Nose Surgery

Rhinoplasty

Who are candidates for a

rhinoplasty?

Nose surgery can improve your appearance and self-esteem, but it will not change your appearance until you reach the ideal, nor will it cause other people to treat you differently. The best candidates for rhinoplasty are physically and mentally stable realistic people, looking to improve their physical appearance. Age is also considered. It is preferable not to perform this surgery on teenagers until they have completed their development (about 14 or 15 years in women and little more for men). It is important to consider the teenager’s emotional adjustment, and make sure it is what he or she really wants

What do you need to know about rhinoplasty?

Rhinoplasty is one of the most common plastic surgeries. It can reduce, or increase the size of the nose, as well as to change the angle between the nose and upper lip. It is also possible to correct birth defects, accidents or patients with respiratory problems.
If you are thinking about a rhinoplasty, this section will give you the basic information about this procedure. However, you will not be able to answer all your questions. Before deciding on an intervention, think carefully about your expectations and discuss them with your surgeon.

To plan your surgery

On your first visit to the surgeon you will be asked about your expectations and will be given an explanation with possible solutions according to the physiognomy and the particular characteristics of your face. This first contact and mutual trust are essential for the proper development of the surgery. Do not hesitate to ask any questions that arise in relation to the case. Your surgeon will explain the techniques and the type of anesthesia he will use, as well as the means of the place where it will be performed, the risks and the costs that it includes, as well as any options that may exist.

How is the surgery?

Rhinoplasty is performed under local or general anesthesia. This will depend on the procedure and what you and the surgeon decide. Its duration is usually of 1 to 2 hours, although some procedures may last longer. During the procedure, the skin of the nose is separated from the skeleton of the bone and the cartilages that are sculpted in the desired shape. The technique depends particularly on your problem. Finally, the frame is again covered with the skin. Some surgeons perform rhinoplasty inside the nose, making incisions inside the nostrils. Others prefer the “open” technique, especially in more complicated cases, which consists of making a small incision in the columella (the vertical zone of the skin that separates the nostrils).

Functional correction

he plastic surgeon is not only able to correct aesthetic nasal problems of shape and volume, but also he has the surgical skills necessary to correct nasal functional problems (obstruction, turbinates, deviated septum, etc.), which will be evaluated together during the first visit, aiming to take advantage of the surgical intervention and not only improving the aesthetic appearance of the nose, but also the functional one.

Step-by-step intervention

  • The incisions are made in the nostrils, to facilitate access to the cartilage and bone, which can be sculpted according to the desired shape.
  • The surgeon removes the hump using a rasp, then joins the nasal bones to form a narrower bridge.
  • By manipulating the septum (wall dividing nasal cavity, commonly called “septum”), the angle between the nose and the upper lip is improved.
  • To help the nose maintain its new shape, you will have for few days some special tapes and a plaster on your nose in order to stabilize the septum.

Recovery

Most of the patients undergoing rhinoplasty will be standing the same day and will be able to perform their normal activities within a week. However, it will take several weeks until they´re in top form. Your surgeon will instruct you to return to your normal life, in which you´ll be recommended the following:

 

  1. Avoid violent exercises for 2 or 3 weeks.
  2. Avoid hitting, rubbing your nose or sunbathing for 8 weeks.
  3. Extreme precautions when washing your face, hair or make-up.

 

Your surgeon will see you several times during the next month of the surgery to assess your recovery, being always ready to hear from you regarding any questions or doubts.

Your new look

In the days following the intervention, it is easy to forget that you´ll look much better. Relax, this will pass. Day by day your nose and your mood will begin to improve. In a week or two, your nose will no longer look like it has been operated on. Recovery is a gradual and slow process. The final results of a rhinoplasty may not be apparent until six months or more. Be patient and you will feel comfortable

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