Rhinoplasty is a well-known intervention, especially associated with the world of plastic surgery.. Every year, hundreds of celebrities are subjected to this type of intervention, especially for aesthetic reasons.

However, the truth is that it can also be used to improve the breathing of people who, either because of a bad growth of the nose or the fact of having suffered an accident, have blocked the airways or the nasal septum is twisted.

Let’s see what rhinoplasty is.It is important to understand what surgeons can do with a nose, some risks involved in this intervention and what care and precautions should be taken after the operation.

Rhinoplasty: What does it consist of?

Rhinoplasty is a surgical intervention in which the size, shape and proportions of the nose are modified.for aesthetic reasons or because of the need to improve breathing. The upper part of the nose consists of bone, while the lower part consists of cartilage. During the operation, the bone, cartilage, skin or all three elements can be modified.

While the surgeon performs the rhinoplasty not only takes into account the nose, it also looks at the rest of the person’s facial features, to make the new nose as harmonious as possible with the face as a whole.

Rhinoplasty requires local or general sedation depending on what will be touched up in the patient’s nose. Depending on whether it is simply an operation on the nasal surface or if the bone and cartilage need to be modified, the operation will have a different complexity and will require a greater use of anesthesia.

Aesthetic nose operation

Rhinoplasty can be done inside the nose or through an external cut or incision at the base of the nose, specifically between the nostrils. The forms in which cartilage and nasal bone are changed can be very different, depending on the form that is wanted to give to the nose of the intervened one.

The materials used to modify the nose can also be varied. Cartilage from a deeper part of the nose or ear may be used. For major modifications, a small piece of a patient’s rib or implants may be used.

After making the necessary changes, the skin is placed over the internal structures of the nose and sutured. If the septum is twisted, the degree of deviation must be corrected.

Reasons for this operation

Many patients turn to their trusted surgeon with the intention of modifying their nose.. The reason behind this is usually to want to have a more beautiful nose, although this type of intervention is also frequent because you have trouble breathing as a result of a misaligned nasal septum.

In the event of an accident, this type of operation is also carried out if there has been a serious injury to the face.

Risks

Just like any other surgery, rhinoplasty is a surgical technique that involves certain risks. It is a normally safe procedure and with a high satisfaction rate, however, during the operation small accidents can occur that can bring forward the end of the intervention or even be necessary to stop it.

Most complications during the operation can be avoided if you tell your surgeon about the medications you are taking or if you are being treated with herbal remedies. Also, the patient must communicate if he suffers any kind of medical condition, no matter how banal, in order to avoid any type of complication. Follow the guidelines given by your surgeon when you are postoperatively, to make sure your nose heals properly.

Small superficial vessels in the nose may break, causing bleeding both during and after the operation. This, in the most severe cases, can cause bleeding.

In longer surgical procedures, cardiac and pulmonary complications may occur, caused by the possible formation of blood clots in the circulatory system. In addition, complications may occur with anesthesia, leading to situations in which the life of the person undergoing surgery may be at risk. This type of reaction to anesthesia is rare, with 1 in 6,000-12,000 cases occurring.

Once surgery is complete, symptoms such as infection, poor healing of wounds, changes in skin sensitivity, pain in the area, visible scarring, skin discoloration and swelling, and irritation may occur. Also, the eyelids may temporarily turn purple..

Sometimes, during the operation, there is damage to the nasal septum that causes a hole to form in it. Also, after a few weeks, it can happen that the nose has not remained as it was intended, being able to become crooked or, even, that the airways are obstructed, because small splinters of free nasal bone have remained. In these cases a revision surgery is necessary.

Postoperative

After the operation, the person who has had the intervention must take a series of measures and guidelines to ensure that healing takes place in the most optimal way and no adverse effects occur.

Typically, patients should remain in bed with the head elevated above chest level in order to reduce bleeding and swelling. This prevents the nose from becoming congested. After the operation, bandages are left on the nose for a week, plus a splint for protection and some support.

There is usually some bleeding in the first few days after the operation. That’s why an absorbent pad is usually left under the nose. This pad should be changed from time to time and according to your doctor’s guidelines.

During the postoperative period, certain precautions should be taken to avoid unwanted results and symptoms that may worsen over time. Avoid physically demanding activities. and try not to move the muscles of the face too much. It is not recommended to blow your nose after a rhinoplasty.

When it comes to grooming, it is best to take a bath rather than a shower, and brushing teeth should be done gently to prevent the upper lip from moving too much. It is preferable to wear clothing that opens and closes at the front, as well as avoiding headgear and glasses.

Food is important after such an intervention. Foods high in fiber, such as fruits and vegetables, should be eaten, as they make it easier to go to the bathroom. Constipation causes tension, which in turn puts pressure on the surgical site.

Protecting the skin from sunlight is very importantand more so when it becomes sensitive because of an operation. It is recommended to use factor 50 sunscreen when outdoors, generously applied over the nose. If swelling occurs over the nose, do not apply ice to the area. To make it easier for this swelling to go down, foods high in sodium should be avoided.

Keep in mind that the nose, like all other parts of the body, changes over time. A surgical operation does not prevent the natural aging process.

In addition, considering that the postoperative period can last perfectly a year, it will not be known until after quite a while whether the desired result has been achieved. If this is not the case, a second operation may be necessary.

Bibliographic references

  • Burget GC, Menick FJ (August 1985). “The subunit principle in nasal reconstruction.” Plast. Reconstr. Surg.

  • Chernow BA, Vallasi GA, eds. (1993). The Columbia Encyclopedia(5th ed.). Columbia University Press.

  • Pribitkin, Edmund A.; Lavasani, Leela S.; Shindle, Carol; Greywoode, Jewel D. (2010). “Sonic rhinoplasty: sculpting the nasal dorsum with the ultrasonic bone aspirator.” The Laryngoscope.

  • Shiffman, Melvin (2012-09-05). Cosmetic Surgery: Art and Techniques. Springer. p. 20.