It goes without saying that the decision to undergo rhinoplasty is normally preceded with a lengthy process of learning about and making that decision. Even before you appear for the pre-operative appointment a basic idea of how the procedure will benefit you is probably in your head. For those who have not gone through that process, it’s about the right time to sit down and do a little background reading. If you show up to the doctor for a pre-consultation, that would not be a bad idea either, but even then it might be a while until you are ready for surgery; once you qualify.
Cosmetic surgery is closely linked to lifestyle in a way, that by enhancing one’s appearance, patients achieve acceptance for themselves and from their peers, hence boosting self-esteem and quality of life. Ironically, this subtlety can only be completely understood by the surgeon and the patient only. Considering that rhinoplasty and cosmetic surgery in general is such a personally unique process, the time taken in undertaking that decision and waiting until you heal perfectly becomes justified. Plastic surgery borders on the art of understanding and delivering a patient’s needs while keeping in mind the biological, medical and scientific facts that dictate the whole procedure.
The post will serve to advise you about the procedure in brief along with some of the possibilities and risks involved. This article is just a beginning for you to research and study the procedure in detail. But despite that, you won’t get to understand the particularities with you or another patient (before and after) without a complete personal consultation with a qualified surgeon whom you would be entrusting your aesthetic appearance with.
Undoubtedly, the nose being the central part of the face as it is, it captures a lot of the limelight. In fact it reflects it too. After the eyes, the nose takes second place in your most significant facial features and contributes much to its harmony with your persona as well as appearance. Characteristics such as humped bridge, wide nostrils, droopy nasal tip an even a crooked septum (bridge) are mostly genetic in nature although another significant reason is also traumatic accident or disease. Rhinoplasty hence has functional uses as well as cosmetic ones. Such characteristics in the nose can also contribute to discomfort such as breathing problems, scarring, bleeding whereas broken/bent tissue can additionally interfere with a person’s mental well-being. Corrective nasal surgery however can only be carried put once the nose has slowed down to very negligible growth. Even when performing nasal surgery, the surgeon has to consider and predict the possible shape of the nose after surgery with a few years of ageing while working on the soft or hard tissue. That’s another one of those rhinoplasty factors for you to keep in mind!
Rhinoplasty is an umbrella term used to refer to the variety of elective and/or constructive procedures involved in nose augmentation and nose reshaping. In a pre-evaluation with the surgeon, the patient’s is determined qualified for the procedure by meeting the physical and mental requirements to cope with surgery. With the patient’s desires, medical history, anatomical proportions, correction (if any flaws) and an overall picture of other related factors; the surgeon advises the patient on what to do until surgery. Usually that can be right away as an outpatient procedure or it may take some time. But the important thing you have created a bond with a surgeon who will be taking care of you with whom you can sort out everything from financial details to checkups after surgery.
There are two common ways to go with a traditional nose job. The “open approach” involves incisions on the outside of the nose whilst a “closed approach” is done through incisions inside the nostrils and under the nose. In both these cases; different techniques are employed where targeted tissue is manipulated while scars eventually fade completely with time. In the nose job, bone may be required to be broken; cartilage (and soft tissue) may be shaved off or grafted on depending on the requirements of surgery. If there is scar tissue or bent structural tissue, it can be addressed either by manipulating the bone or cartilage or excising the offending parts from the mains septum. By lifting the skin off the nose, a surgeon can expose the underlying cartilaginous and bony nasal structure where reshaping or resizing is carried out. Once the work on the underlying structure concludes, the surgeon proceeds to augment the structure through soluble stitches (internally), splinting on the outside and nasal stuffing inserted in the nostrils. The new supportive cast/dressing is worn for up to 2 weeks after surgery.
If you can make do with the sounds of your nose being worked on then the procedure can be safely carried out under local anesthesia and mild sedation although general anesthesia is more popular.
For up to a week after the surgery, the internal stuffing is kept worn and changed regularly. The patient will experience slight bleeding, swelling and pain (of varying degrees) in the surrounding cheeks and eyes for the first couple of day; but nothing intolerable. For that the doctor will prescribe pain numbing and infection preventive antibiotic medication to boost the healing process while making it comfortable. It is advised that the nose should not be blown in the initial two weeks after surgery. It is also advised that no strenuous work or weight lifting should be allowed until the surgeon says so. For this period, you will also sleep with your head elevated and wipe any discharge gently with a clean towel or handkerchief while avoiding. Small ice packs or compresses are handy for some patients with excessive swelling, but no pressure should be applied on the nose itself; only the surrounding areas. Drink enough fluids everyday and go for a little walk, since that helps the blood flow and boost healing.
Swelling of the cheeks and eyelids will begin to go down a week after surgery and the nasal cast is kept on for the first two weeks – being changed once between. Numbness, swelling and scars will all fade away overtime to give the patient that brand new nose they have been dreaming about.
Keep your nose sheltered from sun exposure by avoiding the tanning beds and wearing sunscreen for the couple of months while you heal. This prevents the nasal tip from expanding. The nasal structure take longest to heal with the harder tissue going strong in 6 months whereas the cartilage regaining foundation in up to 12 months.
A well-formed nose takes the entire time to eventually form. Even with instant results after surgery, the rhinoplasty has not quite reached its end point. The patience and confidence required from the patient while diligently following the necessary instructions should make them quite satisfied with the end results which are apparent only when the nose has fully healed. With aesthetic and functional flaws corrected, the patient will improve their perception of life which boosts productivity and self-esteem.
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