12Dec/20

Rhinoplasty, the definitive solution for your nose

Having a large, aquiline nose, too wide or too long, is usually not a problem. Although in certain cases, the shape of the nose can generate large complexes. On these occasions, living with a nose that you don’t like marks your entire life, as it is one of the most difficult physical traits to hide. If you are one of those people who refuse to accept what Mother Nature has “gifted” them, perhaps you have ever thought about having a nose job.

Risks of the operation

The wounds will be inside the nose and will not be visible at any time. Unnoticeable scars will only remain at the base of the nose if it is necessary to narrow the nostrils or if the “open” technique is required.

Although it should not be listed as a complication, you should know that approximately one in ten cases needs a small retouch afterwards. This situation is unpredictable in practically all cases.

Preparation for surgery

A rhinoplasty is a highly personalized procedure since each person is unique and their features are unique. The shape of the face, the shape and structure of the nose, the type of skin etc. They will say the type of needs that each patient has and therefore, the type of surgery to follow.

Initially, a computer imaging study is done. This image serves the surgeon to show the patient what can be achieved, and thus see if the reality is within the patient’s expectations. This simulation is not a guarantee of the final result, but it helps the surgeon a lot in operation itself.

If you undergo a rhinoplasty, you must strictly follow the instructions of the surgeon and healthcare personnel. Always comment on the medication you are taking or if you have a disease or an unhealthy habit (like smoking).

Surgery

It is performed under general anaesthesia, with a hospital stay overnight. Rhinoplasty is mainly based on “sculpting” the bone and cartilage framework that is under the skin of the nose. All this is done through incisions that are inside the nose and that, therefore, leave non-visible scars. If the nose is “difficult”, it may be necessary to make an incision in the skin that separates the nostrils (known as a columella) is what is known as an open technique. Only in this case and when it is necessary to narrow the wings of the nose can scars remain that, although visible, are usually inapparent.

Simultaneously, the correction of any abnormality that causes respiratory distress such as deviations of the nasal septum can be performed. This procedure is called a rhinoseptoplasty. They are usually somewhat longer interventions that do require hospital admission overnight. When the operation is finished, a cast is usually placed on the back of the nose and plugs are placed inside the nostrils.

Returning to normal after a rhinoplasty

During the postoperative period, the discomfort that may arise will be alleviated with analgesics. During the next 24 hours, it is advisable to be at rest to better control the discomfort and avoid bleeding. You should not be scared, because bruises and inflammation will appear around the eyes, which will increase during the following days.

The nose plugs will be removed in the first 24 hours. Although if the septum has been operated, it will take 2 to 4 days. The cast is removed in about seven to ten days.

In approximately ten to fourteen days, the bruises and much of the swelling will be gone, and they will appear almost normal.

The results

Keep in mind that, depending on the “change” that has occurred in the nose, it may take more than four months to see the final result. A good surgeon always looks for a natural nose, without the consequences of surgery. So that people who do not know the patient do not realize that it is an operated nose. Many times the acquaintances themselves do not perceive that the nose has been operated, they realize that it is more beautiful, but they do not know why.

12Dec/20

What result to expect after a rhinoplasty?

In nose surgery or rhinoplasty, the surgeon reshapes the patient’s nose to improve appearance, symmetry and often breathing. Thanks to this procedure, the facial harmony and the proportions of the nose can be corrected. Like, breathing disorders caused by structural defects within the nose. In this surgery, it is recommended that the patient be at least 15 years of age, to allow the full growth of the cartilage and bone of the nose.

Pros:

  • Improvement in the shape, angle and size of the nose.
  • Defects that impede breathing and cause congestion can be corrected.
  • Positive impact on self-image and self-confidence.

Cons:

  • Depending on the type of surgery, there may be certain scars.
  • Your new appearance takes time to get used to, and post-operative discomfort may occur.
  • There is no guarantee that the result will be exactly what you want.

Are you a candidate for this surgery?

Rhinoplasty is an individualized procedure that is performed when the patient decides for his own reasons and not for satisfying the needs of others. The following are some of the common reasons why you are considered an ideal candidate for rhinoplasty:

  • Full facial bone growth.
  • Physically stable health.
  • Not be a smoker.
  • Positive vision and realistic goals in mind regarding appearance.

During the first few days after surgery, when the face is swollen and bruised, it is easy to forget that the appearance will improve and many may feel depressed. It is a normal feeling after surgery. However, day by day, your appearance will improve, and you can feel happier. In 1 or 2 weeks, the recovery will be complete. The improvement is progressive and gradual. Expect minimal swelling and small bruises in the operated area. Do not despair, after several months, and the result will be final.

12Dec/20

Is rhinoplasty painful?

Several myths have surrounded this surgical procedure, and one of the most prevalent over time is that it is a very painful procedure, which is why many people give up doing it besides being one of the most frequent questions in my rhinoplasty consultation.

But are all rhinoplasty painful?

I have to answer that it DEPENDS on each case; in most cases that are for aesthetic corrections, it is an uncomfortable but very tolerable procedure.

But why is rhinoplasty said to be painful?

You have to start with the definition of it in order to answer this question. Rhinoplasty is the procedures we perform to modify the structure of the nose for aesthetic or functional purposes, and it can be surgical as well as non-surgical. We can also divide it according to its approach, or way of operating, if it is by open approach making an external incision, or if it is by closed approach, making intramucosal incisions (in the internal nasal mucosa), in the two types of approach the pain is similar.

Once the nose is approached for its correction, it is necessary to define if only soft tissues, skin and cartilage are going to be modified or bone tissue must also be corrected (most of the cases) and this is where the procedure can be more painful. For some patients, when we need to modify the nasal bone structure, we perform it through specific and planned fractures before surgery, and these fractures are added to the little amount of subcutaneous cellular tissue that we have in the nose and the great inflammation, of slow recovery, which causes bruising, discomfort and pain.

Another reason to consume a good supply of fluids and electrolytes is INFLAMMATION after surgery, the body responds with oedema or inflammation in the first days, which can lead to an electrolyte imbalance if you are not replacing it in the diet.

Fortunately, surgical procedures advance as well as the techniques and the pharmacological industry, and now we have more refined surgical techniques that allow us to obtain better results, and combined with the application of different medications intraoperatively and in the recovery period decrease from importantly the pain and the feeling of discomfort.