RHINOPLASTY

Our nose is the central organ in our face, a key factor in proper breathing and perhaps one of the most important features of our face. Plastic surgery can correct both functional and aesthetic abnormalities of the nose.

Aesthetic applications

  1. Fix the nose shaft.
  2. Reduction and/or increase of the back of the nose.
  3. Increase or reduce the length of the nose.
  4. Increase or reduce the crowns.
  5. Reduce the width of the nose.

Reconstructive applications

  1. Restore the operation and appearance of the nose after an accident.
  2. Breath correction.

 

What needs to be done preoperatively

Once the Plastic Surgeon has a complete history of the patient, he / she should fully inform the patient about the procedure and take some photos of the area to be treated.

The operation is recommended to women over 17 and to men over 18 years of age, because development of the nose must be completed at the end of puberty.

The following instructions should be followed:

  1. We do not take aspirin, anti-inflammatory drugs or herbal supplements 20 days before surgery, because they all increase the chance of bleeding during and after surgery.
  2. Alcohol should be discontinued at least 2 weeks before the surgery.
  3. We must not drink coffee 48 hours before the operation.
  4. Vitamin C is suggested 3 weeks before the operation.
  5. To avoid any infection, you should put a local nasal mucosal ointment, an active substance against bacteria.
  6. The patient should not eat and drink water 12 hours before the scheduled operating time.
  7. The person concerned should have cleaned very well the area of the face and for women they should not wearing make - up.

 

Type of anaesthesia

The above procedure is usually done with general anesthesia. Sometimes, it can be done with local anesthesia or even sedation.

 

Hospitalization

After the surgery, the patient should stay for a few hours in the hospital and not drive for the first 24 hours. Patients are rarely hospitalized in the evening.

 

Operation technique

There are 2 types of rhinoplasty operations: open and closed rhinoplasty.

In the first, the incision is carried out in the narrowest part of the penis (the point between the nostrils) and extends into the nostrils, while in the second, the incisions are performed in the nostril mucosa. Depending on the type of changes required for each patient, either the open or the closed method is selected.

The duration of the surgery may be from 1 to 3 hours, depending on the type of surgery.

 

Postoperative instructions

  • During sleep, you should sleep with 2 pillows under your head for the first 7 days after surgery.
  • During the first 72 hours after surgery, during the day, put some crushed ice in an ice cube bag to reduce bruising and swelling. Do not push the nasal splint.
  • Swelling is normal 48 hours after surgery, which peak between 48-72 hours.
  • If you are suffering, take painkillers every 3-4 hours. It is better not to get them with an empty stomach. If you do not get pain, you do not need painkillers. In the case of a painkiller, avoid drinking alcohol.
  • If you suffer from anxiety, please contact your doctor.
  • Immediately after surgery, from the same day, start a light diet with fluids only. The next day you can start a gentle, regular diet, but for 2 weeks avoid foods that require excessive movement of the lips, e.g. Apples, corn, etc..
  • You may have nasal blood secretions for 3-4 days, and you may need to change the gauze often under your nose. Do not scrape or clean your nose, as this may exacerbate secretion. You will be able to remove the gauze from the nose and the strip from your cheeks when the secretions stop.
  • To avoid bleeding, do not puff or blow your nose for the first 2 weeks after surgery. Try not to sneeze, but if this happens, sneeze from the mouth.
  • As long as you have the nasal narthex, you can go to the salon to swim to prevent water from going into the narthex.
  • Keep the inside of your nostrils and your sutures clean, using Q-tip together with a thin layer of antibiotic ointment. This will prevent the creation of a crust. You can move the Q-tip through the nose until the cotton, but no more. As long as the movements in the nose are soft, there is no risk of injury.

General Postoperative instructions

  • Avoid painful activities that will increase heartbeats to 100 / min (eg aerobic exercise, heavy objects or crouching) for the first 3 weeks after surgery. After 2 weeks you will be able to gradually increase your activities and normalize them at the end of the third week.
  • Avoid knocking your nose for the first 4 weeks.
  • After removing the narthex, do not wear glasses or anything else on your nose for 4 weeks. The glasses will be attached to your forehead (your doctor will tell you how). You will be able to wear contact lenses as soon as swelling has subsided.
  • The skin of your nose will be sensitive to sun exposure after surgery. Protect your nose from excessive exposure to the sun for 6 months. Wear a wide hat and / or put a very good sunscreen (with a marker of 20 or greater) with UVA & UVB rays if you are going to be exposed to the sun for a long time.
  • The nasal splint will be removed 6 - 7 days after surgery.
  • After removing the narthex, you can wash your nose gently with a mild soap and you can put make-up. If your nose is dry, you can put a moisturizer.
  • You may feel the tip of the nose sometimes numb after rhinoplasty and your front teeth feel strange, but this feeling will slowly disappear.
  • Most of the swelling will be gone 2-3 weeks after surgery. Typically, the remaining 10% of the swell wants about 1 year to go. You may feel your nose stiff when you smile or not as flexible as before. This is not something one will easily notice about you and things will slowly return to their normal.
  • Avoid lifting heavy objects for the first 3 weeks after surgery.
  • All sections will be very sensitive to radiation during healing. Avoid direct exposure to the sun. Always use sunscreen with a marker of 15 or greater.
  • Follow your doctor's instructions for using medicines.
  • If you experience nausea, vomiting, rash, shortness of breath or diathermy after taking your medication, or if you raise a fever of over 38 degrees C, show redness in the skin or if you feel pain in the operating area, contact your doctor immediately.
  • After removing sutures and splints, it is recommended to use saline to gently remove any crust inside the nose, especially if you have internal nose surgery such as diaphragm correction or abdominal resection of the lower nasal nodule.
  • You can use nasal spray periodically ONLY for the first 2 weeks postoperatively to improve breathing or if you travel by air, the spray will help to keep your ears and nose from getting stuck.
  • If you notice severe bleeding in the blood (so you need to change gauze every 30 - 40 minutes), tell your doctor immediately. You should keep your nose high and press it at the end for 15 minutes. You can use nasal spray to stop bleeding. It usually stops with these moves.

 

Complications

Rhinorrhoea: Rhinorrhea is the secretion of light-colored blood from the nose. The latter is treated by lifting the head, but also by pressure on the base of the nose. Surgery will rarely be required.

Inflammation: During surgery, antibiotics are given, and in some cases the antibiotic treatment continues and some days after the surgery. Inflammation is rare in the face.

Abnormalities of the nose surface may occur if the cartilage is not cut smoothly. These abnormalities can be seen from the skin.

Diaphragm punching is a rare complication.