Rhinoplasty, commonly known as a nose job, is a plastic surgery procedure for correcting and reconstructing the nose. There are two types of plastic surgery used – reconstructive surgery that restores the form and functions of the nose and cosmetic surgery that improves the appearance of the nose. Reconstructive surgery seeks to resolve nasal injuries caused by various traumas including blunt, and penetrating trauma and trauma caused by blast injury. Reconstructive surgery also treats birth defects, breathing problems, and failed primary rhinoplasties. Most patients ask to remove a bump, narrow nostril width, change the angle between the nose and the mouth, as well as correct injuries, birth defects, or other problems that affect breathing, such as deviated nasal septum or a sinus condition. Abnormalities of the nose maybe corrected surgically by an open or closed procedure. This would depend on your individual factors. The nose can be reduced in size or augmented to produce a more aesthetically pleasing appearance.
FOR NASAL IMPLANT PROCEDURE:
Step 1. Anaesthesia
Anaesthesia is administered so you will be comfortable while the surgery is going on.
Step 2. The Incision. Open VS Closed
Closed rhinoplasty, also called as endonasal rhinoplasty, involves an incision inside the nostrils, giving you no visible skin incisions. After the incision is created, the skin is lifted from the underlying cartilage and bone. The implant can then be positioned.
Open rhinoplasty, also called external rhinoplasty, involves an incision across the columella, the thin strip of tissue that divides the nostrils. With this incision, the skin that covers the nasal bones and cartilages is carefully lifted, enabling the placement of the implant.
Step 3. Placing the Implant
Before the procedures, a decision has to be made to use synthetic implants (example: Silicone, Gore-Tex).
Step 4. Incision Closure
After the implant has been positioned to its ideal shape, the nasal skin and tissue is re-position and incisions are closed.
WHO WILL BENEFIT FROM A NOSE SCULPTING SURGERY?
People who have a cosmetically unattractive nose which is not in proportion to the other facial features may benefit from a nose sculpting surgery.
YOUR SURGICAL JOURNEY
BEFORE THE OPERATION
- You will have at least 2 consultations before your surgery.
- During your first consultation the reasons for, feasibility and expectations of the operation will be discussed.
- Standard photographs will be taken with your consent. You will play an active role in the selection of the right implant for yourself.
- If you take aspirin or NSAIDS (e.g. Ibuprofen) then you should stop these at least 2 weeks prior to your surgery. These drugs thin the blood and predispose you to a higher risk of bleeding during and after the operation.
- If you are a smoker, you should stop smoking 2 – 4 weeks prior to your operation to help reduce the risk of wound healing problems.
DAY OF THE OPERATION
- You will be seen by Mr. Oudit in the morning of your surgery and he will have a chat with you. If you have any questions, he will be most willing to answer them. He will then place some marks on your face prior to the surgery.
- Your surgery will be performed under a general anesthetic which will be carried out by an experienced anesthetist.
- About 30-45 minutes prior to your operation you will picked up by friendly staff members and brought to the operating theatre suite.
- Your operation will be done in a safe and caring manner respecting your dignity.
- At the end of the operation you will have a splint over the bridge of the nose which you must keep on for 1 week. You will then be taken back to the ward.
AFTER YOUR OPERATION
- The day after your operation, you will be reviewed and discharged. You may have some ‘crustiness’ at the nostrils and it is best to leave this until your postoperative review.
- You should lie in bed with your head elevated on 2 pillows over the next week and avoid lying flat since this may provoke bleeding.
- You should avoid coughing, straining and ‘blowing’ your nose for the next week.
- The swelling may take a few months to settle down.
- Oudit will then see you 1 week after your operation and then at 6 weeks and 3 months post-operatively.
- OPERATING TIME: 2 hours
- ANAESTHETIC: Local or General Anesthesia
- HOSPITAL STAY: Day case
- TIME OFF WORK: 2 weeks
- TIME BEFORE EXERCISING: 6 weeks