Cosmetic Nose Surgery
Cosmetic nose surgery or nose job is the most commonly practiced cosmetic surgery. The nose is the most important component of the face regarding facial aesthetic, and it should look “natural”. Through the cosmetic nose surgeries, the nasal hump or the tip of the nose can be reshaped, the nose can be reduced or augmented in size, and the nostrils can be narrowed. In addition, problems such as polyp, sinusitis, adenoid, and deviated septum, which cause difficulty in breathing, can also be removed.
As these surgeries provide the patients with an important change in their facial expression, they should first be ready for this surgery in advance. It is the first stage of the cosmetic nose surgery.
The golden criterion in the surgery is the surgeon’s experience and skill. For this reason, the most important stage of the operation is perhaps to find and prefer the right doctor.
Another point to consider is the opportunity to benefit from all the advantages of technology. In our day, the patients have the opportunity to see the new shape of the nose with visual animation programs at many clinics. Never forget that you have such an advantage. It is necessary to know that the images rendered by these techniques just aim to give a broad idea.
The materials used in these surgeries are also critically important. Especially, use of special splints after surgeries that are carried out in well equipped hospitals under anesthesia with minimal trauma help the patients regarding quick recovery without any problem.
For cosmetic nose surgeries, a completely personalized plan should be made. Even though most patients want to exemplar nose profiles, patients should be clearly informed that the best nose profile will be determined in proportion with other facial features and the ideal result will be obtained in the light of this comparative process. At this point, the surgeon’s experience plays the primary role.
The other important detail about the cosmetic nose surgery is the fact that these surgeries are not carried solely for cosmetic purposes. It should be remembered that the nose regulates the quality of air transferred to the lungs and that some disorders of the airway can be corrected and eliminated in cosmetic nose surgeries to restore health and functioning of the nose. In addition, it is worth to know that a nose surgery will change the appearance of mid-face, areas around the eyes, cheeks (maxillary regions) and lips.
When should Cosmetic Nose Surgery be considered?
Cosmetic nose surgery enhances self-confidence while beautifying the physical appearance. The ideal candidates of the cosmetic nose surgery are people who wants better looking physical appearance and progress into a better result rather than people who seek the perfection. Many surgeons prefer to postpone the surgery until the adolescents have completed their physical developments. Though young girls complete this development at age of 14 or 15, it is slightly longer for boys.
How is cosmetic surgery carried out?
Cosmetic nose surgery usually takes about one to three hours. In the surgery, the skin of nose is separated from the bone and the upper cartilage. The process of reshaping the nose varies depending on the existing problems and the technique used by the surgeon. Finally, the skin is properly placed on the reconstructed cartilage. Most cosmetic surgeons prefer open technique for the nose surgery: A small incision is made on the vertical tissue line located between the nostrils.
Upon completion of the surgery, a plastic splint is placed to help the nose keep the new shape. Nasal packing or soft plastic materials may be inserted into the nose to fix the septum – the wall dividing the nasal airway into two equal cavities.
What Happens After the Surgery?
You may feel your face swollen or rarely, a nose pain or a mild headache in the first 24 hours after the surgery. However, the pain can be managed by painkillers prescribed by your surgeon. Except going to the bathroom, it is recommended to elevate head in the bed or to sit down and rest throughout the day as far as possible in the first day after the surgery.
Swelling and bruising around the eyes will become most noticeable after 2 or 3 days. In this case, cold compression will relieve the complaints and provide you with a better feeling. Swelling and bruising will substantially fade away four days after the surgery. Generally, you may notice minimal discharge from nostrils for a few days after the surgery, and a little congestion may be felt in the nose for a few weeks.
During the recovery of the tissues, your surgeon will ask you not to blow and wipe your nose for a week or a longer period. If a nasal packing exists in your nose, it will be removed after a few days, and you will feel much better. All medical dressings and the plaster-splints on your nose will be removed after a week or sometimes two weeks.
When is it possible to return to routine daily life?
