Rhinoplasty

• Rhinoplasty "nose job" is one of the most common types of plastic surgery.

• The shape of the nose on the outside is due to the shape of bone and cartilage and the overlying skin.

• The top of the nose is made of bone shaped like a roof, which is hard.

• The middle and tip of the nose are made of cartilage, which is softer.

• The skin varies in thickness from person to person, and this also affects the shape. Many people are self-conscious of shape which they may regard as too big, too small or have some other feature which they dislike.

• Rhinoplasty changes the shape of the nose by modifying the bone or cartilage.

• Change the appearance of the nose, after an injury,

• Change the appearance of the nose because they're unhappy with their nose.

• Improve impaired breathing caused by structural defects in the nose.

• Correct birth defect,

• Nose size in relation to facial balance

• Nose width at the bridge or in the size and position of the nostrils

• Nose profile with visible humps or depressions on the bridge

• Nasal tip that is enlarged or bulbous, drooping, upturned or hooked

• Nostrils that are large, wide or upturned

• Nasal asymmetry

• Nasal blockage due to deformity in nasal shape

If you desire a more symmetrical nose, keep in mind that everyone's face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion.

• The nostrils and area directly above them form what is called the nasal valve

• This area is somewhat prone to collapse but can be particularly narrowed or easily collapsible due to a number of reasons, including congenital (at birth) factors or previous trauma or surgery.

• Rhinoplasty and nasal valve surgery are commonly used to treat nasal obstruction that originates at the external nose.

• Nose surgery that's done to improve an obstructed airway requires careful evaluation of the nasal structure as it relates to airflow and breathing.

• Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment.

• When planning rhinoplasty, your surgeon will consider your other facial features, the skin on your nose and what you would like to change.

• If you're a candidate for surgery, your surgeon will develop a customized plan for you.

• If your rhinoplasty is being done to improve your appearance rather than your health, you should wait until your nasal bone is fully grown.

• The characteristics of the nose are inherited from parents and develop during adolescent years. They continue until the age of 16, when the nose stops growing . It is, therefore, unwise to operate before this age.

• However, if you're getting surgery because of a breathing impairment, rhinoplasty can be performed at a younger age.

• Rhinoplasty is a highly individualized procedure. You should do it for yourself, not to fulfil someone else's desires or to try to fit any sort of ideal image.

• Talk with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve.

You may be a good candidate for rhinoplasty if:

• Your facial growth is complete

• You are physically healthy

• You don't smoke

• You have a positive outlook and realistic goals in mind for the improvement of your appearance

• Anaesthesia risks

• Change in skin sensation (numbness or pain)

• Difficulty breathing

• Infection

• Nasal septal perforation (a hole in the nasal septum) is rare. Additional surgical treatment may be necessary to repair the septum but it may be impossible to correct this complication

• Poor wound healing or scarring

• Possibility of revisional surgery

• Skin discoloration and swelling

• Unsatisfactory nasal appearance

Occasionally, patients aren't satisfied with their surgery. If you want a second surgery, you must wait until your nose is fully healed before operating again. This may take a year. As with any major surgery, rhinoplasty carries risks such as:

You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.

• Nicotine constricts your blood vessels, resulting in less oxygen and blood getting to healing tissues.

• If you smoke, stop smoking.

• Smoking slows the healing process after surgery and may make you more likely to get an infection.

• Quitting smoking before and after surgery can help the healing process.

• You should avoid painkillers containing aspirin or blood thinner as advised by your surgeon

• These medications slow down the blood-clotting process and can make you bleed more.

• Let your surgeon know what medications and supplements you're taking, so they can advise you about whether or not to continue.

• Also avoid herbal remedies and over-the-counter supplements.

• Surgery done under general anesthesia ( sleep patient)

• Rhinoplasty may be done inside your nose or through a small external cut (incision) at the base of your nose, between your nostrils.

• Your surgeon will likely readjust the bone and cartilage underneath your skin.

• Your surgeon can change the shape of your nasal bones or cartilage in several ways, depending on how much needs to be removed or added, your nose's structure, and available materials.

• the surgeon will discuss with you about possibility to need cartilage to complete the surgery, cartilage taken from your nose, from your ear,from your rib, or from donors

• After these changes are made, the surgeon places the nose's skin and tissue back and stitches the incisions in your nose.

• If the wall between the two sides of the nose (septum) is bent or crooked (deviated), the surgeon can also correct it to improve breathing.

• After the surgery, you'll be in a recovery room, where the staff monitors your return to wakefulness.

• You might leave later that day or, if you have other health issues, you might stay overnight.

