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What Is Rhinoplasty?



What Is Rhinoplasty?

Rhinoplasty or more commonly known as a nose job, is a surgical procedure performed to alter and reconstruct the shape or function of the nose. It is done both for therapeutic and cosmetic purposes. Birth defects and traumas resulting in breathing problems can be fixed with rhinoplasty. People who are unsatisfied with the visual shape of their noses can also benefit from this surgery to improve their appearance.

Why Rhinoplasty?

Plastic surgery has become extremely popular during the recent decades and many men and women are after some type of cosmetic plastic surgery to alter and improve their appearances. Many people are not happy or completely satisfied with the visual look of their noses and wish for a different structure for their noses. Rhinoplasty or nose job can help many individuals who are unsatisfied with the appearance of their noses and help them alter their noses to their desired shape and size. Genetics and trauma can often be the cause for a disproportionate nose, and rhinoplasty can come to aid in these matters. Having a nose job for the right reasons can often boost self-esteem and self-confidence in individuals who are hugely dissatisfied with their primary noses.
Apart from cosmetic purposes, some people may be born with nasal defects and problems with breathing which can result in huge discomfort in daily life. Rhinoplasty is used in this cases as well, and it is performed to treat these types of problems. In these cases, rhinoplasty can offer a huge improvement in the quality of life.
Often, the rhinoplasty is performed to aim at both cosmetic and therapeutic purposes, and both the aesthetic and medical problems are fixed during one session of surgery.

How Is Rhinoplasty Performed?

Before your rhinoplasty operation, the plastic surgeon or the ENT will discuss the surgery with you and consult with you during a session about the desired shape and size that suits you the best. The surgeon will examine your nose structure and other facial features to determine the appropriate shape and size. Your doctor will ban you from smoking and taking certain medication such as blood thinners (Aspirin, etc.) before your operation.
For the procedure, you will usually undergo general anesthesia. A local anesthesia will also be injected into the nasal area to limit bleeding and reduce vascularity. The surgeon will then make a small incision between the nostrils and at the base of the nose. The surgeon will then uncover the tissue underneath to reconstruct the bones and cartilage. Your surgeon may use your own deeper cartilage, a piece of your ear, rips or implants to alter the shape and size of the nose. After the reconstruction is finished, the surgeon will put the skin edges back together and uses surgical sutures to close the incisions. External or internal stents and surgical tapes are used to fixate and hold the newly constructed cartilage.

Who Is a Good Candidate for Rhinoplasty?

Not every individual is a suitable candidate for rhinoplasty. You must meet certain criteria before considering cosmetic or medical rhinoplasty. Suitable candidate for rhinoplasty procedure must:

  • Be unsatisfied with the appearances of their nose

  • Have certain deformities that need to be fixed

  • Have birth defects causing breathing problems

  • Be realistic towards the final results of cosmetic surgery

  • Be at the suitable age (for completion of facial growth)

  • Have overall health and be without serious medical conditions

  • Be nonsmokers


What to Expect After a Rhinoplasty?

After rhinoplasty you will experience pain and swelling around your nose and under the eyes. You may also experience bruising under the eyes. The swelling and bruising can last up to two weeks post operation. The stents and internal dressings placed in your nostrils will be removed after a week. A plastic splint and tape is usually placed on the outside of the nose to hold the structure in place for healing. You can usually leave the hospital the very same day of the operation.
It is common to experience bleeding and bloody mucus after the surgery. The gauze collecting these fluids will be changed several times during the day. Nasal stuffiness is also expected, and will be resolved by itself as the splints are removed. Numbness on the nose and surrounding area can also occur, which will be resolved by itself in a few weeks.
You need to keep your head elevated after the operation to reduce bleeding and swelling. You should avoid strenuous activity during the first six weeks post operation, however you can return to your daily life in two weeks’ time. You should avoid blowing your nose, extreme smiling and laughing, limit movement of upper lips in activities such as brushing your teeth, and avoid pulling clothing over your head while dressing up. You also need to avoid wearing glasses or sunglasses for at least a month. Use sunscreen on the skin of your nose as often as you can to avoid discoloration. Always contact your surgeon in case of any abnormalities or emergencies.
It is important to mention that the swelling on the nose may result in the nose looking bigger than it actually is post operation. The tip of the nose can take some time to show its normal size. The swelling will improve mostly during the first few weeks, and it will continue to go down for months, and the appearances of the nose will continue to change up to one year after the surgery.

What Are the Risks of Rhinoplasty?

No surgery is without risks. Some general and specific risks of rhinoplasty are:

  • Anesthesia risks

  • Infection

  • Hematoma

  • Delayed and poor healing

  • Numbness and pain that is long lasting

  • Septal perforation

  • Skin discoloration

  • Breathing problems

  • Unsatisfactory results

  • Nosebleeds

  • Scarring


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