Before Rhinoplasty (nose job) Surgery
Prior to Rhinoplasty or Revision Rhinoplasty surgery, a medical history is taken in order to evaluate the general health of the patient. A careful examination is also conducted. The physician and patient discuss together how the nose should look in relation to the patient's other facial features. It is important for the patient to understand that the goal of the surgery is not to achieve perfection but rather to improve the appearance. Photographs of the nose allow the surgeon to evaluate the appropriate procedure to achieve the desired results. The type of anesthesia to be used, the procedure and possible risks and complications are also discussed.
Preoperative instructions may include the elimination of certain drugs which contain aspirin in order to minimize the possibility of excess bleeding. Antibiotics may be prescribed before surgery to prevent infection.
Before surgery
The Rhinoplasty (nose job) Procedure
Rhinoplasty can be performed in a physician's office, an outpatient surgical facility or a hospital, depending upon the physician's and patient's preference. It can be done under general anesthesia with the patient asleep or local anesthesia in which the area is numbed and the patient remains awake. Premedication may be administered to relax the patient.
The rhinoplasty procedure is determined by the type of correction to be made. In most cases involving a reduction in size or shape of the nose, the removal of a hump or the improvement of an angle, incisions are made inside the nose. Working through these incisions, the physician is able to cut bone and cartilage, the soft, movable tissue inside the nose, to reshape it.
To remove a nasal hump, a special file or chisel is used. A narrower nasal bridge is then formed by bringing together the bones on either side of the face. In patients whom the size of the nasal tip is too large, cartilage is removed through the inside incision. The angle between the nose and the upper lip can be improved by elevating and trimming the septum, the dividing wall between the two chambers of the nose.
In some cases, it is necessary to narrow the base of the nose. This procedure involves removal of skin from both sides of the nostrils at the center. In order to improve the contour of the noses of some patients, it is sometimes necessary to add tissue. These procedures can last from one and a half to two hours or more depending upon the extent of Rhinoplasty surgery.
After Rhinoplasty or Revision Rhinoplasty Surgery
Following surgery, a lightweight splint is applied to maintain the new shape of the nose. The splint is usually removed within a week. Nasal pads may be inserted at the time of surgery to protect the septum. This packing is removed within a day or two. Before and even after the packing is removed, there is frequently some stuffiness of the nose, particularly when work has been done in the nasal septum. The physician advises when it is permissible to gently blow the nose.
Pain as a result of the Rhinoplasty surgery is minimal to moderate, and can be controlled with oral medication. Bruising around the eyes occurs but begins to fade within a few days. Discoloration usually disappears in two to three weeks. Swelling around the treated areas slowly diminishes and can be reduced by keeping the head in a slightly elevated position when reclining. Cold compresses may be recommended. Some slight swelling may be present for as long as two to four months.
During the healing process, great care must be taken to protect the nose from injury. Eye glasses should be adjusted in order to minimize pressure on the nose. The physician advises if contact lenses can be worn. Although patients are usually up and around a day or two after the procedure, strenuous exercises, particularly those which might elevate blood pressure, must be avoided for several weeks. The physician determines when normal activities can be resumed.
Result after surgery
How much improvement can be expected from Rhinoplasty?
The amount of improvement is individual and depends upon the extent of Rhinoplasty or revision Rhinoplasty surgery. In some cases, as when a badly misshapen nose is reconstructed, dramatic results may be obtained. On the other hand, the removal of a slight bump may produce very subtle yet satisfying results. Final results may not be apparent for up to one year.
Each year thousands of rhinoplasty surgeries are successfully performed on people who want to change the size or shape of their noses. Complications connected with rhinoplasty are rare; however, there are some inherent risks connected with every surgical procedure. Possible risks and complications should be thoroughly discussed with the physician. Patients can minimize complications by carefully following directions given by the physician.
Will insurance pay for Rhinoplasty surgery?
Some insurance companies pay part or all of the costs of this surgery if it is performed as a result of nasal obstruction. Each insurance carrier is different, and it is recommended that individuals check with their own agents to determine if there is coverage.
If you are interested in learning more about cosmetic surgery such as Rhinoplasty or revision Rhinoplasty, please contact our office and we will be happy to answer your questions or to schedule a complimentary consultation with Los Angeles Rhinoplasty specialist Dr. Kayem. |
