Due to genetic factors, aging or physical trauma, appearance and the functionality of the nose can be imperfect. The size and the appearance of the nose is the most important factor on ones look. Since it’s the most prominent character of the face, dramatic improvements can be achieved even with small changes.
As is the case with all cosmetic surgeries, the patient must overall be in good health and have realistic expectations. Along with that, its crucial that they have a good understanding of the procedure. Although there is no such thing as “ideal rhinoplasty”, the goal is to improve the appearance of the nose consistent with overall facial characteristics.
Skin type, ethnicity and age are also important factors that must be taken into consideration. Younger patients are generally expected to wait until their physical development is complete, usually until the ages of 15, 16 unless respiration is seriously compromised.
After taking a photograph, a two dimensional study will be done along with the patient, explaining them how certain structures such as cartilege and bone can be shaped and how other features of the face such as the chin can influence the end result. A sinus scan is advisable in all patients.
Incisions are made to expose the cartilege and bone structure that supports the nose. Most incisions are made inside the nose so the scares are not visible. In some cases the incision is made where the nostrils meet the skin. Then the nose is given its desired shape either by removing or adding cartilege and bone or by straightening the structure. The angle between the nose and the upper lip can be adjusted to achieve a younger appearance or fix certain deformities.
After reshaping the nose, the tissues are laid down on the new nose structure and the incisions are closed. The nose shape as it heals is fixed by supporting it with a rigid implement from the outside. Nose canals can be fixed unobstructed by placing a soft, absorbent material inside.
The rigid implement placed to fix the shape of the nose will be kept for at least 5 to 7 days after the surgery. There will be a certain amount of swelling and bruising especially the day after the surgery. Ice therapy will usually help reduce the swelling. Painkillers may be needed to alleviate the discomfort. Patients must abstrain from blowing their noses the week after the surgery. The sutures are mostly permanent and they don’t need to be removed later.
It is crucial that the patient pays attention to the instructions given by the doctor such as keeping their heads straight for a period of time following the surgery. Some physical activities will be prohibited for a certain period. Exposure to direct sunlight, excessive or risky physical activities must be avoided. If the patient must use glasses, some method such as sticky tape must be used to prevent the weight of the glasses from bearing down on the healing nose.