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Facial Plastic Surgery

Rhinoplasty, is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose.


Why It Is Done

  • Nose size in relation to facial balance
  • Nose width at the bridge or in the size and position of the nostrils
  • Nose profile with visible humps or depressions on the bridge
  • Nasal tip that is enlarged or bulbous, drooping, upturned or hooked
  • Nostrils that are large, wide, or upturned
  • Nasal asymmetry

If you desire a more symmetrical nose, keep in mind that everyone’s face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion.

Risks


You can always expect temporary swelling and bruising around the eyes and nose after rhinoplasty. Other problems that may occur include:

  • Bleeding.
  • Injury or holes to your septum (the wall that separates your nostrils).
  • Skin problems, including breakdown of skin tissue (skin necrosis) and irritation from the tape and bandaging.
  • Infection. Preventive antibiotics may be given after surgery to reduce the risk of infection.
  • Serious nasal blockage caused by swelling inside the nose.
  • Complications of anesthesia.

It is also possible that the cosmetic results of the surgery will not be what you wanted.

Surgery


Technically, the plastic surgeon’s incisional approach classifies the nasal surgery either as an open rhinoplasty or as a closed rhinoplasty procedure. In open rhinoplasty, the surgeon makes a small, irregular incision to the columella, the fleshy, exterior-end of the nasal septum; this columellar incision is additional to the usual set of incisions for a nasal correction. In closed rhinoplasty, the surgeon performs every procedural incision endonasally (exclusively within the nose), and does not cut the columella.[9]
rocedural differences
Except for the columellar incision, the technical and procedural approaches of open rhinoplasty and of closed rhinoplasty are similar; yet closed rhinoplasty procedure features:

  • Reduced dissection (cutting) of the nasal tissues — no columellar incision
  • Decreased potential for the excessive reduction (cutting) of the nasal-tip support
  • Reduced post-operative edema
  • Decreased visible scarring
  • Decreased iatrogenic (inadvertent) damage to the nose, by the surgeon
  • Increased availability for effecting in situ procedural and technical changes
  • Palpation that allows the surgeon to feel the interior changes effected to the nose
  • Shorter operating room time
  • Quicker post-surgical recovery and convalescence for the patient

What To Expect After Surgery


The splint and bandaging around your nose will be removed in about a week.

Your face will feel puffy and the area around your eyes and nose will be bruised and swollen for several days. Cold compresses can help minimize the swelling and reduce pain. It takes about 10 to 14 days before most of the swelling and bruising improves.