Judgment and Impressions are two of the most common things anyone does. Some may find their appearance striking and not appealing; however, an array of plastic surgery options exists to change the physical appearance.
Many people consider getting a Rhinoplasty each year. According to the American Society for Aesthetic Plastic Surgery, or ASAPS, more than 11 million surgical and non-surgical procedures for cosmetic purposes were performed in the US in 2013. Out of all these procedures, more than 500,000 Rhinoplasty consultations were performed in 2013; subsequently, the nose job has become one of the most common and advanced plastic surgeries available.
In addition to cosmetic applications, nose jobs can be used for medical improvement of breathing problems caused by a deviated septum or other birth defect. Since you’ve thought about getting a nose job in Los Angeles, let’s take a closer look at the whole process.
After deciding to take the next step to getting a better nose, you will be scheduled for a consultation. This is the first meeting you have with Dr. Nassif. This gives you an opportunity to talk about the problems you have with your nose. You can suggest how you want to look. Some people bring in celebrity pictures of their favorite noses as a guide.
Dr. Nassif will expect you to be forthcoming about any and all history you have of any substance abuse, tobacco use, or alcohol use. Furthermore, you will need to bring in all medications and supplements you currently take. Part of the consultation involves obtaining an accurate medical history. Tell Dr. Nassif about any past surgeries, procedures, and complications you have experienced. This gives Dr. Nassif the ability to fully assess your overall well-being and candidacy for the procedure.
During your consultation, Dr. Nassif will make recommendations about best course to take with your nose job. He will determine if your structure will need to be altered significantly or minimally. He will also advise you about any further cosmetic procedures available to give you the best possible appearance, such as a facelift, neck lift, brow lift, or chin augmentation. After settling on the expected type of nose job to be performed, Dr. Nassif’s care team will take photographs of your face for comparison and preparation purposes.
The Evening & Morning before Rhinoplasty Surgery
Common to all types of surgery, you will need to stop eating and drinking fluids for a set amount of time the evening prior to your surgery, most often this will be midnight. In some cases, defined by your physician, you may need to take certain medications with a small sip of water, e.g. beta-blockers, cholesterol medications, or anti-psychotic medications. In order to give you the least possible chance for infection, shower with an anti-microbial soap the evening before. This removes and discourages the growth of bacteria on the surface of your skin. Try not to cause too much irritation of the face, specifically the nose, while scrubbing. Repeat this process the morning before the procedure. Don’t wear nasal or any facial piercing to the hospital. We don’t want them to get lost, and they may have bacteria on them.
The Rhinoplasty Surgery
The procedure will begin with a brief consultation with the nursing staff. They will review your adherence to the guidelines in relation to smoking, eating, drinking, and bathing the evening before and day of your procedure. When you go into the operating room, you will be administered anesthesia. Most often, plastic surgeons prefer to work with general anesthesia; however, local anesthetics are possible. In these instances, you will be able to hear the sounds of the surgery. This is concept can be stressful and frightening, thus, most people prefer the general anesthesia.
Dr. Nassif will begin making the incisions for the procedure once you’re sedated. In order to reduce the appearance of scars, the incisions will be made on the interior of the nose. Tiny incisions may be required where the nares meet the cheek for changes made in the nares’ appearance. Dr. Nassif will reshape your nose according to the style expressed during the consultation.
Most nose jobs require one to hours or longer if other procedures will be performed at the same time. After closing the incisions and addressing any issues with the nasal wall, or septum, you will be sent to the recovery room.
The healing process begins immediately when you awaken in the recovery room. Your nose may be stuffed with packing to sustain the altered structures. In addition, Dr. Nassif will place a stint on the exterior of your nose to hold the nose in place.
If you begin to experience pain or nausea in the recovery room, inform the attending nurse. The nurse will be able to administer medications to correct the nuisance quickly. The physician will prescribe you prescription pain, nausea, and anti-inflammatory medications for your recovery period.
