Rhinoplasty - Facial Plastic Surgery

Rhinoplasty is one of the oldest and most traditional surgeries in the field of plastic surgery, as Indian surgeons already practiced it for two thousand years. 

It is a type of surgery very noted for its results, due to the fact that it significantly changes the patient's face. 

This intervention seeks not only the aesthetic result, but also a better functionality of the nose, preserving its noble anatomical elements.

Some patients report improvement and even the disappearance of chronic symptoms, such as a constant runny nose, however, this cannot be guaranteed for all cases, as it is related to the patient's organic response, which is individual and, therefore, very personal.

Specific information:

Type of anesthesia: 

Both local and general anesthesia  can be used, or even associated. 

There is a possibility that the choice is made by the patient, however with prior consideration of its convenience with the plastic surgeon in Delhi.

Duration:  

On average 90 minutes, which can be extended according to the need of the case.

Hospital stay:  

Part time for surgeries performed under local anesthesia. 24 hours when general anesthesia is used. 

It can take 12 to 24 hours when anesthesia is combined.

Postoperative evolution:  

Until the desired result is achieved, several evolutionary phases will occur and are characteristic of this type of surgery. 

Thus, it is completely normal for the patient to have to live, for a few days, with breathing difficulties, bruises (blood infiltration) and edema (swelling), the latter being the one that lasts for the longest time. 

Such reactions vary from person to person, however it is necessary to provide the necessary time for the organism to “manage” this new situation.

NO AESTHETIC NOSE SURGERY RESULTS SHOULD BE ASSESSED BEFORE THE 12th POST-OPERATIVE MONTH.

Scars:  

There is practically no apparent scar in nose cosmetic surgery. This is due to the fact that the incisions are made “inside the nose”, or in the furrows. 

In special cases, when it is necessary to work with the nasal wings, small incisions are made between the wings and the face, which, due to their location, becomes almost imperceptible within a few weeks. 

There is also the possibility of an incision in the lower part of the nose (columella), whose scar will also become imperceptible.

Dressings:   

After the end of the surgery, the nose is immobilized with a plastic plaster that must remain for 8 to 10 days, after which it is removed in the office. 

It is important for the 1st phase of nose shaping. Nasal packing (with Vaseline gauze or silicone nasal splint), which is left on for 24 to 48 hours, can rarely be used.

Possible complications:  

Each organism reacts differently. Thus, in all patients, there are those who achieve an ideal result, while others may present negative results, in greater or lesser proportions, regardless of whether the medical work was carried out with zeal, expertise and caution. 

Among the negative results - which fortunately are rare - the patient may present:

1	Infection.
2	Skin necrosis, due to circulatory deficiency (smoking being its main cause).
3	Skin necrosis.
4	Stitch dehiscence – opening of stitches performed.
5	Venous thrombosis - blood clotting within the veins
6	Anesthetic complications - depending on the type of anesthesia performed - allergy to medications (anaphylactic shock), malignant hyperthermia, post-epidural headache (headache), etc. may occur.
7	Aesthetic complications: each person has a type of scarring and the appearance of keloids, scar hyperchromia (darkening of scars), irregularities in the operated area, etc. are examples of cosmetic complications.

 Preoperative recommendations:

• Communicate, up to two days before surgery, occurrences such as flu, indisposition, fever, cold, runny nose or any symptoms that affect the mouth, nose or throat.
• Check into the hospital/clinic, following the time indicated on the guide.
• If hospitalized on the same day as the surgery, go to the hospital/clinic completely fasting (general anesthesia). In case of local anesthesia, in the morning, you can drink a small cup of coffee with milk and a biscuit.
• Avoid alcoholic beverages or large meals on the day before surgery.

Postoperative recommendations:

 Change the external dressing as often as necessary.

• Take special care with the plaster so as not to traumatize it, moisten it and never remove it. Only the plastic surgeon in Jammu can perform this removal.
• Strictly obey the medical prescription.
• Return to the office for dressings and post-operative control on the days and times scheduled.
• Avoid worrying about clogged nostrils. Wait patiently for the plugs to be removed (if you are using them).
• Avoid beach sun for a period of 90 days. You can expose yourself to the occasional street sun from the 15th day.
• Do not wear glasses until authorized to do so.
• Consult this information leaflet as many times as necessary to perfectly clarify and eliminate your doubts. If any questions remain, contact your plastic surgeon in Noida.
• The good end result also depends on you.

Other information:

Choice of new nose:

The patient's freedom to choose a new nose goes up to a certain limit, which is determined by the aesthetic balance that must exist between the nose and the face, which will be the result of a detailed study between the patient and the plastic surgeon in Chandigarh.

Some examples can be given by images, assemblies, graphic study of the profile, plaster masks, etc.

However, this does not mean that the final result is identical to the programmed one, because even the surgeon using the correct technique, there is still, in parallel, the personal factor of each client, which will interfere in the final result. (Ex.: skin type, age, previous surgery, post-operative care, etc.). 

Remember, still, that every surgery, and especially Rhinoplasty, may need a touch-up, which is normal and usual.

Pain:  

Usually this type of surgery does not present pain in the postoperative period. However, if it occurs, it will be easily overcome with painkillers prescribed as preventatives.

Bleeding:  

In the first 48 hours there is bleeding which is normal, which is why a protective bandage is placed over the opening of the nose. This dressing can be changed at home, as often as necessary.

Sleeping position:  

In the first few days, always with the head in a slightly elevated position, always keeping the face upwards (never laterally).

Breathing after surgery:  

Whenever possible, aesthetic rhinoplasty in Delhi seeks to improve the patient's respiratory conditions, when these are already precarious in the original nose, as, in most cases, these problems are due to the deviation of the septum, which is corrected in the same surgical act, being a procedure inherent to the work of the plastic surgeon in Delhi. 

However, when the simultaneous correction of the septum and nasal pyramid requires special care, it is recommended that cosmetic surgery be performed on a second occasion, after the septum has been corrected by a specialist in the area.

Evolution to the final result:  

There are several phases, as already mentioned, therefore, the final result is better noticed after 6 months. 

When the plaster is removed (around the seventh day), even after correcting the main defects of the nose, it will be less than desired, due to swelling, which will gradually decrease, until disappearing around the twelfth month 

The result of a Rhinoplasty in Delhi is practically definitive, highlighting, however, that after 50 years of age, every nose starts to present morphological alterations compatible with age, as well as due to the transformation presented by the skin that covers it.