Who Is The Ideal Candidate To Undergo Rhinoplasty?

Anyone who wants to change the size or shape of their nose with a realistic perspective of what they want, without striving for perfection, can be a candidate for rhinoplasty. A false idea of ​​the result can lead to great frustrations, so the personality of the patient is very important in the final result. Age is also important, most surgeons prefer not to intervene until the nasal bone is fully formed, which occurs around 14-15 years in girls and a year later in boys.

How Is The Rhinoplasty Intervention Performed?

Rhinoplasty requires a preoperative period in which blood tests will be requested. X-rays and an EKG may also be ordered .

Under local anesthesia, a tranquilizer and a local anesthetic are administered and the patient is conscious during the procedure. Under general anesthesia, the patient is asleep during the procedure.

The approach can be done through the interior of the nostrils (closed procedure) or through an open procedure, in which the incision is made along the strip of skin that separates both nostrils. During the intervention, the skin of the nose is separated from the framework of bone and cartilage, which are sculpted in the desired way; later the skin is accommodated again to the bone framework. Depending on the desired results, it may be necessary to add synthetic (metal or filled) or natural (from another part of the body) tissues, remove bone, or remove cartilage.

The surgery lasts between one and two hours. The postoperative period lasts around a week or ten days.

How Is The Postoperative of A Rhinoplasty?

After rhinoplasty, the nose and face swell and a headache may appear, which is why anti-inflammatories should be prescribed. Hematomas (bruises) and inflammation around the eyes increase from the first day and are maximum on the second or third day after the intervention. To minimize these complications, care should be taken to keep the head high and cold compresses can be applied at eye level. External and internal supports are used to support the new nasal structure while it heals. On the outside, sometimes a splint is placed that is removed a week after the intervention. The internal support consists of a nasal packing that is maintained for the first days and that is uncomfortable, and care must be taken not to move or manipulate it and thus avoid complications. A week, A slight inflammation will persist and will last for a few months, although the patient does not usually notice it. The stitches are removed between the first and second weeks.

When Can Return To Normal Life Occur After Rhinoplasty?

From the second day of rhinoplasty, a sedentary life can be carried out and after ten days, you can return to work or normal life. Avoid doing intense exercises that can cause bleeding or hitting the area, as well as rubbing your nose and exposing yourself to the sun for two months after the operation.

The definitive results cannot be fully appreciated until one year after the intervention.

Differences Between Rhinoplasty And Rhinoseptumplastia

In nose surgery , partial modifications of the nasal skeleton are introduced, except for the septum or septum, in which case it is defined as rhinoplasty , while when the osteocartilaginous septum is also corrected, it is conceptualized as a septo-rhinoplasty .

When necessary, we also modify turbinates or turbines, in order to improve the passage of the nasal air stream and therefore respiration. A common observation is alternating nostril obstruction, related to organic responses to environmental allergens and nutritional intolerances that exist inadvertently.

What can be improved with Rhinoplasty – Rhinoseptumplastia

From a functional perspective, surgery allows the restoration of respiratory function altered by disorders originating in the septum, nasal leaflets or turbinates, whose origin can be traced to birth, or be secondary to trauma to the nose.

The expected results and results obtained

From the first consultation, the plastic surgeon experienced in facial surgery, must be able to convey to the consultant that he has quickly studied the proportions of his face, and the proposals he offers for a correction, in addition to that, he must demonstrate that that you intend to modify; Using computer programs can be useful, but it is not the program that will modify the nose from the front, nor the facial profile, but rather the surgeon’s hand who already begins to intervene, when he designs in the first consultation, what he offers to achieve.

Open Rhinoplasty vs. Closed Rhinoplasty

Both approaches have their indications, but also promoters and detractors. Undoubtedly, open access has been imposed to significantly facilitate the development of an intervention, such as rhinoplasty , that any honest and experienced surgeon recognizes its complexity. Rhinoplasty, with hundreds of procedures described over the years, constitutes one of the three most demanding sections in  plastic surgery , such as supra-microsurgery, hand surgery, and the domain of aesthetic and reconstructive nasal plastic surgery , within a surgical specialty already extremely complex in itself.

The closed technique, more limited in vision, requires from the person who performs it, great knowledge not only of the operative area, but also of the modifications that are obtained during the course of the surgery. In any case, we relegate open accesses to very specific patients who come to us frequently, more than twenty percent have already been operated on by others, secondary, tertiary, quaternary rhinoplasties…, where their complexity is multiplied.

