What Is Nose Surgery?
Also known as rhinoplasty, nose surgery improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Surgery of the nose may also correct impaired breathing caused by structural abnormalities in the nose.
Types Of The Nose Surgery - Rhinoplasty
- Closed rhinoplasty
- Open rhinoplasty
- Secondary rhinoplasty
Closed method : - Rhinoplasty is performed through inner incisions; scars are in such case invisible inside the nose.
Open method : - Second type of the surgery is open rhinoplasty. The surgeon leads the incision across the nasal septum. The incision is not straight but in shape of letter W. The scar is visible but very inconspicuous.
What To Expect During Your Consultation ?
The success and safety of your nose surgery depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.
Be prepared to discuss : -
- Why you want the surgery, your expectations and desired outcome
- Medical conditions, drug allergies and previous medical treatments
- Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
- Previous surgeries
Your surgeon may also : -
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Examine and measure your face
- Take photographs for your medical record
- Discuss your options and recommend a course of reshaping your nose
- Discuss likely outcomes of a nose surgery and any risks or potential complications
- Discuss the type of anesthesia that will be used
Before RhinoplastyDuring the first consultation, your surgeon will explain the operational procedure in detail, assess your case, discuss with you the possibilities of surgery and choose the most appropriate one for you. This part of preparations is very important. You and your surgeon should try to be open and both agree on final result. Many clinics work with software modeling or with photography. Nose surgery presents change in total facial expression and you should be ready for this change. Surgeon has to take into account your individual facial proportions. They form total profile and therefore larger impacts into shape of the nose are followed by change of lower jaw and chin.
Remodeling of noses with humpsDuring facial analysis following proportions are assessed : -
- Fronto-nasal angle (change from forehead to the bridge of nose): If the angle equals zero, patient has so-called Greek profile.
- Nasal bridge: We assess its continuity and symmetry. Male nose has straight nasal bridge, slightly upturned. Female nose is curved to the opposite side.
- Nasal root breadth: Ideal width is about 2-4 mm less than width of nasal wings.
- Nasal tip evaluation: Basic figure is symmetry of the nostrils, their size and type of skin. Another assessed parameter is size of the tip according to the root. Also the continuity from the bridge to tip is evaluated.
- Nasal-labial angle (change from nose to the upper lip): This angle varies depending on the female or male nose. It ranges from 90-100° for male noses and 100-110° for female noses.
- Nasal axes
- Skin quality
- Function of nose: Breathing, smell, sound resonance. Nose serves also as an acoustic breaker.
Preparing For Surgery
Prior to surgery, you may be asked to : -
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover : -
- What to do on the night before and the morning of surgery
- The use of anesthesia during your nose surgery
- Post-operative care and follow-up
Your plastic surgeon will also discuss where your procedure will be performed. Surgery of the nose may be performed in an accredited office-based surgical center, outpatient or ambulatory surgical center, or a hospital.
Procedural StepsStep 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
Surgery of the nose is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.
Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose.
Step 3 – Reshaping the nose structure
Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body.
Most commonly, pieces of cartilage from the septum, the partition in the middle of the nose, is used for this purpose.
Occasionally a piece of cartilage from the ear and rarely a section of rib cartilage can be used.
Step 4 – Correcting a deviated septum
If the septum is deviated, it is now straightened and the projections inside the nose are reduced to improve breathing.
Step 5 – Closing the incision
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.
Step 6 – See the results
Splints and internal tubes will likely support the nose as it begins to heal for approximately one week.
While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine.
During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome. Swelling may come and go and worsen in the morning during the first year following your nose surgery.
My RecoveryAfter your procedure is completed, a splint, internal tubes or packing will likely be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing.
Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery?
- When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
- When do I return for follow-up care?
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