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Rhinoplasty

Know more about Rhinoplasty

Rhinoplasty surgery is the most traditional procedures of plastic surgery and the one that draws the most attention from the results, due to the fact that the patient’s facial contours are modified. Considered one of the techniques that has evolved over the past few years, rhinoplasty currently allows cosmetic and functional results (deviated septum), with preservation of noble anatomical elements of the nose. Plastic surgeon André Mattos specializes in performing the open type rhinoplasty procedure.

Indication

Rhinoplasty or plastic surgery of the nose is indicated for various corrections of the nose, including a thick nasal tip and a nasal hump among others.

Anesthesia

Both local and general anesthesia are associated with rhinoplasty}. It is at the discretion of the surgeon and patient to decide the most appropriate use for each case.

Does rhinoplasty leave scars?

Certain noses allow the scars to be hidden inside the nasal cavity. In these cases, there is no apparent scarring. In other cases, however, there are small visible external scars as a consequence of incisions (cuts) made in the columella or nasal wings. In these cases, it is the placement of these (barely visible) external scars that provide a better end result or an even nasal physiology.

Surgical time

The rhinoplasty procedure can last between 1 and 2 hours. In some cases, this time can be exceeded, provided that the circumstances so require. However, the time of surgery should not be confused with the length of stay in the operating room environment. This includes the period of preparation for anesthesia and postoperative recovery. Your doctor will inform you about the total time.

Length of hospital stay

The length of stay may vary from a few hours to a half day of hospitalization. Everything depends on the type of anesthesia used and patient recovery during the immediate postoperative period. Your doctor will determine the length of stay, always seeking to provide greater comfort and safety.

Recovery time

The patient uses a bandage (Aquaplast) on the nose for up to a week after rhinoplasty. He may return to work within 10 to 15 days, depending on the type of activity performed. Light physical activity is allowed after 15 days. Heavier and more intense exercise may be resumed within a month after a rhinoplasty procedure.

Are the final results regarding form and functionality immediate?

No. There are several phases characteristic of a post-operative nose. Shortly after the removal of the bandage, around the 7th day, you will be able to see various corrected defects form the original nose. The edema (swelling) will diminish with each passing day and tends to normalize around the 6th month. There are patients that will begin to show the final results shortly beyond this period. The persistence of transient edema for a longer period than normal usually does not interfere with end result.

Final result

The end result of rhinoplasty can be seen only after a year.

Learn more about Rhinoplasty.

Can I choose what i want for my future nose?

No. There is an aesthetic balance between the nose and the face. This balance is what the surgeon must observe in order to preserve the most natural and authentic look. The patient should understand the limitations of surgery and not raise expectations.

How will my breathing be affected after surgery?

There may be some difficulty breathing during the postoperative of rhinoplasty (a few weeks) due to the fact that the “edema” also exists inside the nose, as well as the movement of the “breathing valve”, that can be impaired during this period by altering the elasticity of the nasal wings. Over time, it tends to normalize. Respiratory problems may be linked to the septum, which in some cases can be corrected during surgery by an otolaryngologist team. When the correction of the septum requires special care, rhinoplasty should be done as a second step.

The results will remain for how long?

The result of a rhinoplasty persists for a long time. After some years, as in any other part of the body, there may be some morphological changes in the nasal region.

Rhinoplasty is considered a “small” or “medium” surgery? What are the possible complications?

Rarely, rhinoplasty cause serious complications. However, being a surgical procedure, unforeseen developments may occasionally occur. Fortunately, these are subject to subsequent corrections by surgical revisions. The possible “contingencies” should not be confused with any intermediary issues that occur in the nose, until it reaches its final form. Any questions will be answered by your surgeon.

Are bandages used? How many?

The nose is held stationary with Aquaplast, covering it completely, for about 7-8 days, after which it is removed in the office. In some cases, nasal packing will be performed which may be left for 24 to 72 hours. If the septum is repaired simultaneously, this time may be exceeded, with the exchange of bandages.

