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Rhinoplasty (Nose Surgery)
Rhinoplasty - Nose Revisions


What is it about your nose that you would like to change? Is it the shape or the size? Would you like to reduce airway obstruction and improve breathing? People have Rhinoplasty surgery for a variety of reasons. You've clicked on this site looking for information on possible improvements to Mother Nature's creation. Knowing what you like and dislike about your nose and having realistic expectations of what Rhinoplasty can do is essential to a positive experience. Spend some time thinking about what you truly want. The new nose will be beautiful and fit the proportions of your face, but it must retain the ability to bring air to the lungs.

rhinoplastyRhinoplasty, or nose surgery, is a set of popular procedures used to either correct nose related health problems or to reshape the nose for cosmetic reasons. It can correct birth defects or help to relieve some breathing problems. It can reduce or increase the size of the nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip.

The Best Candidates for Rhinoplasty

"Most doctors prefer

not to operate on teenagers until after they have completed their growth spurt."

The best candidates are those looking for improvement, not perfection, in the way they look. Rhinoplasty can enhance your appearance and self-image, but it will not make you look like a movie star. Those that are physically healthy, psychologically stable, and have realistic expectations make the best candidates. Age can also be a consideration. Most doctors prefer not to operate on teenagers until after they have completed their growth spurt. It is also important to consider the teen's emotional state and if surgery is what they, and not their parents, truly want.
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Considerations Before Rhinoplasty Surgery

Some people are not happy with the shape of their nose. Parts of the nose may seem out of proportion to each other or the rest of your face. You may not like the position of the nostril. These concerns are cosmetic or appearance related. As such they are not covered by most insurance plans. Your option for cosmetic procedures is not to have surgery at all. Cosmetic surgery is elective, surgery that is designed to enhance the way you look, not to correct a condition that is affecting your health. If your nasal problem is great enough it may be a good idea to have the surgery but not if you have significant other medical problems. Cosmetic concerns, abnormalities and appearance are real problems. They are often dismissed as shallow or narcissistic, making individuals unhappy. Why live with something you do not like if you can have it changed? Many patients who elect for a cosmetic change in appearance tell the doctor they wonder why they waited so long and did not have the surgery sooner.

When rhinoplasty is performed by a qualified plastic surgeon, complications are rare and usually minor. Nevertheless, there is always a possibility that complications may occur. You can reduce your risks by closely following the doctor's instructions both before and after surgery.

As for scarring, when rhinoplasty is performed from inside the nose, there is no visible scarring at all; when an "open" technique is used, the small scars on the base of the nose are usually not visible. Other scars near the bridge of the nose can come from changing the nasal bones from externally. Occasionally a second procedure may be required-for example, to correct a minor defect. Such cases are unpredictable and happen even to patients of the most skilled surgeons. The corrective surgery is usually minor.
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Initial Rhinoplasty Consultation

"During the initial

consultation, the doctor will gather information to perform a complete nasal history assessment."

During the initial consultation, the doctor will gather information to perform a complete nasal history assessment. He or she will ask what you like or dislike about your nose, any nasal problems, your general medical history, and if you've ever had injuries resulting in an undesirable change in your nose. Next the doctor will analyze the face to determine proper proportions and surgical options. Photos may be taken to assist in the analysis. The doctor will present his or her assessment during the second consultation and answer any questions you may have. We want all of your questions answered before scheduling surgery.

For those with breathing problems or previous injuries, a more thorough examination will help the doctor find any obstructions inside the nose. The doctor may use a small video camera to see the anatomy inside the nose. This information will help the doctor better advise you of any corrective procedures that may be needed.
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Allergies For Rhinoplasty Patients

rhinoplastyThe doctor will investigate possible allergic and environmental problems with all patients seeking nasal surgery. Allergies occur when pollen, dust, or pet dander are breathed in through your nose swelling your passageways and closing off the nostrils. Allergies can be seasonal. Partial obstruction means it takes less swelling before your nose can be closed off. People with enough chronic irritation even develop growths in the lining of the nose called polyps. Such growths can also close off the nostrils.

Most doctors use techniques designed to limit packing of the nose. If you have nasal packing it will be removed after a few days and you'll feel much more comfortable. By the end of one or, occasionally, two weeks, all dressings, splints, and stitches should be removed.
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Planning Your Rhinoplasty Surgery

Good communication between you and your doctor is essential. In your initial consultation, the doctor will ask what you'd like your nose to look like, evaluate the structure of your nose and face, and discuss the possibilities with you. He or she will also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.

