A nose surgery (rhinoplasty) is performed to remove polyps and other blockages, alter the structure and shape of your nose and improve its function and or appearance. Here are a few things you should know about nose surgeries:
Deciding on surgery: Before deciding on undergoing nose surgery, consult with your doctor regarding issues related to your nose. Your doctor will check your problems and judge whether or not surgery is a feasible option. It is only with your doctor’s confirmation that you should go for the surgery.
The procedure: The surgery is done either with local anesthesia (your nose and surrounding areas will be numbed) or general anesthesia (you will fall asleep). The surgeon will make incisions in your nostrils and base of the nose and alter the shape, structure and position of the cartilages in your nose for appealing shape and better functionality. Polyp removal is also done by rhinoplasty.
Recovery: After the surgery you will be required to wear a nose splint. You can expect swelling around the eyes, which will begin to subside after the third day. Swelling in the nose will go away after six months. Therefore, do not expect to see your results immediately, final condition of your nose will be apparent after the recovery period is over.
- You should avoid strenuous activity for three to six weeks.
- Do not smoke or drink alcohol during recovery. Smoking slows recovery time and alcohol reduces normal effects of drugs.
Will you develop scars?
As with all cosmetic procedures, rhinoplasty can leave scars. In closed rhinoplasty, incisions are made inside the nostrils and hence there is no scarring. In open rhinoplasty, an additional cut is made along the columella and this may result in scarring. However, the position of the scar is such that it is almost unnoticeable.
Risks: Any surgical procedure has certain risks. These risks associated with nose surgery include:
- Adverse effect to anesthesia
- Unfavorable outcome
- Visible scarring
- Difficulty in breathing
- Chronic nosebleed
- A perforated septum
- Bursting of blood vessels
- Nervous damage
- Possibility of revision surgery
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Cosmetic surgeons follow two major approaches for reshaping the nose. In open rhinoplasty surgeons take the incision along columella that is the soft tissue between the nostrils. For closed rhinoplasty incisions are taken inside the nostrils.
The difference between two procedures is not just in the way of taking incisions; however there are many other differences that allow surgeons to reshape noses in different ways.
In case of open rhinoplasty surgeons can have a clear view of underlying cartilage. At the same time surgeons can have more freedom to alter and manipulate the nasal shape with higher control and precision. This is not practically possible while incisions are taken inside the nostrils. It would be possible for surgeons to achieve better projection of nose for enlarging the shape and better suppression for sticking it more on the face by open rhinoplasty.
Cartilages that are oriented to the top of the head will have weakness on their outside portion. Endonasal approach causes roundness of tip and patients may develop a habit of pinching their nose frequently.
By adapting closed rhinoplasty surgeons can have decreased operative time. Patients would have less swelling and healing of stitches and scars after the surgery would require less time as the incisions are made beneath the nostrils. Even post-surgery scars will be invisible as they are hidden behind naturally under the nostrils. In case if a patient is operated specifically for reshaping the tip of nose, there will be almost no swelling at all when closed rhinoplasty procedure would be adapted.
However the ultimate goal of rhinoplasty is to achieve desired shape of nose. So, sometimes the patient may compromise swelling to get the desired results irrespective of pain that is experienced by him for somewhat longer duration after the surgery.
Surgeons decide on the type of procedure depending on less downtime and swelling by closed rhinoplasty and requirement of open rhinoplasty if it is required to increase the nasal structure and variant nasal anatomy.
KAS Medical Center
13A Palam Marg, Vasant Vihar
Delhi – 110057
Call/whatsapp on: +91-9818369662, 9958221983/2/1
RHINOPLASTY VIDEO: https://www.youtube.com/watch?v=JBmpekcY7zk
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