Rhinoplasty (also known as cosmetic surgery of the nose ) is the intervention that deals with the correction of defects concerning the shape, volume and size of the nose and is certainly one of the most requested interventions in aesthetic surgery; it is to be understood as the change in the proportions of the nose in relation to the characteristics of the face, peculiar to each of us, rather than a reduction tout-court.
This is an operation that allows surgery to be carried out on the nose and to treat functional respiratory pathologies due to deviations of the nasal septum or hypertrophy of the turbinates.
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Rhinoplasty (nose surgery) is an operation with which you can correct the tip, which can be wide, deviated or drooping, or shorten the nose or even increase its projection with cartilage grafts usually taken from the nasal septum or from the ‘ear. When necessary, the hump is also removed and the width of the back is reduced by making the section of the nasal bones (osteotomies).
The operation can be performed in day-hospital, but in special cases it may require a day or two of hospitalization. The duration is usually less than 2 hours, but in complicated cases, such as secondary nose job in turkey, it can also last 3 1/2 hours.
At the end of the surgery, tampons will be applied inside the nostrils and, if necessary, also a plastic or plaster protection on the back of the nose.
Nasal breathing will then be impossible for a couple of days. The presence of swelling and hemorrhagic suffusion in the periorbital area is absolutely normal and resolves spontaneously after a few days.
The necessary examinations to be performed in advance are:
The surgical technique of rhinoplasty has naturally refined over time, up to interventions that allow extremely precise remodeling. The operation can be performed both under general anesthesia and under local anesthesia associated with intravenous sedation.
The operation can be carried out basically in two ways:
The pre-operative procedure is used by the doctor to know the general state of health of the patient, acquiring all the information relating to any type of disease, any trauma or fractures suffered to the nasal septum and the list of medicines the patient makes use.
Then we will move on to the analysis of those that are perceived as defects by the patient and that are to be modified with rhinoplasty.
The surgeon will decide the type of intervention appropriate to the patient’s needs, providing accurate detail on the type of result that can be achieved. To obtain these results in the best possible way, an in- depth study not only of the aesthetic and functional parameters, but also of the psychological aspect of the patient is essential .
In most cases the patient is discharged on the same day, with the prescription of the medicines to be taken.
After the nose operation, one or two days of rest at home are recommended , keeping the head 30 degrees above the torso at night, in order to reduce post-operative swelling.
It is advisable not to smoke until the dressing has been removed, since smoking induces a vasoconstriction of the microcirculation, whose proper functioning is essential for good healing and is an irritant and an important vehicle for bacteria.
Avoid activities that increase blood pressure, such as strenuous housework, intense sports sessions, or weight lifting for a few weeks.
Do not blow your nose until after at least a week and very gently.
Sneezing with your mouth open.
Do not use glasses , especially with thick and heavy frames.
Do not consume alcohol for a week.
Chewing gum and eating foods that require intense chewing are prohibited .
Like any form of surgery, rhinoplasty carries a certain level of risk that every potential patient must be aware of. Deciding whether or not to undergo rhinoplasty is a completely personal decision, based on the evaluation of the potential complications and the aesthetic benefits that can be obtained. Any surgical operation can lead to complications and nose surgery is no exception.
Those of a general nature include unexpected reactions to anesthesia, deep vein thrombosis (development of a blood clot, typically in a vein in the leg), pulmonary and cardiac infections or distress, resulting from operations that take a long time to complete or caused by underlying underlying diseases.
excessive bleeding (epistaxis), accumulation of blood under the skin (hematoma), partial wound healing or infection, asymmetry of the nose, discoloration and irregularity of the skin, persistent pain and swelling, changes in skin sensitivity (such as numbness), some stitches that may require their removal, development of hypertrophic scars, stenosis of the nasal cavities and perforation of the nasal septum, often very complicated to correct through further treatments.
In some cases, patients may require additional surgery to correct cosmetic or health complications resulting from the rhinoplasty surgery.
Do not operate when you do not have clear ideas. It seems trivial, but it is fundamental! Especially in the case of nose cosmetic surgery which is capable of profoundly affecting a person’s life.
By changing the nose you can improve the smile, the look, you can recreate the harmony of the face, in short, producing a nice aesthetic difference between the before and after. One must be prepared for this difference in order to accept and appreciate it.
Don’t undergo surgery to please someone rather than yourself. Many may think that through rhinoplasty they can acquire a more interesting appearance for a certain person. If this end is not reached, however, a profound disappointment can intervene, which risks psychologically damaging the person operated on.
Don’t have expectations that aren’t realistic. The technical contraindications that will be considered on a case-by-case basis are represented by: systemic diseases that cause difficulty in coagulation or the intake of drugs that influence, delaying it, the coagulation process; pathologies of the nasal septum that are encountered, for example, in people addicted to cocaine. The drug in fact causes severe septal lesions, which lead to necrosis and perforation. In such situations there is also damage to the remaining nasal structures which makes the surgery at risk.
The healing process will ensure that the skin adapts to the new morphology of the underlying osteo-cartilage structures; to obtain a stable result it is necessary to wait a few months. Any corrective actions will be carried out after one year.
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