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Cosmetic Nasal Surgery (Rhinoplasty): Informative Tips, Effects and Procedure
- The Facts About Rhinoplasty
- What To Expect After Surgery
The Facts about Rhinoplasty
Rhinoplasty, or cosmetic nasal surgery, is one of the most common cosmetic procedures performed today. The operation is usually performed because a patient desires to improve his or her appearance. It is also frequently employed for repair of injuries or for correction of the increasing disfigurement of the nose that occurs as the patient grows older. Other patients may seek surgery because of obstructions inside of the nose that impair breathing, cause headaches or lead to sinus infection.
Because of the frequency with which the operation is carried out, technical refinements have allowed consistently good results which are better than were possible 25 years ago. Nevertheless, patients must recognize that the goal of this operation is improvement and not perfection. During your consultation, we will review several typical before and after pictures. The purpose of seeing other patients is not to allow you to pick out the nose that you want, but rather to give you some idea of the types of results that are generally achieved in this type of surgery.
The timing of the nasal reconstruction will depend on many factors. In general, cosmetic rhinoplasty should be delayed until a patient’s facial development is approaching maturity. This is usually around the age of 14 for girls and 15 for boys.
When surgery is carried out to correct breathing problems or to correct deformity produced by injury, it is often advisable to proceed with the operation at an earlier age. There is no upper age limit for nasal reconstruction. Patients in their sixties and seventies choose to have this operation with good results. We are now beginning to see more patients combine nasal reconstruction with other types of surgery for aging such as facelift or corrective eyelid surgery.
The operation is carried out in our accredited operating suite on an outpatient basis, either under local "twilight anesthesia" or general anesthesia. With few exceptions, the incisions are all made inside the nose and so scarring is avoided. Each operation is different, but basically the procedure involves shifting or removal of bone and cartilage and is therefore primarily a modification of the framework of the nose. Skin redrapes itself over the new nasal framework. Many patients will combine chin or cheekbone surgery with rhinoplasty.
What To Expect After Surgery After Surgery
Nose blowing should be avoided for the first week. Sneezing should not be a problem, as long as the patient sneezes with his/her mouth open.
You will be instructed to begin applying Bacitracin ointment the day following surgery. After dipping a cotton swab in the ointment, the patient should insert it inside the nose and wipe it about. This will loosen and remove crusting and dried blood. Drainage and slight oozing of blood are normal for a few days. Breathing will be restricted the first week and then gradually begin to improve. Significant bleeding problems following surgery are very rare.
After the operation, a cast is placed over the nose that remains in place for a week. In most cases the nose is not packed. After removal of the cast, there may be some swelling and bruising, but by the end of one week most patients find that the swelling has resolved.
Patients must understand that although the major portion of the swelling resolves quickly, some will last for a few months after the operation. In general, the appearance of the nose continues to improve for as long as a year after the operation.
After the removal of the dressings, the patient must be very careful that the nose is not injured until complete healing has taken place. The frames of glasses should not be allowed to rest on the bridge of the nose for three weeks. Contact lenses may be used two to three days following surgery.
In nearly all cases, there is significant improvement in the appearance and function of the nose after rhinoplasty.
Most patients are highly satisfied with the results of rhinoplasty. During the consultation, the surgeon and patient will have the opportunity to discuss the individual goals, risks and limitations in detail
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