What is rhinoplasty?
Rhinoplasty can be done to change, or repair the nose. A thorough discussion of the patient’s surgical goals, outcomes, and limitations is an important part of preoperative planning. The surgery is usually performed under anaesthesia at the centre for patient surgeons. You need help the first day after surgery. Numerous office visits are required to care for the nose and to obtain optimal results after surgery.
Rhinoplasty is a facial cosmetic procedure that is generally performed to improve the appearance or rebuild the nose. During rhinoplasty, the nasal cartilage and bones are modified or tissue is added to improve the visual appeal of the nose. Rhinoplasty is often done to correct nasal fractures. When rhinoplasty is used to correct nasal fractures, the goal is to restore the previous appearance of the nose wound. Septorhinoplasty is a related procedure performed in patients with nasal obstruction. Septorhinoplasty improves the appearance of the nose, but it also removes any internal obstructions and stabilizes the structures that block nasal breathing.
Who needs it?
People can have rhinoplasty to:
- Correct the birth defect.
- Improves the overall appearance.
- Septum blocked open nasal passages caused by bone and cartilage (deformed septum) that separates the nostrils.
- Repair a facial fracture, such as a broken nose.
- Restore respiratory function after cancer treatments, traumatic injuries, or burns.
What does rhinoplasty do?
Rhinoplasty will redesign your nose.
The procedure can be:
- Correct a nose that appears bulky, raised, hooked, or dirty.
- Fix nostrils that are too wide, too large, or turn upward.
- Get rid of any noticeable dips or bumps on the bridge of your nose.
- Make the nose smaller or larger to create facial balance.
- Open blocked nasal passages.
What are the types of rhinoplasty?
Types of rhinoplasty:
- Cosmetic rhinoplasty improves the appearance of the nose and face.
- Functional rhinoplasty restores nasal appearance and function after cancer treatments or traumatic injuries. This type of reconstructive surgery also corrects birth defects and deviated septum.
- Non-surgical injection Rhinoplasty uses dermal fillers or botulinum toxin (Botox) injections to temporarily submerge the nose, lift the drooping nasal tip, or correct a small bump.
How common it is?
In 2019, more than 157,000 women and 50,000 men will undergo rhinoplasty. It is the most popular cosmetic surgery among men and the fourth most common cosmetic surgery overall.
Who is a candidate for a rhinoplasty?
To be considered for rhinoplasty, you must:
- Keep growing and in good physical health.
- No Smoking.
- Understand the limitations of nose surgery (it doesn’t give you an exact look).
- Go for this approach for your own reasons, because someone else thinks it looks good.
How do you prepare?
Before scheduling rhinoplasty, you should consult with your surgeon to discuss the important factors that will determine whether the surgery works well for you. These meetings usually include:
Your medical history: The most important question your doctor will ask you is about your motivation and goals for the surgery. Your doctor will also ask you questions about your medical history, including a history of nasal obstruction, surgeries, and medications you are taking. If you have a bleeding disorder such as haemophilia, you may not be a candidate for rhinoplasty.
Physical exam: Your doctor will perform a complete physical exam, which includes laboratory tests such as blood tests. They will also examine your facial features and the inside and outside of your nose.
A physical exam can help your doctor determine what changes to make and how your physical characteristics, such as the thickness of your skin or the strength of the cartilage at the end of your nose, may affect your results. The physical exam is also crucial in determining the effect of rhinoplasty on your breathing.
Photographs: Someone from your doctor’s office will take pictures of your nose from different angles. Your surgeon will show you what kind of results are possible for modifying photos using computer software. Your doctor will use these photos for pre and post evaluations, indications during surgery, and long-term check-ups. In particular, the photos allow a specific discussion of the surgical goals.
Analyze your expectations: You and your doctor should discuss your motivations and expectations. Explain what rhinoplasty can and cannot do for you and what its results are. It is normal to feel a little self-conscious about your appearance, but it is important to be open with your surgeon about your surgical goals and wishes. If you have a small beard, your surgeon can discuss with you the possibility of having surgery to grow a beard. Because the small chin creates the illusion of a large nose. Beard surgery is not necessary for those situations, but it balances the facial profile well.
Once the surgery is scheduled, you must arrange for someone to drive you home if you are having surgery. During the first few days after anaesthesia, you may have a memory deficit, slow reaction time, and poor judgment. Arrange for a family member or friend to stay with you for a night or two to help you with self-care tasks when you are recovering from surgery.
Diet and medications: Avoid medications that contain aspirin or ibuprofen (Advil, Motrin IB, etc.) for two weeks before and after surgery. These drugs can increase bleeding. Take only medications approved or prescribed by your surgeon. Also, avoid herbal remedies and over-the-counter supplements.
If you smoke, stop smoking. Smoking slows down the healing process after surgery and you are more likely to get an infection.
What can you expect?
Rhinoplasty does not have a series of steps to order. Each surgery is unique and personalized to the specific anatomy and goals of the person performing the surgery.
Rhinoplasty requires local anaesthesia with anaesthesia or general anaesthesia, depending on how complicated your surgery is and what your surgeon prefers. Check with your doctor before surgery which type of anaesthesia is best for you.