Most patients, who undergo a cosmetic nose surgery, can get up and walk around within two days or they can go to school or do non-strenuous work. You should avoid all strenuous activities (running, swimming, gymnastics, sexual intercourse, and any other movements which may elevate your blood pressure) for two to three weeks. You should also protect your nose from trauma and avoid rubbing your nose and skin of the nose should not be exposed to sunlight for eight weeks. You should be careful and gentle while washing your face and hair and making up make-up. Though you can wear your contact lenses when needed, the situation is different for glasses. After the removal of your splint, the glasses should not be directly placed on your nasal hump for two months until your nose completely recovers. Your surgeon will ask you to present for follow-up visits frequently in one month period after the surgery in order to follow up the progress of your recovery.
Care Guide after Cosmetic Nose Surgery
The recovery after the nose surgery requires time and patience. Active participation to the postoperative care is as important as surgery.
In the postoperative period, you may have a difficulty in breathing through your nose due to the nasal packing. In this period, you should breathe through your mouth. Your surgeon will inform you about when the nasal packing will be removed.
It is important to drink plenty of water or liquid. Sipping fruit juice, water, and light drinks will help to relieve dryness of the mouth caused by breathing through the mouth. You should not use any straw. You should eat foods which are soft and easy to chew. To keep your lips moist, you should use gels or lip balms.
You should use only the medicines prescribed by your surgeon. You should not take aspirin, aspirin derivatives or medicines that prevent clotting (anticoagulants).
If the dressings are still in your nose, you should keep your head elevated using at least two pillows when you sleep or rest. You should take care of keeping your head elevated as much as possible all day long; this will regulate the blood circulation and also help to reduce the swelling after the surgery.
Minimal discharge from your nostrils is an expected condition. It will be pink/light red in color, but you should contact your surgeon if you see continuous discharge of red blood through nostrils.
When your surgery has been completed, your nose will be covered by two layers of plaster and a splint. These are important not only for reshaping your nose, but also for protecting your nose. You should not touch or detach these dressings; they will be removed within a week by your surgeon.
The small nasal packing at the bottom of your nose may be changed when necessary (or it may be removed completely if no bleeding is observed).
You should not rub or attempt to wipe your nose. It will be right for you if you keep your hands away from your nose. You should protect your nose from any trauma. You should wear button-up clothes, and avoid from wearing t-shirts and roll-neck garments.
You should brush your teeth gently and only use a soft tooth brush. You should not purse your lips or try not to push up your upper lip more than needed.
For the two weeks after the surgery, you should avoid straining, leaning forward, lifting heavy weights (especially your children) and doing strenuous exercises and sports.
You should avoid direct exposure to sunlight for a period of one month.
When the dressing on your nose is removed, you will notice some swelling and color changes in the surrounding tissues. Your nose may look swollen or its tip may seem lifted upwards. However, these problems will disappear on their own in time.
You may feel some numbness in the tip of your nose or your upper lip, it will disappear within a few weeks.
After the removal of nasal packing, you can clean your nose carefully 2-3 times a day by using cotton swabs and tap water. You should not insert the cotton swabs into your nose upward.
Even after the removal of nasal packing, your nose will remain congested. It is a normal response of the tissues to the surgery. For a period of one week, you should not attempt to blow your nose. When you have to sneeze or blow your nose, you should do that gently by leaving both of your nostrils open. In addition, you should not use any nasal spray or drop. If you need to sneeze, you should sneeze with your mouth opened.
After your medical dressing has been removed, you can engage in routine activities of daily living (depending on the kind of work). In addition, make up may be used to conceal the small bruises.
You should be sure that you have attended all your appointments in the postoperative period. These are necessary for the postoperative photographs to be taken in order to follow the recovery of your nose and the new shape by your surgeon. The postoperative appointments are generally arranged in the first week, the first month, the third month, and the sixth month.
Unless it is compulsory, you should not wear glasses for two months after the surgery. Glasses can only be worn while the plaster wire is in place. After this period, it should be taped to your forehead. The way to do this will be instructed to you.