"The doctor will explain

the factors that can influence the procedure and the results."

The doctor will also explain the techniques and anesthesia to be used, where the surgery will be performed, the risks and costs involved, and any options you may have. Most insurance policies don't cover purely cosmetic surgery; however, if the procedure is performed for reconstructive purposes, to correct a breathing problem or a deformity, the procedure may be covered.

The doctor will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications, and washing your face. Carefully following these instructions will help your surgery go more smoothly.
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What to Expect on the Day of your Rhinoplasty Surgery

Most nasal surgery is performed on an outpatient basis. Depending on the procedure the doctor may use general anesthesia and/or sedation. With local anesthesia, you'll usually be lightly sedated, and your nose and the surrounding area will be numbed; you'll be awake during the surgery, but relaxed and insensitive to pain. With general anesthesia, you'll sleep through the operation. General anesthesia is usually better for more extensive rhinoplasty or septal surgery. Local anesthesia is usually better for small adjustments or hump removal.

Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from the bone and cartilage, which is then sculpted to the desired shape. The type of sculpting will depend on your problem and the doctor's preferred technique. Finally, the skin is secured to the new underlying framework.

After the surgery you can expect to feel uncomfortable with a possible headache. Keeping the head and neck elevated will help reduce swelling and discomfort. An external splint will support the outside of the nose. Sometimes soft rubber splints will be used to support the inside. Packing is not necessary in most cases.rhinoplasty Any stitches or splints will be removed in five to seven days and any swelling or bruising will last about seven to ten days. You will start to see results in as little as two weeks with further details revealed over the next six months.

A little drainage is common during the first few days following surgery, and you may continue to feel some stuffiness for several weeks. The doctor will probably ask you not to blow your nose for a week or so, while the tissues heal.
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Rhinoplasty Surgery Recovery

Most rhinoplasty patients are out of bed within two days, and able to return to their jobs on a limited basis a few days to a week or so following surgery. It will be several weeks, however, before you're back to a normal routine.

The doctor will give you guidelines for gradually resuming your normal activities. They're likely to include these suggestions: Avoid strenuous activity (jogging, swimming, bending, sexual relations-any activity that increases your blood pressure) for two to three weeks. Avoid hitting or rubbing your nose, or getting it sunburned, for eight weeks. Be gentle when washing your face and hair or using cosmetics.

You can wear contact lenses as needed, but glasses will have to be propped on your cheeks for another six to seven weeks, until your nose is completely healed.

You will need to schedule follow-up visits in the months after surgery so the doctor can check on the progress of your healing. If you have any unusual symptoms between visits, or any questions about what you can and can't do, contact your doctor.
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Your New Look After Rhinoplasty Surgery

"While extensive rhinoplasty

can result in swelling and bruising, the doctor will design after surgery care to minimize these problems."

It is normal in the days following surgery to feel a little depressed. It is hard to determine the effects of the surgery or if it was worth it. Keep in mind that this is only temporary and that you will be looking better in a few weeks. Each day, your nose will begin to look better and your attitude will improve. Within a week or two, you'll no longer look as if you've just had surgery.

Still, healing is a slow and gradual process. The final results of rhinoplasty will be uncovered over the next year. In the meantime, you may receive unexpected reactions from family and friends. The reason for this is that, they may not see a major difference in your nose. Or they may not approve of the change, especially if the surgery altered what they perceive as an ethnic or family trait. Try to keep in mind why you decided to have this surgery in the first place. The surgery should only be judged by how successful it was in meeting your goals.

While extensive rhinoplasty can result in swelling and bruising, the doctor will design after surgery care to minimize these problems. You can help before surgery by avoiding Aspirin, Ibuprofen, and other medication or herbal substances that can increase bruising. The doctor will also apply a gel-cooling mask to your face. This mask cools the eyelids and tissues about the nose. It is light, clear, and wet feeling. It cools by evaporation and by being chilled before application. The doctor will give you 2 of these masks. One to wear while the other is being refrigerated.
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Cost of Rhinoplasty Surgery

Data provided by the American Society of Plastic Surgeons in 2010 states that the national average surgeon fee for rhinoplasty surgery was $4,306. Costs can vary depending on your geographic location. For a more accurate estimate, request a consultation with
a doctor near you.
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