Rhinoplasty can change the size, shape, or proportions of your nose. It can be applied to repair deformations from an injury, correct birth defects, or improve breathing difficulties.
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As with any major surgery, rhinoplasty carries some risks:
Adverse reaction to anesthesia
Other possible risks specific to nasal aesthetics include, but are not limited to,
Difficulty breathing through your nose
Permanent numbness in and around your nose
Possibility of an irregular nose
Persistent pain, discoloration or swelling
A hole in the septum (septal perforation)
Need additional surgery
Consult your doctor about how these risks apply to you.
Before planning the nose aesthetics, you should meet your surgeon to discuss important factors that determine whether the surgery works well for you. During this meeting, the following is usually discussed.
Your medical history. The most important question your doctor will ask you is about your motivation and goals for surgery. Your doctor will also ask you about your medical history, including nasal congestion, surgeries, and any medications you take. If you have a bleeding disorder such as hemophilia, it may not be a candidate for rhinoplasty.
It's a physical exam. Your doctor will perform a complete physical examination, including laboratory tests such as blood tests. It will also examine your facial features and the inside and outside of your nose and make a decision.
A physical examination will help your doctor determine which changes should be made and how the physical properties of your skin, such as the thickness of the skin or the strength of the cartilage in your nose, can affect your results. Physical examination is also important to determine the effect of rhinoplasty on your breath
Photos. Someone from your doctor will take pictures of your nose from different angles. Your surgeon may use computer software to process photos to show you what kind of results are possible. Your doctor will use these photos for pre- and post-evaluation, reference during surgery and long-term examinations. Most importantly, the photographs allow a special discussion about the aims of the surgery.
A discussion about your expectations. You and your doctor should talk about your motivations and expectations. It will explain what Rhinoplasty can and cannot do for you and what your results might be. It is normal to feel a little conscious when discussing your appearance, but it is very important that you and your surgeon are clear about your desires and goals for surgery.
If you have a small jaw, your surgeon can talk to you about performing an operation to enlarge your jaw. This is because a small jaw will create a larger nose illusion. Jaw surgery is not necessary in these cases, but it is better to balance the facial profile.
If you are having an outpatient surgery after the operation is planned, you must arrange for someone to take you home.
During the first few days after anesthesia, there may be memory delays, deceleration reaction time, and impaired judgment. Therefore, ask a family member or a friend to stay with you for one or two nights to help with personal care while recovering after surgery.
Food and medicines
Avoid medications containing aspirin or ibuprofen (Advil, Motrin IB, others) for two weeks before and after surgery. These drugs can increase bleeding. Only take medicines approved or prescribed by your surgeon. Also do not use herbal remedies and supplements sold over the counter.
If you are smoking, stop smoking. Smoking slows down the recovery process and increases the likelihood of infection.
What to expect
There is no regular set of steps for rhinoplasty. Each surgery is unique and customized for the specific anatomy and goals of the person who underwent the surgery.
Rhinoplasty requires sedation or general anesthesia and local anesthesia, depending on how complex your surgery is and your surgeon's preference. Before surgery, discuss the type of anesthesia best suited for you with your doctor.
Local anesthesia with sedation. This type of anesthesia is usually used in an outpatient setting. It is limited to a specific area of your body. Your doctor injects a painkiller into your nasal tissues and soothes you with drugs injected from an intravenous (IV) line. It makes you uneasy, but it doesn't exactly fit.
General anesthesia. You take the medicine (anesthesia) by inhalation or with a small tube (IV) placed in your hand, neck or a vein in your chest. General anesthesia affects your entire body and can cause you to become unconscious during surgery.