Aesthetic nose surgery (rhinoplasty) or nose reshaping surgery can combine aesthetic and functional aspects. Rhinoplasty is usefull both to lengthen and shorten the nose, to get (or just the tip) completely reshaped, to get the width of your nostrils reduced and also to modify the angle between the nose and the upper lip. This is also usefull to get a congenital deformity corrected, an injury and breathing disorders healed.
HIGHLIGHTS OF THE OPERATION:
- 1.5 hour surgery
- General anesthesia
- One-day stay in hospital
- If everything goes OK, the bandage is removed on the third day
- Stitches are removed on the fifth day
- Nose cast is removed or changed a week after the intervention
- The stay in Turkey for the intervention lasts 7 days in total
- The intervention may trigger some edemas that will be removed 2 weeks later
- The final result will be visible in 12 weeks
WHEN TO UNDERGO A RHINOPLASTY
Most of the time, patients undergo a rhinoplasty to improve their physical appearance and raise their self-esteem, since it is an operation that significantly alters the face’s layout. Before undergoing surgery it is important to ask yourself the following questions: why do I want surgery? And what do I expect of it? That is the information you must share with your surgeon to find the very best solution for your specific case. It is important to note that rhinoplasty will not help you achieve perfection, but rather improve your appearance. Most surgeons refuse to have teenagers patients since it is preferable to wait until the facial development is complete before starting to modify it. The age at which surgeries of this type begin to be requested is usually 14 or 15 years for girls while boys prefer to wait a little more. However, the later, the better, as this is a no-turning-back decision. In the case of rhinoplasty the usual complications – which are very little by the way – are minor infections and nosebleeds, often linked to anesthesia. After surgery, sometimes, broken capillaries are found and are shown as tiny red dots on the skin’s surface. In aesthetic nose surgery there are hardly any scars. Thanks to scientific breakthroughs, the incisions are minimal and imperceptible to the eye.
These operations are almost always successful. Only some retouching is needed in one out of ten cases and always for minor corrections. These corrective operations are even simpler.
PLANNING YOUR SURGERY
Before getting into the operating room, maximum communication between the patient and the doctor is necessary. On the first visit, prior to surgery, it will be time to explain in detail what are you looking for by sharing all kinds of information. Subsequently, the structure of the nose and face will be examined and all available options for you will be shown.
Depending on the structure of the bone and the cartilage of your nose, the shape of the face, the thickness of your skin, your age and your expectations, the best solution for your specific case will be sought. During this first visit, the type of anesthesia to be used, the surgical techniques, the established type of surgery to be carried out, the risks and, of course, the costs will be also discussed.
An important thing, since most health policies do not cover all surgeries for aesthetic purposes. This situation may change in the event that you book a rhinoplasty to address respiratory problems or injuries, in which case they may be included in the insurance coverage.
It is important to keep in mind that, if you ever had a nose operation, you underwent any treatment in this area, you suffer from allergies, respiratory difficulties or you smoke, you should let your surgeon know.
GETTING READY FOR THE SURGERY
Once everything has been discussed, your surgeon will let you know if you can eat, drink, smoke, if you should stop having your medication and will share with you information on how the preoperative procedure should be. After the operation, you may need external help to do some daily chores during the very first few days.
TYPE OF ANESTHESIA FOR A RHINOPLASTY
In general anesthesia is used, you will be asleep for the entire duration of the surgery.
Rhinoplasty usually lasts between one and two hours. During surgery, the nasal skin, bone and cartilage are moved to proceed in search of the desired result.
Most plastic surgeons intervene on the nose itself. There are few cases in which an open technique is prefered, getting nostrils separated by making a minimal incision.
When nose surgery is complete, a cast splint is used to help maintain the new shape of the nose and help getting the septum stable for a few days. Other drainage or protective instruments may be temporarily left in place after the operation.
AFTER THE OPERATION
After surgery, face usually swells. During the first 24 hours the nose may ache and slight headaches may happen. If so, you can ask the medical team for a medication. It is likely that during the first 24 hours you need to go more often than usual to the toilet. It will be only after the first two or three days when the edemas become more visible and bandages may be used to get swelling reduce and soothe any discomfort that these may trigger. After a few weeks they will disappear. It is also possible that during the very first days after surgery you feel a slight sensation of blockage in the nose that will gradually go away. As for the nose tampons, they will be removed within a few days and, when the second week is over, the entire bandage and cast will be completely removed.