I heard that the nose “bleeds” in the early days. Is this true?

There is a little bleeding, which is normal during the first 48 hours. This, however, should not be of concern because a protective bandage, overlapping the opening of the nose, is purposely kept to stem this bleeding. This additional dressing can be changed at home as often as needed.

Is there postoperative pain?

Rarely. Plastic surgery of the nose is quite comfortable postoperatively. When experiencing any pain, this is easily countered with painkillers that will be prescribed as a preventive measure.

Is this operation dangerous?

Rhinoplasty surgery rarely causes serious complications. This is due to the proper preparation of each patient before surgery, and considerations of performing this surgery simultaneously with another. The danger is not greater or smaller than traveling by plane or car or even simply crossing a public road.

What position should I sleep in during the early days?

Always with the head slightly elevated from the bed, generally on a pillow or two. Keep the face up whenever possible.

When can I sunbathe?

Usually there is no harm in being exposed to the sun on the street after the 3rd day of a rhinoplasty surgery. If the face presents ecchymosis (spots of blood infiltration), the patient should use a photo-protective cream, like SPF 30, on the face, avoiding daily sun exposure. However, for long exposures (beaches, sunbathing), it is advisable to wait at least 30 to 45 days.

What is the postoperative outcome?

You should not forget that until the nose reaches the desired result, there are several phases that are characteristic of this type of surgery. Thus, edema (swelling), “spots” of blood infiltration and breathing difficulty during the early days are common to all patients. Of course, some of these symptoms occur with less intensity than others. We hope you are in this group. If not, do not worry. Over time, your body will take care of resolving all the little problems that unfailingly draw attention to someone, sparing them the question: “… is there something wrong?”. Clearly any concern on your part will can be assessed by your plastic surgeon, who can ease your worries and address any issues you may have.

In time, there is usually a period of euphoria, as soon as you remove the plaster or the immobilizer (day 7). In rare cases, a mild anxiety arises due to some transient edema and blood stains. This is temporary and usually reflects the desire to achieve the final result as soon as possible. Be patient. Remember that any outcome of cosmetic surgery of the nose should be evaluated before the 6th postoperative month.

Are the results of cosmetic surgery of the nose worth it?

Evidently. Rhinoplasty usually provides great satisfaction. Remember what was said earlier: each case is examined individually during the first appointment, at which time all the details of the procedure are clarified. Since the procedure is mutually decided upon (doctor and patient), then generally, the results are worth it. Otherwise, the operation is refused. This unpretentious message was drafted with the purpose of informing you about rhinoplasty. You can obtain further information through the Brazilian Society of Plastic Surgery website, if desired.

Recommendations for rhinoplasty (plastic surgery of the nose):

PREOPERATIVE

– Communicate with your surgeon until the day before surgery in cases of flu, cold, runny nose or any other symptoms that affect the mouth, nose, or throat;

– Attend a surgical site (hospital, clinic) on schedule according to your surgical plan;

– In case of hospitalization on the same day of the operation, be sure to fast prior to arriving at the hospital;

– Avoid alcohol or hearty meals the day before surgery.

POSTOPERATIVE

– Avoid local trauma postoperatively;

– Avoid sun, wind or cold in the first 3 days;

– Replace the external dressing as often as necessary;

– Take care with a cast or immobilizer: do not traumatize the dressing, avoid moisture or the temptation to remove it;

– Obey the prescription;

– Return to the office for dressing on the days and times indicated;

– Do not worry about clogged nostrils, in this case you can use tampons. Wait for the withdrawal thereof;

– Avoid the sun and or beach within the first 30 to 45 days. You may, however, casually expose yourself to the sun when in the street, after the 3rd day, if the care described above is followed;

– Do not wear glasses unless authorized. If it is essential to use glasses, seek guidance from your doctor on how to do it;

– Do not worry about the intermediate phases (swollen nose);

– Feel free to ask your plastic surgeon any questions. Avoid feeling sensitive to the opinions of friends at this early stage.

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