The Bare Bones of Rhinoplasty

RhinoplastyFacial plastic surgeons are called in for consultations approximately 500,000 every year for nose reconstruction. The patient may be unhappy with the nose they were born with or how it has changed over time. Others may have a physical deformity or have suffered an injury requiring the services of a specialist. For whatever reason, rhinoplasty can make a huge difference in a person’s appearance, health and self image. To qualify as a candidate for this type of surgery, your overall health must be good and you must be realistic about what the surgery can and cannot do. The ultimate result of rhinoplasty should be a natural looking nose that blends in with other facial features. Others should not be able to tell that you have had work done. In order to accomplish this, many choose to combine their rhinoplasty with chin augmentation. This will lead to the features being properly balanced.

Many are misinformed about the rhinoplasty procedure. In most cases, general anesthesia is used. On occasion, intravenous sedation is used in conjunction with anesthesia that is locally injected. Once the anesthesia has taken effect, incisions are made within the nose itself so they will not be seen. Occasionally, an incision will be necessary where the skin separates the nostrils. Only the facial plastic surgeon will be able to determine if this is needed. Cartilage and bone are then removed or redistributed, allowing for the reshaping of the nose. In cases where a deviated septum is a factor in the rhinoplasty, a septoplasty will also be performed. This is the common treatment for this medical condition. Once again, the incision is made within the nose so it is not visible. The cartilage or bone causing the obstruction is removed. With any incisions, fine sutures will be used in closing. A splint will also be placed on the exterior of the nose, allowing the nose to heal in the new shape.

Primary Rhinoplasty with Dr. Paul Nassif

It may be necessary for your facial plastic surgeon to place packing inside your nose following the procedure. This will be removed the morning after your surgery and the splint will remain in place for approximately seven days. Once the splint has been removed, it will be replaced with tape. The tape then remains in place for seven days. By this time, most swelling and bruising should be gone. Cold compresses can help with these side effects also. It will be necessary for you to take steroids and antibiotics following the procedure. This prevents your nose from swelling excessively and will also stave off infection. Discomfort should be minimal. You will need to avoid strenuous activity and sun for a minimum of four weeks.

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