BACK TO NORMALITY
Most patients get back to work after a week. However, it may take several weeks until you can get back to normal life in every aspect. An example of activities that should be avoid for about a month are those that require physical effort. In any case, it is key to get your nose fully protected from any blow, impact, scratch and even from the sun for 8 weeks. It goes without saying that it is important to be careful when applying make-up or washing your hair. In the case of patients who wear glasses, they should use contact lenses instead until nose is fully back to its normal condition. That is, you will be unable to use them for about two months.
In any case, you should be aware that the doctor will contact you to see how the nose evolves as you go through many check-ups in which you need to report the least pain or discomfort.
YOUR NEW NOSE
To notice the final result you will have to wait a while. It is usual that, after reconstructive surgery, most patients do not feel good about themselves as the result will be visible in a while. Once the bandage is removed, you will see how, day after day, it gets closer and closer to the shape you were expecting, and after a couple of weeks, nobody will be able to tell if you had an operation or not. It is a gradual process.
It is the tip of the nose for what you have to wait the longest, being slightly swollen for several months before you can see how it will look for the rest of your life. About a year later we will see how that tip will finally look.
GUIDE FOR YOUR NOSE CARE AFTER A RHINOPLASTY
Once the healing process completed, time and patience are needed. Postoperative care is just as important as surgery’s one.
- Although it may be uncomfortable, you may have to breathe through your mouth for a while until the surgeon notices you are ready to have your nostrils tampons removed.
- It is important you take lots of fluids and have to light meals to relieve the dry mouth that occurs after breathing through the mouth. It is advisable to eat soft food and easy to chew. If it’s good for you, use lip gel or lip balm to keep your lips moisturized.
- You can only use medicines prescribed by the doctor.
- While your nose is bandaged, keep your head high using a pair of bushings. Keep your head high to make blood circulation easier and thus reduce post surgery inflammation.
- It is normal for you to see some flows coming from the nostrils. However, if there is blood in these, you should let your doctor know right away.
- It is important to keep your nose protected for as long as the doctor says so. Don’t touch the bandages and wait for the doctor to take them off in a week.
- Switch the small pad under your nose only when you are told to do so by doctors.
- Do not try to rub the nostrils or clean the nose yourself. It’s important to avoid getting the nose hit. That is why it is recommended to wear shirts that avoid unnecessary friction there.
- Wash your teeth carefully and use a soft brush.
- During the first two weeks after surgery avoid weight lifting and physical effort.
- Avoid exposure to sunlight for a month.
- Once you no longer have the bandages you will go through a period of inflammation and discoloration. This will spontaneously disappear in a short time.
- You may notice some numbness in the tip of the nose, which will disappear after a few weeks.
- Once protectors are removed, you can proceed to blow your nose and ears for 2 or 3 times a day, but always using the tap water. Do not clean your ear from your nostrils.
- Even after removing the tampons, your nose may still be blocked. This is normal. Do not try to blow your nose during the first week. If you sneeze, you should do it with your mouth open.
- Postoperative fatigue or weakness will go away in a few days. If you have insomnia problems, let the medical team know so they can help you sleep during the very first few days.
- You may experience depressive symptoms after the first 12 or 36 hours after surgery that will go away in time. Once you see your nose, remember you have to wait 6 to 12 months to see the final result.
- During the time you wear the bandage you can do anything as long as it does not involve any physical effort. It is possible to use makeup to hide bruises.
- Do not miss any postoperative appointment. You need to be fully tracked, including taking pictures of you. Post-operative appointments are usually liek this: one week after surgery, 1 month later, 3 months later and 6 months later.
- You must wait at least one month to wear glasses.
- Rhinoplasty is often combined with surgery to get the septal deviation rectified (the twisted cartilage that obstructs the nose) and sometimes with chin augmentation through implants. Be that as it may, if the patient wishes to get the mose’s size reduced, the patient will have to go through a complete rhinoplasty. In the case the patient only wants to get the tip of its nose retouched, a tip plasty is an option.