Nose Reshaping (Rhinoplasty)

How Does Nose Reshaping Work?

Nose Reshaping is a medical procedure that reshapes the nose for cosmetic or reconstructive purposes by reshaping the cartilage, bone and sometimes the soft tissues of the nose. It is also called Rhinoplasty or more commonly, "nose job." Nose Reshaping can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It can also restore proper functioning of the nose in the case of injury or abnormalities of the nasal cavities. Nose Reshaping ensures that a patient will be able to breathe through both nostrils. Most surgeons caution against this procedure for girls under 15 or boys under 17, pending full maturity.

Why Have the Procedure?

Having a nose that stands out as abnormally large/small, twisted, or disproportionate can cause anxiety, distress, social trauma and low self-esteem. Besides, a nose that is too small, or has internal structures that limit breathing capacity can be altered by Rhinoplasty surgery to improve function and relieve breathing. Apart from correcting deformities people were born with or have acquired due to injury or because of serious breathing problems/obstacles in the nose causing headache, or sinus problems, there are others turning to nose jobs for aesthetic reasons; to improve the shape or size of the nose to improve their looks. Whatever the reason, the goal of Nose Reshaping is to improve the existing condition and bring either form or function in to line with the patient’s needs.

Are There Any Side-Effects or Complications?

Nose Reshaping
After a Rhinoplasty surgery, there is no visible scars except in case of narrowing of flared nostrils. But even with this case the scars will completely disappear in a few months. One of the most noticeable benefits of a rhinoplasty is increased self-confidence. Aspects of the nose which before made you feel uncomfortable or self conscious are removed and a happier more comfortable body image is the final result. However, as with any surgery, complications can arise during or after the procedure. Complications of nose reshaping specifically can include trouble breathing, but this will normally subside in the weeks after your surgery. Infection can occur, as can nose bleeds, which can happen immediately after your operation, or in the weeks following. It is possible for the septum to be deviated or damaged, and there is a risk that your sense of smell may be impacted by the surgery. If there is an implant used during your surgery, this can potentially emerge through the lining of your nose in the months or in some cases years after the procedure. Your surgeon will need to remove it, and replace it with a new one, should this complication occur. In rare cases, the scar tissue may heal in a way that may cause a whistling sound when breathing in and out. Although not painful, this can be very annoying.

How Does the Procedure Work?

Nose Reshaping is performed using one of two techniques:1) The Open Technique or 2) The Closed Technique. Both techniques involve incisions made inside the nostrils, but the open technique makes a second incision in the fleshy skin between the nostrils. During the surgery, the skin is separated and adjustments are made to the bone and cartilage. Bones may be broken or shaped depending on the patient's desired result, the former taking longer time to heal. Cartilage may be trimmed and nasal passages packed and an external splint applied. The packs are removed in 24 hours but the splint is worn for about a week. The operation normally takes 1-2 hours and can be done under general or local anesthesia.

About the Operation

The operation typically takes 60 to 90 minutes.

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How Do I Prepare for a Nose Job?

Over-the-counter drugs: Avoid taking Aspirin, Ibuprofen, and products containing Aspirin and Ibuprofen as they may inhibit blood clotting and cause bleeding problems during and after surgery. If you need a fever reducer or pain reliever, it is advisable to take Tylenol or other brand of acetaminophen. Smoking: For people who smoke, smoking should be stopped at least 2 weeks before and after surgery. Smoking considerably impairs blood circulation and slows down healing. Multivitamins: Taking multivitamins containing vitamins C, E, and iron are particularly recommended to promote healing. Avoid eating anything after midnight lest you may become nauseated after the surgery. In some cases, doctors prohibit eating anything 6 hours prior to surgery, while some may be allowed to have few sips of water. Finally, make sure you get plenty of good sleep overnight so that you are rested for the challenge ahead. You should ensure that you are free from a cough, cold or sore throat at the time of your surgery as this can increase the risk of an infection afterwards. If you have any concerns, contact your surgeon for advice.

Results and Recovery

Each patient is different so no definite timescale for recovery can be given. However, most rhinoplasty patients are up and about within a couple of days after surgery, and are able to return to work after just a week. But if post-operation instructions are not strictly followed, recovery for the patient may take longer time. Airline travel is not recommended in the first few weeks following surgery. If you wear glasses be careful when wearing and removing them as this can cause discomfort. Your nose will be very sore and placing any kind of pressure on them could be painful. So, taping the eyeglasses in the forehead or propping them up on the cheeks for couple of weeks to avoid them from getting to the operated nose may be advisable. However, contact lens wearers won't have any problem. The final results of Rhinoplasty may not be apparent for a year or more. To achieve the best nose job result, the patient should diligently and patiently follow all the post-operative instructions given.

Insurance Coverage

Most insurance policies don't cover elective cosmetic surgery. However, Rhinoplasty Surgery may be covered if it corrects a breathing problem, birth defect, or for reconstructive purposes, as they are "medically essential". Check with your insurance company, and be sure to obtain proper pre-authorisation for your surgery.

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