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RHINOPLASTY
(NOSE RESHAPING) |
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What
is it?
Rhinoplasty is the surgical
treatment for the reshaping of the nose. Depending
on the exact problem it can involve the removal
of bone cartilage, a reshaping of the bridge of
the nose, and reshaping and altering the tip of
the nose.
The
operation (1-3 hrs)
The surgery is usually performed under
general anaesthetic but can be performed under
local anaesthesia and heavy sedation. The surgical
scars may be either inside the roof of the nose
or at the central strut of the base of the nose.
The surgical scar, if it is placed externally,
is occasionally visible and is particularly useful
in noses where there has been trauma, or where
previous surgery has been performed.
Bruising
Yes, this varies from person to person but can
be quite marked around the eyes.
Swelling
This varies but yes, following your operation
there is often swelling at the bridge of your
nose and around the tip.
Scarring
Normally tiny and inconspicuous. In some cases
incisions are made in the skin fold at the base
of the nostrils, which are shown on close examination.
Recovery
The decision about when to return to work and
resume normal activities depends on how fast you
heal and how well you feel. As a general guide,
it is usual for clients to return to work after
ten to fourteen days.
Final Result Visible
It usually looks much better from around 2 weeks,
but the following 6 months continues to produce
some subtle internal changes.
Possible
Complications
Surgery for Rhinoplasty correction should
be avoided in people who have a cough, cold or
have evidence of infection in and around the nose
at the time of the surgery. Bleeding does occur
during surgery but this is usually stopped on
return to the ward. Occasionally it can occur
again while the patient is in hospital and this
may necessitate a return to theatre. Infection
at any time following surgery is another cause
of bleeding and tends to occur between seven and
ten days post-operatively. It may necessitate
packing of the nose and very occasionally a return
to theatre. Due to the narrowness of the nasal
passageways, swelling after surgery causes them
to become more narrow. This can cause some difficulty
with breathing, which can take a few months to
settle. Removal of some of the cartilage in the
centre of the nose may be performed at the time
of Rhinoplasty, in order to improve nasal airways.
This however, would be discussed with your surgeon
prior to the operation.
Examination of the nose prior to surgery would
indicate whether this was necessary. Minor irregularities
over the tip of the nose can occur following Rhinoplasty
type procedures. These may be apparent in a small
number of cases, and need surgical correction
at a later date. This can be performed when the
swelling following surgery has returned to normal.
These minor irregularities may be less noticeable
in those who have thick-skinned noses. Some patients
also find that they may have an altered smell
after the surgery. |
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