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Rhinoplasty (nose job) is surgery on the nose to change its shape, size or its function. Rhinoplasty is one of the most popular types of plastic surgery among both men and woman. The nose job may be done for aesthetic reasons to change the appearance of the nose or medical reasons to improve breathing, or to correct nose injuries and birth defects.
This procedure typically involves changes to bone, cartilage, skin or all three. When it comes to rhinoplasty, it usually includes:
• increasing or reducing the size of the nose
• changing a nose angle
• changing the shape of the tip of the nose, the bridge of the nose and the nostrils
• straightening of the bridge (the part inside the nose that separates the nostrils)
Who is it suitable for
✔ Woman and man over 40 years old but a facelift surgery can also be successful on older patients in their 70s and 80s
✔ Facelift is recommended for people who want to reduce fine lines, wrinkles, jowls and to address sagging and drooping skin
✔ Facelift can be performed for people who lost a significant amount of weight
✔ This procedure is a a matter of personal choice and is recommended to people in good overall health. Please consult with a specialist before proceeding with this treatment
✔ Facelift surgery normally takes 2-4 hours but might take longer if other cosmetic procedures are done at the same time
✔ Most patients need to stay in hospital overnight
✔ The complexity and duration of a facelift surgery vary from patient to patient, depending on their individual situation
✔ It normally takes 2-4 weeks to fully recover from a facelift surgery but this can vary from patient to patient
✔ Bruises, scars and redness is usually visible for at least 2 weeks
✔ You need to take time-off for your recovery as patients can experience post-surgery symptoms such as pain, tiredness and swelling.
✔ It can take up to 9 months to see the full effect of the facelift.
Types Of Rhinoplasty Treatment
When it comes to rhinoplasty there are different treatments and surgery types available. You should always consult with a doctor to determine the best treatment approach for you and whether you are suitable for this procedure.
Open rhinoplasty surgery
Open rhinoplasty surgery involves making incisions in the column of the nose (the middle part of the nose) at its narrowest point so that the rest of the skin over the cartilage can be pushed of the tip of the nose upward, thus gaining better access to its structure. This procedure is normally performed when significant nose changes are required such as cartilage restructuring or more complex reshaping. Due to more invasive nature of this surgery, recovery is usually longer than after closed rhinoplasty.
Closed rhinoplasty surgery
Closed rhinoplasty is less invasive procedure than open surgery since all incisions and sutures are made externally in the nasal cavity. This procedure preserves the arteries important for blood circulation, thus recovery is faster than after open surgery. This type of surgery doesn't leave any visible scarring and less swelling. Closed rhinoplasty is recommended for minor changes on the nose.
Ultrasonic rhinoplasty surgery
Ultrasonic rhinoplasty is a new method of open nose surgery performed with the assistance of ultrasonic waves, allowing to make more precise and accurate adjustments to the nose. With ultrasonic surgery, only bones are affected, with the surrounding soft tissues being preserved, and as a result, a recovery is quicker as there is less bruising and swelling. This procedure is recommended for people who are willing to re-shape the nose, change it's size or angle.
Septoplasty is a surgical procedure designed to correct a deviated septum, the cartilage in the nose that separates the nostrils. A deviated septum can be a birth defect or caused by an injury. As a result of a deviated septum, typically one nasal passage is smaller than the other, which can cause breathing issues, nose bleeding and pain. Septoplasty aims to straighten the septum, allowing for better airflow through the nose. This procedure is recommended for people with deviated septum and individuals with breathing problems.
If you are feeling self-conscious about the shape of your nose but not yet ready for a surgical procedure, a non-surgical rhinoplasty (or liquid rhinoplasty) could be an alternative option for you to consider. This procedure involves the use of dermal fillers to change the shape of your nouse. It's important to note that non-surgical rhinoplasty provides a temporary solution which lasts for about 6 moths. This procedure is recommended for individuals looking to smoothen bumps on the nose or to adjust angle of the nose. While this is a non-surgical procedure, there is a risk of complications. Nose is a sensitive ares, positioned close to your eyes and surrounded with blood vessels. You should always consult with a qualified specialist before proceeding with this treatment.
Before The Treatment
Before the treatment, you need to meet with a surgeon to discuss your rhinoplasty objectives, perform an examination and to determine whether the surgery is likely to work well for you:
• Goals and expectations - Your surgeon will likely ask you why do you want to have rhinoplasty and what are your expectations. A surgeon should explain you different types of rhinoplasty methods, potential risks, recovery and expected outcomes.
• Medical history - You should provide a complete medical history including your past and current medical conditions, previous surgeries, traumas, injuries and a history of nasal obstruction. Prepare to provide a list of medications you taking regularly.
• Examination - A surgeon will examine your face and neck, your bone structure, fat distribution, quality of your skin to determine your best options for a facelift surgery.
• Photos - Photographs of your nose will be taken from different angles so that your surgeon can use them for assessing the result after surgery and to educate you about the procedure and anticipated results.
• Diagnostics, tests and additional examination - Be prepared to undertake additional examination, diagnostics, a specialist consultation and blood tests if your surgeon requests before preceding with this treatment.
It's recommended that you arrange for help during recovery and drive you home from a hospital.
What does it involve?
There are different types of rhinoplasty, thus the process, outcomes and recovery is different for every type of procedure.
Generally, rhinoplasty is carried out under general anaesthetic, or local anesthesia for an outpatient procedure. In case of open rhinoplasty, an incision is made across the skin between the nostrils for better access to the nose structure. When it comes to closed rhinoplasty, a cut is made inside the nostrils, preserving the arteries. Depending on the type of the surgery, a surgeon then reshapes and re-structures the nose to achieve desired outcomes. Once the changes are made, skin and tissues are placed back and stitches applied to your nose. Once the surgery is completed, there is likely to be dressings placed inside the nose and a splint applied to the outside of your nose. This will help protecting your nose, reduce swelling and maintain its shape as it heals.
This procedure usually takes 1-3 hours but can take longer if other treatments are done at the same time. Depending on the type and complexity of your operation, you may need to stay in hospital for 1 or 2 nights. For non-surgical and outpatient rhinoplasty surgery you will be allowed to go home same day. After surgery you may experience discomfort, pain and not able to breath. You'll be given painkillers to help control any pain or discomfort you may have.
After the treatment
After surgery you need to stay in bed and keep your head propped up with pillows for a couple of days to reduce swelling and bleeding. The internal dressing inside your nose and a splint tapped to your nose usually remains for a week. After rhinoplasty you may experience discomfort:
• Not able to breath
Sutures, if not dissolvable sutures used, are generally removed after a week. Bruises, swelling and redness is usually visible for at least 3 weeks. Recovery usually takes around 4-6 weeks but it can take up to 6 for the swelling to go away and see the full effect of the operation.
As with any major surgery, rhinoplasty carries risks such as:
• Breathing difficulties
• Persistent swelling or pain
• Permanent numbness
• Altered sense of smell
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