Each year nearly a half of million people interested in improving the appearance of their noses seek medical attention to surgically correct it. Some are unhappy with the appearance of their nose they were born with, some unhappy due to aging or injuries effect on their nose. Difficulty breathing may be a side effect of nose trauma. The nose is a defining characteristic of the face. The size and shape have a significant impact on a person's attitude regarding their looks.
If you have ever considered getting a 'nose job' whether it be to improve your looks, self-confidence, heath, improving breathing difficulties you need to know how Rhinoplasty is performed and what to expect from results.
A successful surgery begins with good rapport between patient and surgeon. Trust, based on realistic expectations and specific medical expertise, develops during the consultation stages before surgery is performed. Your surgeon can answer specific questions about your specific needs.
Understanding a Rhinoplasty is critical when considering the procedure. The goal of Rhinoplasty is to improve the nose aesthetically, making it harmonize with other facial features.
There are various factors to a rhinoplasty that need to be discussed with your surgeon prior to surgery including; skin type, ethnic background, good health and realistic expectations. Before the nose can be altered, younger patients must wait until they reach full growth, usually around 15 or 16. Exceptions are made when breathing is severely impaired in the adolescent patient.
Whether your choice for surgery is for functional or cosmetic reasons, your choice on your facial plastic surgeon is of paramount importance. Dr. Jay White is trained in both Otorhinolaryngology (Ear, Nose and Throat) and facial cosmetic surgery which provides you with the highest level of both training and experience. The surgeon will examine the structure of the nose, both internally and externally, to evaluating both your needs and his technique during your Rhinoplasty. Your surgeon will discuss relative factors that might affect your surgery. Risks and expectations will be discussed during the consultation period as well.
Through a joint decision by your surgeon and you to proceed with rhinoplasty, the surgeon will take before photographs. You will then discuss the options available. Your surgeon will then give you a detailed explanation of the nasal structures, including bone and cartilage can be sculpted to reshape the nose. Your surgeon will then discuss which type of anesthesia to be used, facility, and the cost of the procedure.
Rhinoplasty is literally shaping of the nose, incisions are made and the skin of the nose is lifted from its underlying bone and cartilage support system. Most of the incisions are invisible, since they are created inside the nose. Next, depending on your Rhinoplasty desires, underlying bone and cartilage are removed and possibly rearranged to provide a new shaped structure. For example, if the tip of the nose is too big, the surgeon is able to sculpt the cartilage in this area to reduce the size. The angle of the nose in relation to the lip can also be manipulated in order to give a more youthful appearance and correct any previous distortion.
The skin is then redraped over the newly sculpted nose and incisions are closed with sutures. A splint is applied to the outside of the nose to assist in maintain the new shape of the nose as it heals. Soft, absorbent material can be used inside the nose to assist in maintaining stability along the septum, which divides the wall of the air passages found throughout the nose.
Immediately following the surgery a splint will be placed in your nostrils to protect it and also to maintain the new shape of the nose during the healing period. These splints are held in place with sutures, so it is important to leave them alone and not to pull on them during the post operative period. These splints will stay in place until one week after surgery. If packing is placed in the nose during surgery, it will be removed the following day. You face will feel puffy, especially the first day after surgery. Bruising and swelling in the eye area are common side effects from Rhinoplasty surgery. Cold compresses often reduce swelling, bruising and decrease discomfort. Sutures used in the nose are usually self dissolving so removal of sutures is not needed. It is important to follow your surgeons post operative instructions to ensure proper healing of the nose. You must keep your head elevated for a certain period following surgery. Sun exposure, exertion and risk of injury must also be avoided. If you wear glasses, special arrangements must be made to ensure the glasses to do not rest on your nose. Tape and other devices are common solutions to this restriction.
*Follow-up care is vital for this procedure to monitor healing and proper removal of sprints.
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