Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, change the angle between your nose and your upper lip and can even improve breathing.
The nose is the main focal point of the face – a successful Rhinoplasty requires careful preoperative planning. Each part of the nose, including the dorsum (or 'bridge), the tip, the nostrils and their relationship to each other must be carefully analyzed. The effect that a manipulation of one part will have on the appearance of another must be predicted and calculated. A Rhinoplasty procedure is truly a combination of art and science therefore we believe the decision to chose a surgeon should not be based solely on cost but on skill and quality.
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A Rhinoplasty can be performed in one of two ways. The 'closed' approach and the 'open' approach. Both are valuable techniques. Each has its advantages and disadvantages. The choice of which approach to use depends on the findings during an examination. Ultimately, the goal is to create a natural and aesthetically pleasing and balanced result.
A "Closed " approach refers to a technique of Rhinoplasty in which no external incisions are made. All incisions are made within the nose. The advantage of this approach is that no external scars are created. All scars remain hidden with this technique. Most people seeking Rhinoplasty will be good candidates for the closed approach. This is because most individuals will have great improvement in the appearance of their nose with changes to the bridge of the nose, and minor changes to the tip of the nose. The closed approach is successful in treating these areas. The closed approach can also be used to treat minor breathing difficulties. If a patient needs major revision of the tip of the nose, more complex maneuvers to the bridge of the nose, or has major breathing difficulties, the 'Open' approach is the better option.
An 'Open' approach refers to a technique in which a small incision is made across the 'Columella' (which is the small bridge of tissue between the nostrils leading up to the tip of the nose). The incision is designed so that when it heals, it is almost completely inconspicuous. Furthermore, when someone is being viewed at eye level, this part of the nose and the scar are generally not visible. The choice of technique will depend on what is found on a careful examination. A thorough discussion of each technique will be conducted during the consultation. After surgery, a small cast is placed on the nose to protect it in its new shape. It is worn for about 7 days and should not be removed or got wet.
After surgery, any minor pain or discomfort you experience can be controlled with medication. Your face is your tool for communicating with the rest of the world, and you should be completely at ease and free from self-consciousness in your every day life. Many people feel unhappy with the size and/or shape of their nose. ABSAMC surgeons are experts in corrective nose surgery, performing more Rhinoplasty than almost any other procedures for both men and woman.
Preparing For Your Operation
Products that contain Aspirin, Vitamin E, or Evening Primrose oil should be avoided for three weeks before surgery. Alcoholic drinks should be avoided before surgery. You must wash your hair the day before the operation and make up must be thoroughly removed. You must fast (neither eat or drink) for 6 hours before the operation.
Important to note:
Patients should not smoke for at least 2 weeks before surgery and for a few days after surgery. Smoking interferes with the circulation of blood to the skin. If the patient tints, dyes or bleaches his or her hair, this should be done no later than one week before surgery.
Don 't have the operation if you have a cough, cold or sore throat because this can increase the risk of an infection afterwards - re-schedule it for after you have recovered. If you have any concerns, contact your ABSAMC Patient Advisor. Rhinoplasty is commonly performed and generally safe. However, in order to make an informed decision and give your consent, you need to be aware of the possible side-effects and the risk of complications.
General anaesthesia temporarily affects your co-ordination and reasoning skills, so you must not drive, drink alcohol, operate machinery or sign legal documents for 48 hours afterwards. If you 're in any doubt about driving, contact your motor insurer so that you 're aware of their recommendations, and always follow your surgeon 's advice. It's very likely you will feel bunged up for up to two weeks after the operation - your surgeon may give you some drops or spray to help this. You may find the pressure lessens at night if you sleep in an upright position on several pillows. You shouldn't blow your nose for at least the first week. Your nose may drip, but only wipe it gently. If you need to sneeze, try to cough it out. Don 't do any contact sports, such as rugby or football, or any strenuous exercise for at least six weeks.
Contact your own GP or your surgeon at ABSAMC Surgery if you develop any of the following symptoms:
- Bleeding that doesn 't stop within 10 to 15 minutes
- Inability to drink or swallow normally
- High temperature
- Increasing pain
Returning to work - While there isn't a medical reason why you should stay away from work, many patients feel more comfortable taking some time off and returning when the bruising has settled. Please note - It may take several months before your nose settles into its new shape.
Side-effects are the unwanted but mostly temporary effects you may get after having the procedure. The side-effects of Rhinoplasty include:
- Pain, swelling and bruising, generally around the eyes - this can last up to a month.
- Stiffness and numbness - it can normally last a few months but in rare occasions stiffness may be permanent.
- Difficulty breathing through your nose - this normally eases when swelling settles.
How Much Does Rhinoplasty Cost?
You will be given a fixed price after your initial consultation with your Cosmetic Surgeon and Patient Advisor. Never base your decision on costs alone! Always consider the expertise of your surgeon and the quality of the hospital or clinic when making your decision.