Nose – Rhinoplasty
Nose operations or rhinoplasty, are operations very common to plastic surgeons, this surgical procedure can produce changes in appearance, structure, and function of the nose. You can reduce or increase the size, change the shape of the tip, make it thinner, or change the entire angle of the nose and upper lip. Nose operations or rhinoplasty can help to correct birth defects, nasal injuries, and some breathing problems.
There is no universal kind of aesthetic nose surgery that covers the needs of every patient. The surgery is designed for each case, depending on their necessities.
The incisions can be made inside the nose or disguised in places hardly visible when an open rhinoplasty is done. Internal nasal surgery can also be done at the same time as a rhinoplasty to improve breathing..
Rhinoplasty is one of the surgeries which require maximum sensitivity, surgical refinement, and a keen sense of touch from plastic surgeons for each individual case. Every nose is different in structure, with variations in thickness and size of the cartilage and bones, the thickness of the skin, the age of the patient, the shape of the face, genes, and other factors.
For these reasons, the result of nose operations, or rhinoplasty, is never the same in any two different noses. However, the result is usually highly predictable when all the factors are considered.
The best candidate for this kind of surgery is the person who is looking to improve, not to perfect, the appearance of their nose. Also, realistic expectations, good health and psychological stability are important characteristics in patients considering rhinoplasty.
In most nose operations (rhinoplasty), we use local anesthesia and sedation. Medicine is administered to the patient before entering the operating room to feel calm and relaxed.
Sometimes general anesthesia is used.
The type of anesthesia depends on the conditions of the patient in each case.
In nose operations (rhinoplasty), our main objective apart from improving the shape of the nose, is to maintain or improve breathing function. On the other hand, the nose should never appear to have been operated
The surgery is carried out through a few small cuts inside the nose. Through those cuts we reduce the hump in the nose, we work with the tip of the nose, the wall, etc. Only in some cases with difficult shape or when a surgery is done for a second time the open rhinoplasty is used. In this surgery a small cut is made in the column which separated the two nasal openings.
It isn’t a painful surgery.
Medical photographs are taken before the operation in order to show the face in great detail. This allows us to thoroughly evaluate the nose and the relation it has with the face. These photographs will be carefully studied before the operation and will be used as reference points in the operating room.
Patients mustn’t take aspirin or other medications containing acetylsalicylic acid for the two weeks previous to the surgery. Aspirin interferes with normal blood coagulation. Medicines containing aspirin are: Alka Seltzer, Anacin, Bufferin, Darvon (propoxyphene), Empirin, Excedrine, Midol, and many others. If there is doubt about a medicine, your pharmacist should be consulted. Nolotil is a good substitute for aspirin.
You should let us know about any symptoms of infection, anything like a cold, a pimple on the nose, fever, etc. during the week before the operation.
It is advisable to not smoke or to smoke as little as possible for three weeks before the surgery.
These operations take from 30 to 60 minutes.
After the operation a rod is placed to protect the nose and maintain the shape. Small plugs are also placed in the nose which protect it and help to ease the swelling.
The day after the surgery the plugs are removed and a week after the surgery the rod is removed by the doctor.