Rhinoplasty (Nose Job): Things You Should Know Before
Rhinoplasty also referred to as a nose job is a surgical procedure for the nose. It can change the shape, size or the proportions of a patient’s nose according to his/her preferences or needs.
The enhancement of the nose’s aesthetic appearance and the improvement of breathing, or both, are the primary reasons why people are enlisting in this kind of surgery. Aside from these, rhinoplasty can also repair deformities from an injury and birth.
The specific parts of the nose that rhinoplasty can slightly or change is its bone, cartilage, skin or all these three parts.
How to Prepare For a Rhinoplasty Surgery
The first important step to prepare for rhinoplasty surgery is to schedule a meeting with a surgeon, to iron out the crucial factors involved in this delicate surgery.
What Your Doctor Should Ask You
Your Medical History
Your doctor will lay the groundwork leading to the surgery by first asking the motivation and your goals behind your decision to enlist for this surgery.
The follow-up questions are equally important, and it is related to your medical history.
Rhinoplasty is quite a delicate operation, and with the injective involved during the procedure, it is essential for your doctor to check your medical history first.
Questions that will revolve around your medical history are a history of nasal obstruction, medications, and surgeries that you’ve undergone in the past (if there is any).
If you have a bleeding disorder like hemophilia, your doctor may not recommend you for the rhinoplasty surgery. This will be a precautionary measure from the side of your doctor because this surgery might aggravate the bleeding disorder.
Your doctor will require you to undergo a holistic physical examination. He/she will examine the features of your face, including the inside and outside of your nose.
The physical exams serve as a ‘map’ that leads your doctor on necessary changes to be made and how to do it accurately.
The whole procedure and how it will be conducted depends on the patient’s facial features and health condition. So every process is unique and not just mere uniformed operations.
These exams can also determine the effect of the operation’s on the patient’s breathing.
Your nose will be photographed from different angles, and computer software will be utilized to generate possible aesthetic results for your nose. Your doctor will use the original photographs for three purposes: for before-and-after assessments, references during surgery, and long-term reviews.
The photos make it possible for a more detailed discussion between you and the doctor regarding the surgery’s end goal.
Discussion of your expectations
It is not only the operation itself that makes the end goal possible, but the open conversations between you and your doctor.
The reasons and expectations must always be involved in the discussion to streamline every part of the enhancement procedure appropriately.
You might be a little self-conscious about discussing your appearance, but that’s the last thing that your doctor wants to see from you. The reason why your doctor wants openness from you is that he/she wants to make the most out of this procedure and satisfy each other’s expectations.
It only takes one withheld information to make a big impact on the surgery’s result.
Your doctor may also recommend other enhancements on other parts of your face to better balance your overall facial feature.
If you’re undergoing outpatient surgery, you’ll need to be accompanied by someone to drive you home after the surgery.
One of the most common effects of anaesthesia on you after the first few days are impaired judgment, slowed reaction time, and memory lapses.
With these anticipated effects, it will be better to have a trusted person (a family member or a friend) to stay with you for a couple of days. It is recommended that someone should help you with essential things while you stay in the hospital. It will be safe and helpful for you while you are experiencing the side effects of anaesthesia.
Is there anything I should stop eating/taking?
You must avoid any aspirin and ibuprofen intake two weeks before and after surgery. Because these specific contents can slow down the clothing of blood on your post-surgery wounds.
Follow your surgeon’s approved and prescribed medications. Your doctor will also advise you to stay away from over-the-counter supplements and herbal medicines.
You must also avoid smoking because it slows down your body’ healing process and will directly affect your positive progress after your surgery.
What to Expect During The Surgery
There are two possible types of anaesthesia that your surgeon will use during the surgery. It depends on the complexity of the operation and what your surgeon prefers.
Take a look at the basics of these two types of anaesthesia:
Your doctor will require you to receive a substance by inhaling an anesthetic drug through a small tube placed in your neck, hand and chest. A breathing tube is required when general anesthesia is used. This type of anesthesia can impact your whole body that will make you unconscious during the surgery.
