Rhinoplasty, also known as nose-job is a delicate surgery which must address facial harmony and aesthetics as well as physiologic nasal airway. Although sounds like one standard procedure, it is not. Rather a family of surgeries depending on the patients needs such as:
These interventions might be combined or modified according to the patients needs using open (incision on skin) or closed (just mucosa incision) approach.
We prefer open approach if we need to change the intrinsic proportions of the nasal tip in cases with ball shaped bulbous or boxy tips as well as ethnical nasal varieties.
If you have a rational insight about the deformity of your nose or have reasonable expectations about your appearance; you are a good candidate. Medical contraindications are relative and can be a risk if not taken care of; including, drug allergies, autoimmune diseases, smoking etc…
Its also important to know that nose is a part of the face, so additional surgical interventions are sometimes needed in order to increase the efficacy of the result. For example chin prominence: augmenting or reducing might be needed in some cases. Chin projection, forehead projection, malar-zygomatic prominence and facial proportions are important parameters while deciding new nasal shape.
Although sometimes undesired results might need revisional surgeries which doesn’t exceed 5-10 %, rhinoplasty is a safe procedure.
The patient stays one night in the hospital if osteotomies (70 % of cases) performed under general anesthesia
Bruising (50 %) and subconjuctival haematomas (10 %) may occur in cases which osteotoies performed (bony recorrection). In order to minimize this we use ice packs for 24 hours postoperatively.
If osteotomies performed nasal cast must be used (stays on for 7 days). Generally we insert nasal packing (made of a spongy substance which goes out easily) staying for 2 days. For nasal septum surgery we sometimes insert silicone stents which stays for 7-10 days. Open rhinoplasty patients will need to have their sutures removed on 5th day postoperatively.
Nasal swelling generally happens and recovers in time. Usually in the first month it is observed in all cases but resolves in an increasing rate in first 3 months. 6 months is needed to see that all swelling goes away.