The decision to undergo Rhinoplasty surgery (nose job) isn’t an easy one to make. The surgery itself requires complexity in surgical technique and a clear vision of the desired result. There are many points to consider with the level preoperative planning, the surgery itself, and the period of recovery that is required.
In the planning stage, you’ll need to develop realistic expectations of your nose job surgical outcome. Any surgeon is unlikely to perform rhinoplasty surgery on you if you’re seeking drastic changes that won’t suit your face. Instead of finding images online, examine your nose and determine the parts that bother you the most. Then, you’ll have a starting point of discussion to have in your pre-surgery consultation. You and your surgeon will then be able to determine the most appropriate and surgically realistic nose profile for your look. There’s a lot to know before you decide to go ahead with the surgery. Here, you’ll find a detailed guideline of things to consider, before making a major decision.
What is Rhinoplasty?
A rhinoplasty, or a nose job, can be performed for both cosmetic and medical reasons to reshape or repair the nose. Rhinoplasty can straighten a nose, change the shape of all parts of the nose and improve breathing difficulties. This procedure can attract Medicare and Health Insurance rebates in some patients, particularly if the procedure is done to correct problems from an injury or to correct breathing issues.
Undergoing a rhinoplasty for cosmetic reasons involves improving the appearance and proportion of the nose, as well as improving a person’s self-confidence. One of the most common reasons for getting a nose job is to straighten the bridge of the nose (dorsal hump). This involves operating on the bones that give your nose its shape and structure. If you have a hump, your surgeon will shave it down. Your surgeon can also straighten and narrow the nasal bones by breaking them and repositioning them, using a technique called in-fracture.
Another form of rhinoplasty is Septorhinoplasty, which is designed to correct the appearance of the nose as well as improve the way you breathe through your nose. This involves operating on the bones and cartilage that give your nose its shape and structure as well as straightening your septum. The septum refers to the cartilage and bone inside your nose that separates your nostrils. Your surgeon can refine the tip of your nose by removing some of the cartilage, as well as correct the nasal bones, as discussed above.
If you suffer from a blocked nose caused by a deviated septum, a Septoplasty may be the correction needed. This won’t change the appearance of your nose.
What Types of Incisions can be used?
Two rhinoplasty incision techniques can be used, depending on your circumstances and desired outcome.
1. The first is an open rhinoplasty technique. This involves making small incisions across the tissue between the nostrils (columella). This technique is preferred when correcting a twisted or crooked nose, as well as reshaping the tip of the nose.
2. The second is a closed rhinoplasty technique. This involves making small incisions within the nostrils, without the use of external incision sites. This technique is preferred when reducing the size of a dorsal hump on the bridge of the nose, as well as when reducing the width of the nostrils.
How long will the surgery take?
Rhinoplasty is performed under general anaesthesia and normally takes 1 to 2 hours to complete. It requires a day stay in hospital.
What will my recovery be like?
You will have a splint on your nose that will need to be removed by our nurses at 5-7 days post–operation. During this time, it’s recommended you rest, ice your nose and undergo regular nasal cleaning. Normal activity can be resumed in 2 to 3 weeks.
After four weeks you will begin to see the results approach their final appearance. Swelling from a Rhinoplasty can last up to a year.
Some precautions you will need to take after surgery include (your nurse will advise you of these):
• No nose-blowing
• No vigorous activities or exercise
• Take baths instead of showers while wearing bandages
• Don’t wear clothes that pull over your head
• Don’t rest glasses on your nose for at least a month
• Use sunscreen on your nose when you venture outside
Who is the Ideal Candidate for a Nose Job?
A nose job is suitable for both men and women of all ages, as long as the nose is fully developed. This means that surgery is appropriate from the age of 18 for males, and 16 for females.
Rhinoplasty is most successful when you’re in good general health, with firm nasal cartilage and healthy, elastic skin. While there is no recommended upper age limit on who can get a rhinoplasty, the results are generally better when performed earlier in adulthood.
What are the Risks Involved with Rhinoplasty?
During your pre-surgery consultation, your surgeon will thoroughly address the risks associated with rhinoplasty before arranging for you to go ahead with the surgery.
General complications include:
• infection of the surgical site (wound)
• blood clots
Specific complications include:
• adhesions, where scar tissue forms deep inside your nose
• bruising and swelling
• bleeding caused by infection
• developing an abscess
• injury to nerves
• nasal obstruction
• reduced sense of smell
• cosmetic problems (usually corrected with revision surgery)
While these are uncommon, any surgical procedure comes with risk. You should always seek a second opinion before undergoing surgery.
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