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RHINOPLASTY SURGERY

What does is a rhinoplasty?

A nose job, also known as a rhinoplasty, is a procedure which improves shape and function of the nose, by modifying bone or/and cartilage. Rhinoplasty can enhance aesthetic appearance as well as breathing function.

A rhinoplasty should be considered by patients who are unsatisfied with their nose size, shape or width, or those who have visible humps, wide or asymmetrical nostrils. Rhinoplasty can also help patients with obstructed airways by adjusting a deviated septum, which is a common cause of many breathing problems.

During rhinoplasty a patient is usually put under general anesthesia. Therefore, the patient will have to stay in a hospital overnight.

Who is a proper candidate?

- As with all surgeries, it is of high importance to be in good overall health in the first place.

- Well-balanced diet and regular exercise are significant to a successful recovery.

- Smoking and alcohol consumption, on the other hand, can have a negative impact on wound healing and skin elasticity.

- Specifically for rhinoplasty, patients should be at least in their late teens, because the nose stops growing and changing approximately at this age.

- Moreover, the person getting rhinoplasty should have realistic expectations and a desire to improve their current appearance, not perfect it completely.

- People with chronic illnesses such as diabetes, heart and blood clotting disorders are also eligible for the procedure, but additional preparation might be necessary.

- Informing your surgeon about all present medical conditions is crucial, so that the medical team can prepare in advance and prevent any possible complications.

During consultation, a patient and a surgeon should define specific expectations and goals. The surgeon will suggest the most suitable technique and inform the patient about the plan of the surgery in more detail.

Function vs. aesthetic?

A functional rhinoplasty is usually performed in order to restore breathing through the nose . Reconstruction of obstructed airways might be required because of congenital reasons (meaning that it is hereditary) or after traumas, such as a nose fracture. Because nostrils tend to narrow with age, older people might have difficulty breathing, and thus, might need a reconstruction of their airways.

On the other hand an aesthetic rhinoplasty focuses mainly on improving the visual appearance of the nose. This includes reducing bulbous nose tip, hump, narrowing wide nostrils, reducing the size of the nose, or vice versa, augmenting the nose..

Revision rhinoplasty

A revision rhinoplasty is needed when a patient is unsatisfied with the results of a former nose surgery and desires additional improvements.

Note that before undergoing a revision rhinoplasty, the nose should be completely healed, there should be no signs of inflammation caused by previous surgery and scar tissue formation is complete.

Depending on each case, a surgeon will reset the nasal bones and reposition cartilage. Airway obstruction can also be cleared by adjusting the position of the internal nose structures. It’s best if the revision surgery is performed by the surgeon who performed the first surgery..

One of the most frequently revised procedures worldwide

Rhinoplasty is one of the most frequently revised procedures in the world. It has been estimated that 5-20% of all rhinoplasty cases worldwide require re operation.

Preparing for rhinoplasty

The patient might have very specific expectations for the outcome of the surgery, therefore, a thorough discussion with a surgeon is necessary, so each case could be evaluated individually.

Nutrition

Skin condition and wound healing greatly depends on nutrition. Therefore, enough proteins and vitamins such as zinc, vitamin A and C, which are important for the synthesis of collagen, should be consumed. Note that vitamin, mineral and protein malnutrition impairs all stages of immune response, wound healing and tissue production.

Consultation

It is essential to consult with the doctor a couple of weeks before the surgery as you might be instructed to stop taking medications such as aspirin or other blood-thinning drugs.

Smoking & alcohol

Smoking and alcohol consumption should be avoided one month before and after the surgery so that it does not affect the healing process by restricting blood circulation.

Useful items

In order to make your surgery experience as comfortable as possible, ask someone close to stay with you during the first few days after your surgery. Prepare ice-cold compresses, as they are excellent at relieving pain and inflammation. Stock up on lip balm as your lips will probably get really dry from having to breath through the mouth. Note that you will not be able to wear glasses. If prescription glasses are needed, you should have contact lenses prepared beforehand.

Medical examination

Medical examination and a review of medical history is an essential step before surgery. To determine the approach of a rhinoplasty, a surgeon will examine a patient’s nose as well as its proportion to the face and discuss available strategies. The patient will have to undergo any necessary lab tests, including blood work and/or a urine test, ECG (electrocardiogram), X-rays, or others. The surgeon will explain in detail the plan of the surgery and recovery. Before and after photos of your nose will also be taken.

Eating & sleeping

In order to prevent regurgitation during surgery, an empty stomach is required for anyone undergoing general anaesthesia. Therefore, patients should not eat or drink 6 hours before surgery. Patients should try to get a good night’s sleep and keep calm before surgery.

Clothing

On the day of the surgery patients should not wear any make up, wigs or hairpieces. Comfortable and loose clothing is best in this case. A button-up top would be much more comfortable to wear after the surgery than trying to put on clothes over your head.

Recovering after rhinoplasty

Depending on the technique chosen for the procedure, a patient will have either dissolvable or non-dissolvable sutures inside the nose or columella.

The dissolvable sutures are supposed to dissolve after approximately a week and do not require to be removed.

If the stitches are non-dissolvable, they should be removed by the surgeon 7-8 days after the surgery.

The patient should also expect to have external and internal nasal dressings which will be placed inside and outside of the nose.

A small gauze is placed right under the nose so that it absorbs any blood discharge, which is normal and common after rhinoplasty surgeries.

Bear in mind that in the first few days after surgery, an absorbent gauze is required to be changed as often as 10 to 20 times.

Nasal dressings should be removed in 5-7 days.

Stop working days

Patient’s upper part of the face is likely to be swollen, especially the eyes and the cheeks. Approximately 2 weeks off work are recommended to rest and heal properly because swelling and discomfort usually subsides in that time. After two weeks post-surgery swelling is usually not as noticeable and should not interfere with any daily tasks. Final results can be appreciated after residual swelling is gone, which usually takes about 6-12 months.

Wear eyeglasses

It is not recommended to wear eyeglasses since it puts pressure and disrupts the blood flow. In order to reduce swelling overnight, it is advisable to elevate one’s head with multiple pillows.

sports activities

The patient should avoid bending forward and lifting heavy objects or children and high-intensity activities should be limited for at least 8 weeks after surgery.

VERY IMPORTANT! It's the medical team at our partner clinics who will decide which medical procedures are best suited to each patient's situation! You are the only one, together with the doctors, to decide on the desired care.

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