Realities and myths of postoperative convalescence

The fear of an unnatural result is frequent. The ability of the surgeon to make the expectations of the patient’s results come true is very important, considering that the tissues will respond to the modifications made, this is where prudence must precede the audacity of the plastic surgeon. Discretion in the results of any plastic surgery should be the norm, so when the one who intends to operate cannot demonstrate with casuistry and reasonable explanations everything that he says in consultation, the consultant must quickly look for the exit door, before it is too late ; bombast and promises, they are usually fatuous, empty of content but loaded with future complications.…

Questions And Answers About Nose Surgery

We could define rhinoplasty as that intervention that is responsible for correcting in a harmonious way the shape, size and position of the nose in order to improve its integration with other facial features.

Now, rhinoplasty is much more than this. For this reason, it is important to answer a series of questions and answers that help patients to know in depth the possibilities of the intervention:

Can any clinic or surgeon perform the nose operation?

Absolutely. The nose operation is the facial cosmetic surgery intervention that requires a greater degree of specialization and experience on the part of the surgeon than the practice.

Before undergoing a rhinoplasty , patients should take precautions to ensure that they are putting themselves in the hands of a professional with the appropriate qualifications and training, since otherwise they would be putting their image and their health at serious risk.

Not surprisingly, rhinoplasty is a millimeter procedure that requires high preparation and skill on the part of the surgeon.

Any error in the treatment approach could unbalance the face and generate serious aesthetic problems, sometimes impossible to correct.

Does the pandemic affect the nose operation?

It is a fact that the COVID-19 pandemic has changed the way we are and how we relate to each other.

But it is also true that thanks to the work of health authorities and epidemiologists, we have been able to develop prevention measures that allow us to carry out our special study, both in clinics and in the operating room, reducing the risk without any fear of contagion. , neither ours, nor of course our patients.

Is rhinoplasty an exclusively aesthetic intervention?

No. Rhinoplasty can treat breathing problems, facial aesthetics, and injuries or birth defects.

It is not the same to intervene a deviated nasal septum that affects the patient’s breathing than to remove a nasal hump for purely aesthetic reasons, for example.

We could say that cosmetic rhinoplasty would focus on improving the appearance and appearance of the nose, working on its shape and projection.

On the other hand, restorative rhinoplasty would be more focused on improving the quality of life of patients, solving deformities in the face resulting from traffic accidents and cancers, deviations of the nasal septum and nasal passages that can cause respiratory difficulties, infections … all this without neglecting the aesthetic aspect.

Is the nose job painful?

If done correctly, it doesn’t hurt at all, neither during the operation nor during the recovery process.

The Rhinoplasty is performed under sedation and local anesthesia with high precision, so the patient feels nothing. Normally, the patient goes home in the early afternoon of the same day of his intervention.

After the operation, a plastic nasal splint exclusively modeled for the patient’s nose is placed, which protects him in the recovery process and is removed without any discomfort in a week.

It is normal for some bruising to appear around the eyes, but they are completely painless and disappear “on their own” in a few days.

The patient goes home as we said the same day in the early afternoon without any medication: no antibiotics, no anti-inflammatories, no painkillers. They are not necessary, and you can return to your normal activities in 24-48 hours.

Are there less invasive alternatives to nose surgery?

There are aesthetic medicine procedures such as rhinomodelling , which allow contouring or reshaping of the nose without the need for surgery, through the use of dermal fillers that are injected directly into the area of ​​the nose to be treated.

These substances allow to obtain fast results without having to undergo invasive interventions.

What is known as rhinoplasty without surgery usually lasts 15 minutes. Results can be seen relatively quickly, and the effects of fillers, although not permanent, are usually active for about a year.

What do you get with a rhinestones?

The Rinomodelación allows leveling deformities, disguising the nasal hump, correcting the tip of the nose fall, masking surface defects, provide greater definition to the nose, nasal bridges resolve weakened …

Does rhinoplasty completely replace traditional rhinoplasty?

No. With rhinomodeling, not all aspects that rhinoplasty treats can be covered , in addition to the fact that its effects are not permanent.

Patients with significant nasal deformities, breathing problems, or seeking to reduce the size of their nose should opt for a traditional rhinoplasty.

We must bear this in mind: rhinomodeling always increases, never decreases. That is why a previous digitized study must be done so that the patient can really see the optical effect of how it will be.

How is the deviation of the nasal septum corrected?

The nasal septum works as a kind of internal wall between both nostrils. The septum is deviated when it moves to one side of the nose, causing breathing difficulties, headaches, nosebleeds …

The septoplasty is the intervention designed to straighten the septum and improve the passage of air through the nose. To reposition the deviated nasal septum, the surgeon separates the protective covering from the septum, that is, the mucous membrane, through an incision on one side.

Depending on the complexity of each case, the septoplasty can take about 30 minutes.

We often use the septum that we discard to create specific grafts with which to better shape the nose. Or even slightly project the chin.