Nose Reshaping (Rhinoplasty)
What is it?
Rhinoplasty is the surgical treatment for the reshaping of the nose. Depending on the exact problem it can involve the removal of bone cartilage, a reshaping of the bridge of the nose, and reshaping and altering the tip of the nose. The operation (1-3 hrs)
The surgery is usually performed under general anaesthetic but can be performed under local anaesthesia and heavy sedation. The surgical scars may be either inside the roof of the nose or at the central strut of the base of the nose. The surgical scar, if it is placed externally, is occasionally visible and is particularly useful in noses where there has been trauma, or where previous surgery has been performed.
Bruising
Yes, this varies from person to person but can be quite marked around the eyes.
Swelling
This varies but yes, following your operation there is often swelling at the bridge of your nose and around the tip.
Scarring<
Normally tiny and inconspicuous. In some cases incisions are made in the skin fold at the base of the nostrils, which are shown on close examination.
Recovery
The decision about when to return to work and resume normal activities depends on how fast you heal and how well you feel. As a general guide, it is usual for clients to return to work after ten to fourteen days.
Final Result Visible
It usually looks much better from around 2 weeks, but the following 6 months continues to produce some subtle internal changes.
Possible Complications
Surgery for Rhinoplasty correction should be avoided in people who have a cough, cold or have evidence of infection in and around the nose at the time of the surgery. Bleeding does occur during surgery but this is usually stopped on return to the ward. Occasionally it can occur again while the patient is in hospital and this may necessitate a return to theatre. Infection at any time following surgery is another cause of bleeding and tends to occur between seven and ten days post-operatively. It may necessitate packing of the nose and very occasionally a return to theatre. Due to the narrowness of the nasal passageways, swelling after surgery causes them to become more narrow. This can cause some difficulty with breathing, which can take a few months to settle. Removal of some of the cartilage in the centre of the nose may be performed at the time of Rhinoplasty, in order to improve nasal airways. This however, would be discussed with your surgeon prior to the operation.
Examination of the nose prior to surgery would indicate whether this was necessary. Minor irregularities over the tip of the nose can occur following Rhinoplasty type procedures. These may be apparent in a small number of cases, and need surgical correction at a later date. This can be performed when the swelling following surgery has returned to normal. These minor irregularities may be less noticeable in those who have thick-skinned noses. Some patients also find that they may have an altered smell after the surgery.
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