Rhinoplasty – Nose Job, Nose Reshaping

Introduction – Rhinoplasty, Cosmetic Nose Job

Rhinoplasty or nose job can be done by an array of surgical techniques. The commonest cause of opting for a Rhinoplasty is cosmetic deformity that may be from birth or due to injury. Rhinoplasty may also be contemplated in patients who have an obstruction in the nose that leads to difficulty in nasal breathing. The surgery may be done to change the shape or size of the tip, bridge or nostrils. The nose is made up of three distinct parts that can be amenable to surgery –

-          the nasal tip and base

-          the middle vault of the nose

-          the bony part of the nose

The anatomy of your nose and the proposed corrections need to be assessed thoroughly before the operation is undertaken in order to give you an idea of the new shape your nose shall take. Your surgeon may assess the extent your nose can be reshaped. Unrealistic expectations from the surgery may often lead to problems later. Your surgeon may also examine your nasal bones and soft tissue structure before the operation is planned.

Surgical Procedures- Rhinoplasty, Nose Job

Rhinoplasty is an outpatient operation that can be done under local anesthesia. In this case an anesthetic drug mixed along with epinephrine is injected around the nose to numb sensations. The epinephrine ensures constrictions of the blood vessels and thus minimizes bleeding during the operation. Some surgeons may also perform this operation under general anesthesia which renders you unconscious during the operation.

You may experience pain, swelling, bruising, and blackened eyes during the post operative period.
Small incisions are made inside the nostrils and the septum dividing the nose from inside. The cartilage inside the nose is exposed and may be removed to give shape. Sometimes cartilage from the septum may be used to give shape to other deficient parts to enhance the nose. After the reconstruction the incisions are closed with fine sutures.

Post operative considerations – Rhinoplasty, Cosmetic Nose Surgery

To facilitate healing intranasal splints are placed on the nose with or without taping. This may be left in place for five to six days after surgery and you may need to irrigate your nose repeatedly with sterile normal saline solution. If your nose is packed with gauze to prevent bleeding and swelling you may be given oral antibiotics. You may experience pain, swelling, bruising, and blackened eyes during the post operative period and these usually go away with time.

Do not take part in vigorous activities, exercise, lifting heavy weights etc. for the first few weeks after surgery. The final shape of your nose will be evident only after it has healed completely. This can usually take a few months. However you can resume social activities within a couple of weeks when the swelling subsided considerably.

One of the common risks associated with Rhinoplasty include failure to achieve desired shape of the nose. The surgery may damage the blood supply of the tip of the nose making it more susceptible to infections and may even lead to permanent disfigurement of the nose. The benefits of this operation are cosmetic in most cases and may also aid in relieving nasal obstruction in patients with nasal valve obstruction.


This article is not medical advice nor a substitute to professional health advice. Always consult a doctor.

 

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