The shape of the nose on the outside is due to the shape of bone and cartilage and the overlying skin. The top of the nose is made of bone shaped like a roof, which is hard. The middle and tip of the nose are made of cartilage which is softer. The skin varies in thickness from person to person, and also affects the shape.Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one’s appearance. Rhinoplasty, which is also referred to as a “nose job,” “nose reshaping” or “nasal surgery,” involves the reconstruction and shaping of the bone and cartilage to enhance the nose and/or improve breathing through the nose.
Ideal Candidates :
Nose reshaping is done to
• Narrow the width of the nose
• Alter the position and size of your nostrils
• Eliminates depressions, bumps and humps in the nose profile
• Narrow nasal tip
• Correct breathing problems from a deviated septum
• Repair birth defects or injuries
• Patients who desire refinement and reshaping of their nose and have realistic expectations
• Can be done after the age of 16 years
Increased self-confidence from a new profile
Removal of a common cause of jibes and teasing
Option of changing hairstyle – often kept long prior to surgery to “disguise” perceived ‘unwelcome’ features
Harmony of appearance and correct the asymmetry of your facial features
At First Consultation :
During the initial consultation, you may be asked to look in a mirror and point out exactly what you would like to see improved. This will help the plastic surgeon to understand your expectations and determine whether they can realistically be achieved. Patient should be enquired about history of nasal obstruction, past history of surgeries on the nose and history of injuries on the nose.
During evaluation our plastic surgeon will conduct a routine and painless examination of your internal nasal structures. Your skin quality as well as the size and shape of your nose and its relationship to your other facial features will be carefully studied.The overall goal is to produce an aesthetically enhanced, natural-looking nose that functions properly and is in balance and harmony with the patient’s facial features.
Rhinoplasty can be performed in two ways: open or closed. Open rhinoplasty requires an incision across the columella, and gives a surgeon easier access to the nasal tissue. During a closed procedure, all incisions are made within the nostrils.
In the primary rhinoplasty procedure, an incision is created to separate the skin from the underlying bone and cartilage. After the skin has been lifted away, excess bone and/or cartilage is removed. In some cases, it may be necessary to add cartilage grafts to remodel the nasal structure. The surgeon then redrapes the skin to give the nose its new appearance. Depending on the needs of each patient, the change may be subtle or dramatic.
INSTRUCTIONS BEFORE SURGERY :
Tell your surgeon about all the medications you take on a regular basis.
If you smoke, quitting 2 weeks before your nose surgery is important. Smoking impedes your healing because it compromises blood flow to the skin.
Drinking alcohol is also discouraged in the week or so before nose surgery.
You may need routine blood work and a physical exam before your nose surgery.
Instructions after surgery :
Patients are advised to keep their head elevated. Sleep in a raised head position with extra pillows for at least the first two days after your operation or until the bruising has gone down.
It’s likely that your nose will feel ‘bunged up’ for a few days after the operation so you will have to breathe through your mouth. This can make your lips dry, so use petroleum jelly or lip balm on your lips to stop them cracking.
A splint will be placed on the outside of the nose and possibly on the inside as well. Both types of splints are used to protect the temporarily delicate, nasal structures.
You should not have face wash until the nasal splint is removed. However one can have regular bath down the neck after surgery.
There may be some swelling and bruising the first two days after surgery, but these should subside considerably after a week or two has elapsed.
Bed rest the day of surgery is recommended.
Limit activity for the next two days following surgery.
Avoid strenuous activities for about four to six weeks.
In most cases, rhinoplasty patients can return to work within a week.
Don’t blow your nose for at least the first week, only wipe it gently. If you need to sneeze, don’t try to block the sneeze.
Don’t remove any crusts in your nostrils until you see your surgeon to have the splints removed.
Stay away from dusty or smoky places until your nose has recovered.
Residual swelling is usually only noticeable to the patient and the surgeon and will decrease gradually.