by Internet Medical Society
Rhinoplasty Surgery FAQ's
Rhinoplasty is performed on men and women of almost all ages. It is a common procedure for teenagers, those in their 20’s to 40’s, as well as for those in their 50’s or 60’s who are unhappy with the way their nose has changes as they aged. As long as there are realistic expectations, most people who are unhappy with the appearance of their nose and can specify what really bothers them, are candidates.
As long as the person is in good health and does not smoke for at least 2 weeks before the surgery, there are no major contraindications to the procedure. It is very important, though, to understand the goals of the procedure, and have realistic expectations.
Rhinoplasty can be performed on young men and woman after their facial growth has been completed. This typically translates into age 15-16 for woman and 16-17 for men.
The surgery can take anywhere from 1 - 3 hours depending on the technique used and the complexity of the case. Average time is 2 ½ hours.
The nose can swell considerably after surgery. It takes approximately 1 month for 80% of the swelling to go down. It may take 6 months to 1 year for all the swelling to be gone and to see the final result.
If the nasal bones are broken, there will be a fair amount of swelling and bruising around the nose and eyes. The bruising will take 1 to 2 weeks to disappear. The majority of the swelling will be gone in 1 month. There is some discomfort for the first 3 to 5 days that is alleviated with pain pills.
In the majority of cases, patients have a wide nasal base. By fracturing the nasal bones, the width of the nose can be reduced. While the bones do not have to be broken, reducing the width of the nose will often make the nose more attractive.
The incisions on the inside of the nose are not visible. The incision on the outside leaves a very fine scar that is difficult to see once it has healed. It measures only about 4 to 5 millimeters.
Risks include a worsened appearance, scar deformity, asymmetry, worsened breathing, hole (defect) in the septum, and prolonged bleeding. These are all relatively rare.
The surgery is usually done under Local Anaesthesia or General Anaesthesia
If the rhinoplasty is done with the open technique, the sutures come out at 7 days. Sutures placed in the inside of the nose are absorbable and will fall out after a few weeks.
You will see the Dr. after 7 days to remove the dressing, and then periodically to make sure you are progressing as you should.
Dr. will ideally want to see you after 6 months, 1 year, and 2 years to check your progress.
It will take 3 to 4 weeks for most of the swelling to resolve and probably 6 to 12 months for all if it to resolve. After this you should have a reasonably good idea of what the final look will be.
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