- Local anaesthesia with intoxication: This type of anaesthesia is commonly used in a patient setting. It is limited to a specific area of your body. Your doctor will inject pain relievers into your nasal tissues and intoxicate you with medications injected through a vein (IV). It makes you nervous but not completely asleep.
- General anaesthesia: You receive the medicine by inhalation or through a small intravenous tube (intravenous line) in your arm, neck, or chest. General anaesthesia affects your entire body and you remain unconscious during surgery. General anaesthesia requires a trachea.
Rhinoplasty can be performed inside the nose or at the base of the nose, through a small external cut (incision) between the nostrils. Your surgeon will readjust the bone and cartilage under your skin. Your surgeon can change the shape of your nasal bones or cartilage in many ways, including how much to remove or add, depending on the structure of your nose and the materials available. For minor changes, the surgeon may use cartilage taken from inside your nose or from your ear. For larger changes, the surgeon may use cartilage from your ribs, implants, or other parts of your body from the bone.
After making these changes, the surgeon will place the skin and tissue from the nose on the back and suction the incisions in the nose. If the wall between the two sides of the nose (septum) is bent or crooked (deviation), the surgeon can also correct it to improve breathing. After surgery, you will be in the recovery room where the staff will monitor your awakening. You can leave later that day or if you have other health problems, you can stay overnight.
After surgery, you should rest your head on a bed higher than your chest to reduce bleeding and swelling. Your nose may be congested due to inflammation or from cracks placed inside your nose during surgery. In most cases, there are internal dressings one to seven days after surgery. Your doctor will also tape the cleft in your nose for protection and support. It usually lasts a week.
Bleeding and mucus and old bleeding are common for a few days after surgery or after the dressing is removed. Your doctor may place a “drip pad,” a small piece of gauze tape, under your nose to absorb the drainage. Replace the gauze as directed by your doctor. Do not place the drip pad firmly against your nose. To further reduce the chances of bleeding and swelling, your doctor may ask you to take precautions for several weeks after surgery.
Your doctor may ask you:
- Avoid strenuous activities like aerobics and jogging.
- Take baths instead of showers when you have bandages on your nose.
Don’t blow your nose
- Eat a diet rich in fibre, such as fruits and vegetables, to prevent constipation. Constipation puts pressure on you and puts pressure on the surgery site.
- Avoid serious facial expressions, such as giggling or giggling.
- Brush your teeth gently to limit the movement of your lips.
- Wear tights in the front. Do not pull on clothing, such as t-shirts, or run over your head.
- Also, to avoid stress on the nose, do not rest your nose or sunglasses on your nose for at least four weeks after surgery. You can rest the cheek or tape the glasses to the forehead until the nose is healthy.
- Wear SPF 30 sunscreen when outdoors, especially on your nose. Too much sun can cause a permanent uneven colour to the skin of the nose.
- Some temporary swelling or dark blue discolouration of the eyelids may occur up to two to three weeks after nasal surgery. Inflammation of the nose takes longer to resolve. Limiting sodium in your diet can make the inflammation go away faster. Do not put ice or cold compresses on your nose after surgery.
- Whether or not you have surgery will change your nose throughout your life. Because of this, it is difficult to know when you will get your “bottom line”. However, most swelling goes away within a year.
After surgery, your doctor may place a plastic or metal slit over your nose. The splint helps keep the nose in its new shape while it heals. They may place nasal compresses or splints inside the nostrils to stabilize the septum, which is part of the nose, between the nostrils. You will be monitored in the recovery room for at least a few hours after surgery. If all is well, he will leave after that day. You need someone to drive you home because the anaesthesia still affects you. If it’s a complicated process, you may need to stay in the hospital for a day or two.
To reduce bleeding and swelling, lift your head toward your chest. If your nose is swollen or covered with cotton, it may feel congested. People generally have to wear splints and bandages for up to a week after surgery. It may have absorbent strips on it, which means they will melt and don’t need to be removed. If the stitches are not noticeable, you should see your doctor again a week after surgery to have the stitches removed.
Common effects of the drugs used for surgery are memory impairment, poor judgment, and slow reaction time. If possible, have a friend or family member with you the first night. A few days after surgery, you may experience drainage and bleeding. A drip pad, which is a piece of gauze taped under the nose, can absorb blood and mucus. Your doctor will tell you how often to change your drip pad. You may have a headache, your face may feel puffy, and your doctor may prescribe pain relievers.
Your doctor may instruct you to avoid the following for a few weeks after surgery:
- Running and other strenuous physical activities
- Pinching your nose ing
- Excessive chewing
- Laughing, laughing, or other movements require a lot of movement.
- Putting clothes overhead
- Relax the glasses on your nose
- Powerful tooth brushing
- Be especially careful with sunlight. It can permanently remove the skin around the nose.
- You will be able to return to work or school during the week.
Rhinoplasty affects the area around the eyes and can cause temporary numbness, swelling, or discolouration around the eyelids for a few weeks. In rare cases, it can last up to six months, and the slight swelling can last even longer. You can apply cold compresses or ice packs to reduce discolouration and swelling. Follow-up care after rhinoplasty is important. Be sure to schedule your appointments and follow your doctor’s instructions.