Your nose is supported by bone at the back and bridge and by cartilage in the front. At left, a woman's nose before rhinoplasty. On the right, the same woman pictured one year after the surgery. Rhinoplasty RIE-no-plas-tee is surgery that changes the shape of the nose. The motivation for rhinoplasty may be to change the appearance of the nose, improve breathing or both. The upper portion of the structure of the nose is bone, and the lower portion is cartilage.
Rhinoplasty can change bone, cartilage, skin or all three. Talk with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve. When planning rhinoplasty, your surgeon will consider your other facial features, the skin on your nose and what you would like to change. If you're a candidate for surgery, your surgeon will develop a customized plan for you.
Rhinoplasty can change the size, shape or proportions of your nose. It may be done to repair deformities from an injury, correct a birth defect or improve some breathing difficulties.
Before scheduling rhinoplasty, you must meet with your surgeon to discuss important factors that determine whether the surgery is likely to work well for you.
This meeting generally includes:. A physical exam. Your doctor will conduct a complete physical examination, including any laboratory tests, such as blood tests.
He or she also will examine your facial features and the inside and outside of your nose. The physical exam helps your doctor determine what changes need to be made and how your physical features, such as the thickness of your skin or the strength of the cartilage at the end of your nose, may affect your results. The physical exam is also critical for determining the impact of rhinoplasty on your breathing. A discussion of your expectations. You and your doctor should talk about your motivations and expectations.
He or she will explain what rhinoplasty can and can't do for you and what your results might be. It's normal to feel a little self-conscious discussing your appearance, but it's very important that you're open with your surgeon about your desires and goals for surgery. If you have a small chin, your surgeon may speak with you about performing a surgery to augment your chin.
This is because a small chin will create the illusion of a larger nose. It's not required to have chin surgery in those circumstances, but it may better balance the facial profile.
Once the surgery is scheduled, you'll need to arrange for someone to drive you home if you're having an outpatient surgery. For the first few days after anesthesia, you may have memory lapses, slowed reaction time and impaired judgment. So arrange for a family member or friend to stay with you a night or two to help with personal care tasks as you recover from surgery. Avoid medications containing aspirin or ibuprofen Advil, Motrin IB, others for two weeks before and after surgery.
These medications may increase bleeding. Take only those medications approved or prescribed by your surgeon. Also avoid herbal remedies and over-the-counter supplements. If you smoke, stop smoking. Smoking slows the healing process after surgery and may make you more likely to get an infection.
Rhinoplasty does not have an ordered series of steps. Each surgery is unique and customized for the specific anatomy and goals of the person having the surgery. Rhinoplasty requires local anesthesia with sedation or general anesthesia, depending on how complex your surgery is and what your surgeon prefers.
Discuss with your doctor before surgery which type of anesthesia is most appropriate for you. Rhinoplasty may be done inside your nose or through a small external cut incision at the base of your nose, between your nostrils.
Your surgeon will likely readjust the bone and cartilage underneath your skin. Your surgeon can change the shape of your nasal bones or cartilage in several ways, depending on how much needs to be removed or added, your nose's structure, and available materials. For small changes, the surgeon may use cartilage taken from deeper inside your nose or from your ear.
For larger changes, the surgeon can use cartilage from your rib, implants or bone from other parts of your body. After these changes are made, the surgeon places the nose's skin and tissue back and stitches the incisions in your nose.
If the wall between the two sides of the nose septum is bent or crooked deviated , the surgeon can also correct it to improve breathing.
After the surgery, you'll be in a recovery room, where the staff monitors your return to wakefulness.
You might leave later that day or, if you have other health issues, you might stay overnight. After the surgery you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the splints placed inside your nose during surgery. Interviewer: So once they take the splint off, is it just you're ready to go, like these are the results you wanted, or my understanding is that it takes a while?
Agarwal: Yeah. That's the thing that people don't always understand. And I really try to emphasize before the surgery to set the expectations.
But the nose holds onto swelling longer than other parts of the body. And it's also right there in the front of your face. And so even a tiny bit of swelling you're going to recognize. And so, usually, you're not going to look terrible after one week.
But after a couple of weeks go by, the swelling is going to be very subtle to where mostly you're going to be noticing it or maybe some close friends or family would notice it. But it'll be a very small amount of swelling left after about three weeks. But that last bit of swelling, that last little bit takes about a year to go away. And so if you're looking for kind of that final best results of your nose, you have to be pretty patient.
Interviewer: A whole year? It's that last little bit of swelling. Why does the nose hold onto the swelling for so long? Agarwal: That's just that the nature of the skin particularly on the tip of the nose can get boggy. Again, it's a very small amount of swelling, and it may not be too noticeable to the world.
But when you're looking for your final result, it just takes that amount of time to see that final result. Interviewer: So for patients that want to get a rhinoplasty, what's the one thing you would make sure to tell them to make sure that their expectations are where they need to be and that they'll be happy with the results?
Agarwal: So I think after the surgery, it's really important to make sure that you have. And you'll slowly get back to normal between the first and third week. I think you're going to be feeling like yourself and you're going to be really happy with your new nose. And you do need to remember though that it may take a few months or even up to a year before you have your final result that you've been looking for. What does eating your vegetables have to do with recovering from a nose job?
A lot, actually. Eating a balanced diet post-surgery can help to speed up your recovery by giving your body the nutrients it needs to heal itself. Protein is an essential building block of skin, muscle, cartilage, and blood. A diet consisting of nuts, meat, eggs, yogurt, fish, and other protein-rich foods will help your body rebuild the damaged tissue in and around your nose.
Vitamin A, which is commonly found in dark, leafy greens like spinach and kale, It is a great immune booster that can help you fight off infections after surgery. Vitamin C plays an important role in the regeneration of collagen, the protein that connects your skin tissue. Good sources of Vitamin C are citrus fruits, Brussels sprouts, and broccoli.
This feeling is caused by swollen nasal tissues. Resist the urge to blow your nose and talk with your doctor about using a saline nasal spray to gently moisturize your nasal passages until the swelling goes down. You can resume blowing your nose after 6 weeks from surgery. What about sneezing? Instead, try to sneeze through your mouth instead of your nose.
In most patients, it takes roughly 6 weeks for the bones in your nose to heal following surgery. During this time, you should avoid strenuous exercise.
Even movements that seem harmless like stretching, lifting, or bending over can increase nasal swelling. Wait until your doctor gives you the green light to resume normal activity before you begin to ease back into your workout routine.
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