.
The procedure usually requires the surgeon to make appropriate surgical incisions so as to get access to the bones and cartilage of the nose and make adjustments which can either be additions or removals as the situation may require. It is important to note that the incisions or cuts are usually invisible after the surgery. The procedure is usually performed on an outpatient basis and after the surgery; the nose is usually packed with sterile gauze and fitted with a splint so as to hold the new cartilage and bones in their new position until it heals.
The splint is usually removed after a week. There is usually some significant swelling after the procedure and one may experience bruising around the eyes or of the cheeks. Unless you were fitted with dissolvable sutures, they are usually removed during the next follow up visit; this is usually anything between three to seven days after the initial procedure.
When performing the procedure, the surgeon can follow two methods; these are open and closed Rhinoplasty. These two procedures are quite similar in all aspects with the only difference being the placement of the incisions. In open Rhinoplasty, most of the incisions are made on the inside of the nose even though one incision will also be made on the fleshy exterior of the septum (columella). Even though this incision provides the surgeon with a better view and more working space, it does also create a tiny permanent scar. In closed Rhinoplasty, all the incisions are made on the inside of the nose. This method is usually more complicated and a tad harder for the surgeon; the advantages are quite significant though.
After the procedure, a good majority of patients usually return to non-strenuous duties after seven to ten days. However, it is important to note that for the first several weeks immediately after the surgery, you should desist from lifting any heavy objects, bending over or even engaging in any strenuous exercise. It is also recommended that you sleep with your head at a slightly elevated position for a week or two. Due to the increased sensitivity, one should also avoid exposing his or her nose to direct sunlight for the first few months. For those who wear glasses, one may have to get some special support medications so as to wear the glasses safely during the designated healing period. These guidelines are not static or standard and may vary from one surgeon to the other and are also dependent on the surgical procedure one may have undergone.
Just like any other surgical procedures, Rhinoplasty does have possible complications as well as risks. Some of these include hematoma or excessive bleeding, tissue death (skin loss), known anesthesia risks, blood clots, persistent swelling or edema, skin swelling and discoloration, intense itching and unsatisfactory aesthetic results which may require additional surgery. After undergoing the procedure, one should call his or her surgeon immediately if you experience excessive bleeding, unusual heartbeats, and shortness of breath or chest pain.