The rhinoplasty is one of the most frequent procedures in cosmetic surgery of the face. Through this procedure the surgeon can increase or decrease the size of your nose, the shape of the nasal ridge or tip, or change the angle between the nose and the upper lip. Rhinoplasty can be done separately or associated with septal surgery to alleviate a nasal respiratory obstruction (septorhinoplasty).

The best candidates for a rhinoplasty are people who want to improve the appearance of their face, without aspiring to have perfect nose, or similar to the nose or some actor or famous person.

If you have good health, is mentally stable and realistic about what you want to achieve with this surgery, you can be a good candidate. Age is also an important factor. Most times surgeons prefer to wait until the growth has finalized in the youngest patients (15 or 16 years).

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HOW IS THIS PROCEDURE DONE?

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  • This procedure is than under general anesthesia or local anesthesia and sedation. According to the case, you could go home on the same day or your surgeon will recommend a short stay in the hospital.

  • The surgeon acts on the cartilage and the nose’s bone through incisions made inside the nostrils. When an ‘open’ technique is done, a small incision is made in the skin that separates both nostrils, that usually heals wonderfully, being almost imperceptible. The surgery is finalized by placing a small cast or splint to protect the nose, as well as an internal plugging that will be removed soon.


RISKS OF THE PROCEDURE

Every procedure has its risks. When the procedure is made by a trained surgeon, the risks are usually small, including infection, nose bleed or complications with anesthesia. You can reduce the risks by following carefully your maxillofacial surgeon’s instructions before and after the rhinoplasty.

In one every ten cases, a second operation may be needed, for example to correct some minor details. Said cases are very unpredictable and it occurs even in the patients of the most experienced surgeons. Usually the second surgery is small.

AFTER THE PROCEDURE

Your doctor will prescribe medication to ease the pain. You must be in bed for the first day, with your head elevated. It’s normal for some major inflammation to appear on your face, close to your nose, as well as ecchymosis (bruises) in the eyelids. Some patients feel a bit depressed in this moment.

Soon you will be fine again in one or two weeks, as if you never had surgery. If a nasal plugging was placed, it will be removed after a few days, which will make you feel much more comfortable. By the second week, your sutures, cast or protective splint will taken off.

Although you will see an important improvement two days after the procedure, it will be necessary for months to go by before you can see the final result. The area of the nose that is swollen up longer is the nasal tip. However, this small swelling is usually imperceptible for everyone except your surgeon.

During the first few weeks some patients experience criticism in their environment (family, friends), about whether he/she should or shouldn’t have undergone surgery, especially if a ‘familiar’ feature for them has been changed. Some people will tell you that they don’t see a major change in your nose. Remember that what you are looking for with the procedure it’s not a radical change, but a natural nose, in harmony with the rest of your face.