What is rhinoplasty?
Rhinoplasty is a surgery to reshape the nose. It is a very popular procedure.Common requests include making a nose smaller, reducing the bridge of the nose, narrowing the nose, making changes to the nasal tip, lifting a droopy nose, revising a previous rhinoplasty and others.
All patients must understand that surgery is an art and a science. Cosmetic surgical procedures have been repeated successfully countless times and are dependable when executed by skillful, experienced surgeons that I can assure you Iranian physicians are some of the most qualified in this field. Despite the best efforts of a talented surgeon, a complication can still occur and you should pay attention to your personal conditions as well.
Are you a good candidate for rhinoplasty?
What bothers one person about their nose may not bother another person. Still, most rhinoplasty patients know what they do not like about their nose. If you do not like the way your nose looks, if you are willing to undergo a surgical procedure, and if you are in good physical and mental health, then you may be a good candidate for rhinoplasty. Also consider the following aspects:
Rhinoplasty is most common in the late teens, twenties, and thirties. A significant number of patients in their forties and fifties also seek rhinoplasty. The oldest patient for whom the author has performed a cosmetic rhinoplasty was in her seventies.
Most rhinoplasty surgeons prefer to wait until an individual has completed his or her growth spurt before performing rhinoplasty. This means about age 16 for girls, and a little later for boys. Of course, this is a generalization—it is very important to take into consideration the individual’s emotional and social maturity level.
It is important that you are in strong emotional health. If you generally happy in life but simply do not like the way your nose looks, and are interested in a cosmetic improvement, then you are probably a good candidate for rhinoplasty consultation.
However, if you are in a stressful period of your life – a divorce, personal or financial tragedy, this is a bad time to have cosmetic surgery. If you believe that having a nose job will change your life, improve a relationship or a marriage, etc… then you should not have this surgery. If you have a psychiatric illness, this illness should be under good control, and you should seek advice from your psychiatrist before giving this further consideration.
Many individuals suffer from chronic sinus problems, including sinus congestion and nasal allergies. Sometimes, a deviated nasal septum (discussed below) causes these problems. In these cases, rhinoplasty can alleviate the problem or eliminate it.
Another common medical reason for a nose job is a cleft palate or cleft lip. This is a birth defect that if not corrected children will have problems eating and won't get the nutrition they require. While a cleft palate or lip may be corrected to improve the appearance of a person, it is a medical condition.Other medical conditions that necessitate rhinoplasty are:
- Nasal inflammation caused by chronic allergies
- Broken noses
What are the pros and cons of rhinoplasty?
When deciding whether rhinoplasty is right for you, it is important to take several factors into consideration.
- Love your look! The main advantage of nose surgery is waking up to a face in the mirror that you love.
- Gain confidence. Hand in hand with loving your look is gaining confidence in yourself. When your appearance reflects your best self, then your inner beauty can shine through.
- Breathe easier. For some patients, reshaping the nose eliminates breathing difficulties, including snoring and sleep apnea.
- Get individualized treatment. With Mediranco’s surgeons, we know that no two noses are the same. We discuss and provide the right surgical options for each patient to achieve his or her individual goals.
- Cost of rhinoplasty. Cost should be taken into consideration when planning your surgery, but remember that you are making an investment in yourself for a lifetime. At Mediranco, we offer a variety of financing options to make sure that your cosmetic surgery dreams can become reality.
- Limitations of results. Although your nose can be reshaped to reduce a nasal bump or sculpt a more refined nasal tip, nose surgery cannot completely alter your nose, and you wouldn’t want it to. The goal of a great rhinoplasty is to create balance and symmetry with your nose and facial features.
Preparing for Rhinoplasty
You must first meet with your surgeon to discuss whether you’re a good candidate for rhinoplasty. You’ll talk about why you want the surgery and what you hope to accomplish by having it.
Your surgeon will examine your medical history and ask you about any current medications and medical conditions. If you have hemophilia, a disorder that causes excessive bleeding, your surgeon will likely recommend against any elective surgery.
Your surgeon will perform a physical exam, looking closely at the skin on the inside and outside of your nose to determine what kind of changes can be made. Your surgeon might order blood tests or other lab tests.
Your surgeon will also consider whether any additional surgery should be done at the same time. For example, some people also get a chin augmentation, a procedure to better define your chin, at the same time as rhinoplasty.
This consultation also includes photographing your nose from various angles. These shots will be used for assessing the long-term results of surgery and may be referred to during the surgery.
You should avoid painkillers containing ibuprofen or aspirin for two weeks before and two weeks after your surgery. These medications slow down the blood-clotting process and can make you bleed more. Let your surgeon know what medications and supplements you’re taking, so they can advise you about whether or not to continue them.
Smokers have more difficulty healing from rhinoplasty, as cigarettes slow the recovery process. Nicotine constricts your blood vessels, resulting in less oxygen and blood getting to healing tissues. Quitting smoking before and after surgery can help the healing process.
A nose job is usually done as an outpatient procedure, meaning there is no overnight stay. You'll get general or local anesthesia. With general anesthesia, you'll sleep through the operation. With local anesthesia, you will be sedated and your nose will be numbed so you are relaxed and unable to feel the pain.Once you’re numb or unconscious, your surgeon will make cuts between or inside your nostrils. They’ll separate your skin from your cartilage or bone and then start the reshaping. If your new nose needs a small amount of additional cartilage, your doctor may remove some from your ear or deep inside your nose. If more is needed, you might get an implant or a bone graft. A bone graft is additional bone that’s added to the bone in your nose.The procedure usually takes between one and two hours. If the surgery is complex, it can take longer. After surgery, your doctor may place a plastic or metal splint on your nose. The splint will help your nose retain its new shape while it heals. They may also place nasal packs or splints inside your nostrils to stabilize your septum, which is the part of your nose between your nostrils.
You’ll be monitored in a recovery room for at least a few hours after surgery. If everything is okay, you’ll leave later that day.If it’s a complicated procedure, you might have to stay in the hospital for a day or two.
Recovery from Rhinoplastyavoid the following for a few weeks after your surgery:
- running and other strenuous physical activities
- blowing your nose
- excessive chewing
- laughing, smiling, or other facial expressions that require lots of movement
- pulling clothing over your head
- resting eyeglasses on your nose
- vigorous tooth brushing
Be especially careful about sun exposure. Too much could permanently discolor the skin around your nose. Rhinoplasty can affect the area around your eyes, and you might have temporary numbness, swelling, or discoloration around your eyelids for a few weeks. You can apply cold compresses or ice packs to decrease discoloration and swelling.
Follow-up care is important after rhinoplasty. Be sure to keep your appointments and follow your doctor’s instructions.