Nose Surgery (Rhinoplasty)
Nose surgery, otherwise known as rhinoplasty, is one of the most common plastic surgery procedures and can make a remarkable difference in both a patient’s appearance and self-esteem. The nose is situated in the center of the face and therefore one of the most noticeable features. The shape of a person’s nose is usually a result of heredity; however there are other factors such as age or trauma that can also affect the size, shape, or angle of a nose. This can have a huge impact on how a person feels about their appearance. At Forma Plastic Surgery, we offer solutions to patients in the Scottsdale area to help them achieve their goals. Our experienced plastic surgeons use the most advanced techniques to reshape the hump, tip, or width of the nostrils in order to create the most appealing and functional results.
Is Rhinoplasty right for me?
Rhinoplasty is a major procedure that takes significant planning. Individuals who are interested in nose surgery should consult with a board-certified plastic surgeon to discuss their goals. The best candidates for nose surgery are those individuals who are over the age of 14, physically healthy, non-smokers who have specific but realistic expectations for the improvement of their appearance.
Individuals who are candidates for nose surgery will meet with one of our board-certified plastic surgeons to discuss their medical and surgical history, the medications or supplements they might be taking, and the motivation for seeking surgical intervention. To make the process easier, we encourage patients to bring pictures from magazines or other sources of noses that they find appealing. The plastic surgeon will analyze the patient’s nose and discuss what can and cannot be corrected during the surgery. The plastic surgeon will also address any questions or concerns that the patient may have during his or her consultation.
Preparing for Surgery
You should begin preparing for your surgery several weeks in advance. Patients should avoid all nicotine sources and avoid taking aspirin or any other blood-thinning medication. The plastic surgeon will send the patient for pre-operative labs and testing to make sure that they are appropriate for surgery. You will be prescribed medications to take following the procedure.
Before surgery, it is important that patients get plenty of rest. They should make sure that they have all of the supplies they will need during their recovery time such as pillows, gauze bandages, and easily chewed foods like soup, crackers, and juice. Patients are instructed to wash their face thoroughly the night before the procedure and to refrain from eating anything until after the surgery.
The day of the procedure, patients should arrive early to the surgery center, wearing loose, comfortable clothing. Patients should also arrange to be accompanied by a friend or family member who may drive them home after surgery. It is also important for patients to carefully follow any pre-operative instructions given to them by the surgeon to ensure for an optimized procedure and outcome.
Rhinoplasty is typically an outpatient procedure that is performed using general anesthesia. Our plastic surgeons perform both closed and open rhinoplasty as nose surgery techniques. Closed rhinoplasty is possible for minor changes while open allows for more extensive re-shaping. The open procedure allows the plastic surgeon to have the most access to nose cartilage and bone. First, the plastic surgeon will make an incision beneath the columella (the thin strip of skin that separates the nostrils). Next, the plastic surgeon lifts the skin off the nose and reshapes the cartilage. When the nose has been reformed, the skin is replaced and the incision is closed. Finally, the plastic surgeon typically places an external splint to help ensure the nose retains its new shape. Internal packing is uncommon in our practice.
The recovery time from nose surgery follows a schedule. Patients may experience side effects such as soreness, bruising and bleeding immediately after the procedure. These side effects can last up to several weeks, but medication and rest help to alleviate some of the discomfort. Patients will be instructed to stay in bed and keep their head elevated for the first 24 hours. They are also advised to avoid blowing their nose or bending over for at least one week after the surgery. Stitches will be removed after a few days.
Patients can return to their normal routine about a week following the procedure, but they are instructed to avoid any contact sports or strenuous activity for about six weeks after surgery. Patients should follow all post-operative care instructions provided to ensure the smoothest recovery possible.