Local anesthesia with sedation
This type of anesthesia is limited to a specific area of your body. It is usually applied in an outpatient setting. It is injected into your natal tissues, and a medication that can sedate you is injected through an intravenous (IV) line. This anesthesia will not cause you to be asleep.
How is Rhinoplasty Being Done?
The surgeon will make a small incision at the base of your nose, between your nostrils, and will work inside it. Following the plan, the surgeon will make the necessary re-adjustments on your bone and cartilage.
The outcomes of the tests before the surgery will determine the surgeon’s decisions about the changes to be made on your nasal bones’ shape and cartilage. It will also depend on the available materials that your surgeon can utilize.
If your surgeon sees a need for a minimal change, he/she may only take cartilage from a deeper part of your nose or your ear.
For more considerable enhancements, your surgeon will find it necessary to take cartilage from your rib or bones from other parts of your body.
After the necessary changes have been done, your nose’s skin and tissue will be put back together and stitches the incisions on it.
If you happen to have bent or crooked wall between the two sides of your nose, your surgeon can also change it to improve your breathing.
After the surgery, you’ll be wheeled in the recovery room so the staff can monitor your wakefulness-recovery. Given that no other health issues are found in you, you may leave later that day.
Risks of Rhinoplasty Surgery
Just like any surgeries, it will always come with several risks, and rhinoplasty is not an exemption. Here are the risks that you need to know:
Adverse reactions to anaesthesia
Difficulty in breathing through the nose
A need for additional surgery
Discolouration or swelling that may persist
Patients will notice swelling or black-and-blue discolourations on their eyelids, but these are only temporary and may only last for two to three weeks after the surgery.
While the swelling of the nose may take more time to recover, reducing your intake of sodium-based food will help fasten the process of healing.
A critical caution for you after the surgery is never attempted to put an ice or cold packs on your nose.
Anything that is not advised by your doctor should not be tried or be attempted. It will surely have an undesired impact on your surgical recovery.
After the Surgery
To reduce the bleeding and swelling of post-surgery incisions, your surgeon will instruct you to rest in bed with your head raised higher than your chest. It will be possible that you’ll have a congested nose because of two reasons: splints placed within your nose during the surgery and the swelling of incisions.
Usually, internal dressings, for up to a week after the surgery, remain in its place. For support and protection, your doctor will tape a splint on a specific part of your nose. This splint will stay in its place for about seven days.
One of the common responses of your body after surgery is the slight bleeding and drainage of mucus and old blood. To absorb waste, your doctor will put a small piece of gauze taped under your nose to avoid the spilling of mucus and blood. This gauze is usually called a “drip pad”.
Follow the instructions of your doctor if there is a need to change the gauze. You will also be advised not to place this small gauze tight against your nose.
For an added layer of precautionary measure to minimize (and altogether avoid) bleeding and swelling, your doctor will require you to follow important guidelines strictly, such as:
1 Do not blow your nose
2. Avoid facial expressions that will considerably bend your facial muscles
3. Minimize the movement of your upper lip by gently brushing your teeth.
4. Avoid strenuous activities that would “shake-off” your newly operated nose.
5. Front-fastening clothes are recommended because it will not cause any friction with your nose. But for typical clothes, gently pull it without running it against your nose.
6. Instead of showers, take a bath while you have bandages on your nose. Having an actual bath improves your overall hygiene.
7. You should also be aware of the conditions (even far from your nose) that may cause strain and pressure on your newly-operated nose such as constipation. To avoid having this tummy-related condition, eat foods with high-fibre such as fruits and vegetables.
9. Apply SPF 30 on your nose when you’re outside. Being outside means being exposed in the sun, and too much exposure will result in a permanent irregular discoloration in your nose’s skin.
8. For at least four weeks after the surgery, don’t let your sunglasses rest on your nose to avoid any pressure (no matter how light) on your nose.
Can I go for revision surgery, post-surgery?
This is not a usual case, but if the desired results are not met, yes, you can go for another surgery. Now the question is when? Not tomorrow, not next week, not even after eight months. Your surgeon will only allow you for another operation after one whole year of resting from a nose surgical procedure.
*NOTE: The article is for general information only and is not a substitute for professional medical advice.
*Image Credit: Pexels