
Rhinoplasty
is an operation performed to reshape the nose for cosmetic reasons
or to correct birth defects, deformities due to trauma, or to
thin a thickened obstruction of the septum. This procedure can
be performed in an outpatient facility by a plastic or ENT surgeon
and can be done under a general or local anesthetic. A rhinoplasty
operation generally takes 1 to 2 hours and recovery time depends
on the condition of the individual.
There
are two separate techniques that can be performed by the surgeon,
depending on the patient's preference and situation. One technique,
opened rhinoplasty, begins with an incision just inside the nostril
that extends over the columnella (the post between the nostrils).
The nasal skin is elevated, showing the anatomy of the nose, where
the bone can be shaved and extra cartilage can be removed and
trimmed. Open technique allows the surgeon to fully expose the
nasal structures for better visibility. The skin is then formed
and molded over the new frame, depending on the patient's desired
shape. This procedure may produce a small insignificant external
scar seen only from below the nose. In a closed rhinoplasty, surgeons
make incisions inside the nostrils only and then perform the surgery.
Following the surgery, the face will be swollen and the head and
nose may ache. For discomfort, the physician will advise the patient
on medications to take. For swelling and bruising, which may occur
up to two weeks, apply a cold compress. If there is nasal packing,
it will be removed after a few days, which will relieve pressure.
After two weeks, all dressings are removed and the patient should
be on their way to recovering with their "new" improvement.
