They will also make a record of any medication you are on, including herbal remedies and medicines that are not prescribed by your doctor. Your surgeon will examine your nose, and may take some photographs for your medical records. They will ask you to sign a consent form for taking, storing and using the photographs. You may also be asked to talk to other members of the team, such as a psychologist.
The surgeon will measure your height and weight to make sure that it is safe to do an operation. If you are overweight, or planning to become pregnant, your surgeon may suggest delaying your operation. Rhinoplasty to change the shape of the nose is performed either from inside the nostrils called closed rhinoplasty or by making a small cut between the nostrils and lifting the skin, as shown opposite this is called open rhinoplasty. The precise nature of the operation will depend on the area of the nose that is being treated.
The scar may be straight, V-shaped or zigzag. The nose may then be broken so the remaining pieces of bone can be moved closer together to narrow the nose. If the tip of the nose is being operated on, the cartilage that makes up the support under the tip needs to be partly removed or reshaped.
This can be done through closed or open rhinoplasty. For a few days after your surgery, you might experience drainage and bleeding. A drip pad, which is a piece of gauze taped below your nose, can absorb blood and mucus. Your doctor will tell you how often to change your drip pad.
You might get headaches, your face will feel puffy, and your doctor might prescribe pain medication. Be especially careful about sun exposure.
Too much could permanently discolor the skin around your nose. Rhinoplasty can affect the area around your eyes, and you might have temporary numbness, swelling, or discoloration around your eyelids for a few weeks. In rare cases, this can last for six months, and slight swelling could persist even longer. You can apply cold compresses or ice packs to decrease discoloration and swelling.
Follow-up care is important after rhinoplasty. Although rhinoplasty is a relatively safe and easy procedure, healing from it can take a while. The tip of your nose is especially sensitive and can remain numb and swollen for months. You might be fully recovered in a few weeks, but some effects can linger for months.
It could be a whole year before you can fully appreciate the end result of your surgery. A closed rhinoplasty is a type of cosmetic surgery to change the appearance of the nose.
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Deviated septums can occur naturally or as the result of an injury. Another common reason for functional nose jobs is because of allergies or sinus infections causing the turbinates, also known as nasal conchae, to become enlarged. These shell-shaped structures are made of bone, blood vessels, and other tissues and can become swollen and inhibit airflow.
If this becomes a chronic problem, a turbinate reduction can help by removing tissue to allow more space for air to flow. A common reason for this type of nose job is an asymmetry of some kind. Maybe your nose size is disproportionate to the rest of your face and it throws off your facial symmetry. The tip of your nose might be bulbous, hooked, upturned, or drooping. Oftentimes, fixing a key area of the nose can improve facial symmetry, but plastic surgeons are also skilled in addressing many areas of the nose at once.
There are two main approaches to nose jobs: the endonasal, or closed, approach and the external, or open, approach. When you have a consultation with your surgeon, they will work with you to determine which is the best approach for your particular needs. This approach is perfect for small changes to a nose. With a closed endonasal approach, all of the surgical incisions are hidden inside the nostrils. While the endonasal approach has the clear benefit of leaving no visible scarring behind, there are also some limitations to this approach.
Furthermore, the skin cannot be repositioned fully when the nasal cavities are not connected. However, if you are only looking for a small change, this approach is perfect because it may not require extensive repositioning or a full view of the nose. If you are looking for major changes to your nose, your surgeon will most likely suggest an external approach. As opposed to the endonasal approach, a surgeon doing an external, or open, nose job will make a small bridging incision, called a trans-columellar incision, that connects the nostrils and allows the nasal skin to be folded upward so that the plastic surgeon has complete access to the underlying structure.
If you have complicated nasal issues or need serious change to your nose structures, you most likely will require an external nose job so that your surgeon can fully address all of your needs. Best of all, when healed, the trans-columellar incision is often invisible.
The first step to getting a nose job is to have a consultation.
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