The day after your procedure, the packing and splint will be removed from your nose and replaced with a taped dressing. The tape will need to stay in place for one week. During this time, avoid getting the dressing wet as this can lead to infection and the growth of bacteria. There will be prominent bruising and swelling of the face and nose. Expect to see red and swollen eyes from the procedure. Take all medications as directed by the physician. This remains especially important for any steroids and anti-biotic medications. This prevents the nose from becoming infected or swelling beyond expectations.
Advance your diet minimally for the first few days following your procedure. Try to consumer bland food and water. If you don’t experience any difficulties, you can consume heavy and tastier foods. Please adhere to the dietary guidelines given to you at the time of discharge. Avoid foods and spices that have been known to cause you sneezing or allergy-like reactions.
In order to prevent the formation of blood clots, walk around several times each day for a minimum of ten minutes. In addition to fighting off blood clots, this promotes the circulation and healing of tissues. Don’t bend or exert yourself physically until cleared by your physician. Though the stitches will be tiny, the still have the potential to break from extensive activity.
In order to bring down the swelling, it’s best to sleep with your head elevated above your heart. This isn’t required, and a pillow isn’t likely to dislodge the nasal cast. However, this position is the most comfortable way to avoid a smothering sensation while sleeping. Also, if you normally sleep with your pet, don’t for a few weeks following the surgery. No matter how clean Fido is, he can still bring harmful bacterial close to your incision site. It also gives you a great excuse to sleep however you want in bed without worry about a cranky animal.
Things to Monitor During Recovery
• Elevated temperature. Buy a small thermometer to check your temperature every six to eight hours. The first sign of infection will be an increase in temperature.
• Uncontrollable pain or headaches.
• Excessive redness and heat beyond expectations.
All medical procedures carry risks. These are some of the most common risks in Rhinoplasty.
• Bleeding- Due to the incisions made, bleeding may occur. If Excessive bleeding or a dramatic decrease in energy occurs, please contact your surgeon immediately. If unable to contact your physician, go to the nearest medical emergency room.
• Damage to the Septum- Depending on the extent of the nose job, you may develop and injury or hole in your septum. This can be corrected by the physician.
• Subpar Results & Decrease in Skin Quality- The healing process varies for each person. In some cases, the skin may not heal appropriately.
• Obstruction of Nasal Passages- While rare, the procedure can result in a blockage caused by the amount of swelling in the nose.
• Deep Vein Thrombosis (DVT)- Remember to move around to maintain proper circulation. A DVT refers to a large blood clot formed deep inside veins in the body. If it becomes dislodged, it can result in many problems including stroke, heart attack, or pulmonary embolism (PE).
• Anesthesia Complication- Some people may suffer from problems caused by the anesthesia. This can best be prevented by discussing any past surgeries during the consultation. Advise Dr. Nassif if you have a history of anesthesia complications.
Rhinoplasty Frequently Asked Questions
What if I need to blow my nose the day after the procedure?
Don’t do it. This can rupture the stitches, cause severe pain, or cause excessive bleeding due to the presence of the packing.
Can I present my new nose to everyone the day after my surgery?
Yes, but not in the way you’re thinking. It will be bandaged, bruised, and swollen. After the tape is removed, the bruising may require another week to subside. The nose will continue to heal for the next month. In some cases of extensive reconstruction, the nose may require several months to attain the perfect look desired. Don’t expect red carpet ready for several weeks. It seems like a long time, but a few months doesn’t compare to lifetime of low self-confidence and unhappiness.
Can I drive myself home after my procedure?
No. Because of the effects of anesthesia, patients are not advised to drive themselves home. If you are out of town and need transportation, our office will help with accommodations.
What can I do for pain or headaches after the procedure?
Only take medications as directed by your physician. Don’t take any type of medications containing aspirin or NSAIDs, such as ibuprofen. Apply a cool washcloth or ice pack to the top of your head for pain. Just make sure you don’t get the dressing wet.
I recently had a nose job in Los Angeles, but it was botched. Can I get it fixed?
Absolutely! Dr. Paul S. Nassif specializes in revision rhinoplasty in Beverly Hills. Please see our page for information on Rhinoplasty revisions.