• The procedure usually takes around two hours.

• Everybody's nose and face is different, so it may not be possible to make your nose look exactly like your perfect nose.

• The thickness of the skin is important in how much better the nose will look after rhinoplasty and in what can be done.

• If the skin is thin, it makes bumps or hollows in the nose difficult to hide.

• If it is thick not all changes that can be made on the inside will show up on the outside.

• Your surgeon will aim to produce a nose that looks natural.

• your surgeon may not be able to say exactly how your nose will look after your operation.

• It is important that you discuss your expectations with your surgeon.

• Ninety to ninety-five out of one hundred patients are happy with the results of their operation but some people request more surgery.

• Although rhinoplasty is a relatively safe and easy procedure, healing from it can take a while.

• The tip of your nose is especially sensitive and can remain numb and swollen for months.

• You might be fully recovered in a few weeks, but some effects can linger for months.

• It could be a whole year before you can fully appreciate the end result of your surgery.

• Initial swelling subsides within 4 weeks,

• it may take up to6-12 monthes for your new nasal contour to fully refine.

• During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.

• As your body ages, it is natural to have some gradual changes to your face including your nose.

• But most of your improvement should be relatively permanent.

• A healthy lifestyle and life-long sun protection will help extend the results of your new appearance .

• Very slight changes to the structure of your nose — often measured in millimeters — can make a large difference in how your nose looks.

• Most of the time, an experienced surgeon can get results both of you are satisfied with.

• But in some cases, the slight changes aren't enough, and you and your surgeon might decide to do a second surgery for further changes.

• If this is the case, you must wait at least a year for the follow-up surgery, because your nose can go through changes during this time.

• Rhinoplasty is a surgery to change the shape of the nose.

• Because both breathing and the nose's shape are interrelated

• rhinoplasty may sometimes be performed not only to change the way the nose looks but also to improve breathing through the nose.

• Septoplasty is a surgery to improve breathing by straightening the wall inside the nose that divides the nasal passages into a right and a left side (nasal septum).

• When the septum is crooked, it can make it harder to breathe through the nose.

• A septoplasty is often combined with a rhinoplasty.

No. Rhinoplasty is a challenging operation. This is due to several factors. First, the nose is a complicated 3D shape that is in the middle of the face. Changes made during rhinoplasty are often very small. But these changes can make a major difference in the way the nose looks and functions. Because these changes are small, so is the margin for error.

Swelling and the placement of local anesthetic in the skin distort the nose during surgery, hiding many of the subtle changes made. Rhinoplasty also doesn't have a standard plan or set order of steps. Doctors tailor each operation to the needs of the patient.

• Nearly everyone who has rhinoplasty is able to safely leave the hospital the same day after surgery.

• In rare cases, you may stay in the hospital for one night if you're having a hard time with nausea or have other health problems that need to be monitored, or policy of your insurance company .

• Plan to take a week off from work, school or other obligations.

• You will feel progressively better each day during the first week.

• One week after surgery, people usually feel like they are themselves again.

• After surgery, there will be some swelling.

• The swelling can take many months to resolve, although most people stop noticing it after a couple of months.

• People are usually back to performing most activities after a week and resuming all activities after two to four weeks.

• All surgeries have risks. Fortunately, rhinoplasty risks are small and complications are rare.

• Your doctor will talk to you about the surgery's risks and benefits in detail before the operation.

• Sometimes insurance pays for a rhinoplasty, but it depends on the insurance policy.

• Before scheduling surgery, your doctor's office will help you get prior written authorization from your insurance company.

• Although this isn't a guarantee of coverage, it's the only way to confirm that rhinoplasty is a covered benefit.

• Sometimes insurance will pay for a part of a nasal surgery, but not other parts.

• In these cases, you can contact the business office to get a quote for the operation.

Not for most people. One day after surgery, most people rate their pain between 0 and 4 out of 10.

• No. Packing can be very uncomfortable.

• But you'll likely have some soft splints in your nose.

• Doctors easily remove these splints at the one-week visit.

• In rare cases, We may need to put a dressing ( nasal Pack) in each side of your nose to keep things in place and prevent bleeding.

• they will block your nose up so that you have to breathe through your mouth.

• We may take them out the morning after your operation.

• You may get a little bit of bleeding when the packs come out.

• Sometimes we put small pieces of plastic in your nose to prevent scar tissue from forming.

• These are called 'splints' and we will take them out after a week.

• You will have a temporary splint on the outside of the nose for a week. This should be kept dry.

Bruising is not uncommon. If you do have some minor bruising, it usually lasts a week or so.