What happens during a rhinoplasty procedure

Because of individual factors, not everyone will achieve the same results from this procedure. Your Rhinoplasty Surgeon will select the surgical technique that he or she feels will obtain the best outcome for you. The operation is usually performed in a hospital under general anaesthetic. Usually rhinoplasty involves an overnight stay in hospital. It is possible for the surgery to be done on a day surgery basis if you wish. You may experience some discomfort over the next 2-3 days. Pain relief will be prescribed for this time. In most instances, all of the incisions will be placed inside your nose, so they will not be visible from the outside. However, it may be necessary to place a small external incision across the vertical strip of tissue that separates the nostrils, called the columella if your surgeon feels this offers the best way of correcting your problem. This technique is called an “open rhinoplasty.” Whatever incisions are used to reshape your nose, they will ultimately be very inconspicuous.

Alterations may be made to increase or decrease the height of the nasal bridge, reduce the width of the nose, narrow the nostrils, change the angle between the nose and upper lip, or reshape the tip. If the base of the nose is narrowed or the nostrils reduced, small wedges of skin at the base of the nostrils may be removed. Through the small incisions described previously, work is done on the cartilage and bone that form the framework of your nose. Sometimes, the position of nasal bones may need to be changed to make your nose look narrower and straighter. If your nose needs to be built up in some areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site. The skin and soft tissues then re-drape themselves over this new scaffolding. Your Surgeon will work out the exact procedures prior to the operation. Want to learn more about the exact procedure? Feel free to visit: https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/rhinoplasty-procedure-steps

How long does the operation take?

The operation takes from 1 to 2 hours, depending on the extent of each case.

After surgery

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored.

How will i look and feel initially?

It is important to understand that recovery time varies greatly among individuals. After the operation, there will be packs in both your nostrils and a splint or plaster on your nose. Your nose will feel stuffy and there will be swelling and bruising around your eyes. Minor oozing is not uncommon and the nasal packs used overnight following the procedure are intended to control this. Generally, bruising around the eyes and cheeks is most apparent during the first three days following surgery. In the first week after surgery, you should restrict your activities and sleep with your head elevated. Also, make certain you do not bend, strain or lift anything heavy. This will help to minimise swelling and reduce the possibility of minor bleeding, which is not uncommon. Remember, you must not take aspirin or certain anti-inflammatory medications as these increase the likelihood of bleeding. If packing was used, it will either dissolve by itself or be removed three to seven days after surgery. Stitches may also be removed at that time. You may need to continue wearing the nasal splint for up to a week. Most discolourations will disappear within a week. A few days after surgery, you can begin to use makeup as a concealer, if desired. Although most of the swelling subsides in 4-6 weeks, there continues to be some swelling that may take six months or longer to subside. Swelling inside the nose can persist for several weeks and cause nasal stuffiness. When can i resume my normal activities? Generally speaking you will be able to engage in social contact by the second week following surgery. It is important for you not to over-exert during the healing period to prevent bleeding which may require repacking of the nose. In many instances, you may be able to return to work within a week or ten days after surgery, depending on the extent of surgery and your occupation. Walking can be resumed immediately after surgery and most other normal activities including exercise can usually be resumed within three weeks. Your nose will be sensitive to sunlight for several months and you must be conscientious about using a sunblock to protect your skin.

 

 

 

Magazine Articles Featuring Dr Kohout's

Dr Kohout helps contestants finish their weight loss journey.

Adro Sarnelli

The original biggest loser & his excess skin removal

Michelle Lozanovski

Winner of series 3 & Dr Kohout Patient