What can I expect from a rhinoplasty ?
Rhinoplasty can increase or reduce overall size, narrow or widen the span of the nostrils, improve the shape of the nose or tip or even change the angle between the nose and the upper lip. It can even be performed for reconstructive purposes like correcting birth defects or breathing problems.
What happens during a rhinoplasty ?
In the 1-1½ hour surgery, the skin of the nose is separated from its supporting framework of bone and cartilage. A silicone implant of the desired shape will then be inserted to increase height. As incisions are usually made in the nostrils, scar is well hidden from the eye.
For patients wishing to narrow the span of the nostrils, the surgeon can also remove small wedges of skin from the base and then stitching the base back to the face, bringing the 2 sides of the base closer together at the same time. As incisions are made in the natural folds of the skin, resulting scars are fine and hard to detect.
After surgery, moderate nose-bleeding, swelling and bruising is normal. Plasters that are applied on the nose to stabilize the implant and also to reduce swelling should not be remove until the next appointment.
Rhinoplasty is usually done under local anaesthesia. Patients need only stay in the recovery room until they become awake enough to return home with a responsible adult on the same day of surgery.
What are the risks and complications ?
Scars are not usually a problem since they are either hidden or inconspicuous. Taking antibiotics right after surgery can prevent infection.
In rare cases, the implant may be shifted out of position and this will require a second procedure to realign the implant.
After the surgery ... ...
You should rest at home for 2-3 days with your head elevated. Avoid blowing or sneezing through your nose for the first 7-10 days and you should be able to resume normal activities after 1 week. All strenuous exercises must be avoided 2-3 weeks following surgery.
Any feeling of stuffiness, bruising and swelling is normal during the first few days. You should massage your nose gently according to instructions to help the swelling to subside. Restrict resting heavy glasses on the ridge of your nose until the swelling subsides.