Rhinoplasty, nose surgery, nose reshaping or nose job is a surgical process meant for restoring the functions, reconstructing and correcting the form, and enhancing the appearance of the nose by settling congenital defects, nasal trauma, respiratory problems, or an unsuccessful primary rhynoplasty.
Rhinoplasty may improve facial harmony since it corrects the shape and size of the nose, making it to be more proportionate with the rest of the face.
Rhinoplasty can be performed for therapeutic reasons so as to alleviate breathing problems owing to structural defects related to the nose or correct deformations caused by birth defects or trauma. It can also be performed for aesthetic purposes to enhance the appearance of the nose and enhance facial features alongside emphasizing ones natural and unique beauty.
Prior to a Rhinoplasty, various preparations ought to be made both by the patient and the rhinoplasty surgeon. The patient and the surgeon ought to be in contact before the surgery upon which the surgeon will inform the patient of the therapeutic options that will come with the getting a nose job; the benefits and the risks. How to stay healthy in preparation for the surgery, the kinds of diet to adopt if it will help in reducing the risks of a negative outcome, what activities to undertake if need be among others.
Of course it is in the interest of the patient to ascertain the credibility of the surgeon they will be attended to by, determine whether they are certified and whether or not they have ever performed rhinoplasty before. The patient can also share with the doctor their expectations about the surgery.
Rhinoplasty like most surgeries carries some degree of risks and uncertainty. However it is always in everybody’s interest, both the patient and the rhinoplasty surgeon to minimize the risks and maximize the benefits as much as possible.
Some of the key preparations for you surgery you can make are as follows:
Establish communication with your patient before the surgery, let them describe how they would like their nose to look like and let them know of what is possible based on shapes of their face, cartilage and nasal bones and what might be good for them. You should also be objective with them on the risks and costs involved in the surgery and also letting them know the kinds of options they may have.
You should explain to the patient the step by step procedures involved, anesthesia and the techniques that will be used and the facility where you will perform the surgery. You will also inquire whether the patient has had any previous nose surgeries, nose injuries even if they took place a long time ago. The patient should also inform you about whether they have any breathing problems/difficulties, allergies, if they are under any medications, if they smoke, take any recreational drugs and take vitamin supplements.
Finally the patient should tell you about their concerns and expectations regarding the rhinoplasty. Thereafter you can give the patient instructions, including guidelines on vitamins and medications to take or avoid, eating and drinking, how to wash their face. Generally the instructions will be based on what to do and what to avoid that may compromise the outcome of the surgery.
The reason why patients seek rhinoplasty include; the nose is either too small or too big, the nose is badly shaped, crooked, and not proportionate with the rest of the face, breathing problems or nasal inside the nose, birth defect that they would like improved and improving the appearance of the nose.
However, a rhinoplasty surgeon could be concerned if the patient is seeking a nose job to: please someone especially a spouse or partner, advance their careers, the patient think that rhinoplasty will alleviate their life problems, have an unrealistic expectation about the outcome, the patient has undergone multiple surgeries and complains about some previous ones and the patient show signs of emotional instability among others. This are psychological warnings and the rhynoplasty surgeon should really look into them and ensure that the patient has psychological stability or otherwise it could be advisable not perform the surgery altogether.
Rhinoplasty often takes about two hours though complex procedures could take longer and is usually performed in an outpatient facility or at the surgeon’s office for convenience and also cost containment. Depending on what the patient and the surgeon had agreed upon, it can be performed under general or local anesthesia. With general anesthesia, the patient sleeps throughout the procedure unlike local anesthesia where the area to be operated is sedated and the patient feels no pain during the procedure.
The rhinoplasty can take the form of an endonasal rhinoplasty where all the incisions are made inside the nasal cavity or an open rhinoplasty whereby, the surgeon make incisions across the base of the columella making him/her to expose more fully the cartilage and the bone. Open rhinoplasty always performed mostly on much complicated procedures. The surgeon the separates the skin and the bone from the cartilage. The surgeon then shapes the nose framework as is desired before placing the remove skin over it. In case extra bone, cartilage or skin is needed, a donor can always provide one or a synthetic source can be used.
To help the bone maintain the new shape, splint may be applied and the nose too may be packed or stuffed with dressing to stabilize the septum.
The rhinoplasty surgeon then gives the patient instructions on proper aftercare to ensure that the procedure is not compromised and also to make the recovery period smooth.