Nose Surgery (Rhinoplasty) - Sinno Plastic Surgery

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Surgery to reshape the nose—rhinoplasty--is one of the most frequently requested plastic surgery procedures. Correcting nasal deformities can dramatically improve your facial appearance.

At the Sinno Center for Plastic Surgery, Dr. Fady Sinno uses the latest plastic surgery techniques to ensure that his patients receive the highest quality care before, during and after rhinoplasty.

What is nose surgery?
Who is a candidate for rhinoplasty?
How is rhinoplasty done?
What results can you expect with nose surgery?
How can you prepare for your nose surgery?
What can you expect when you are healing?
How long will results last?
What are the possible limitations and risks?
Are there other procedures that can be done along with nose surgery?
Will insurance pay for the procedure?
Next steps …

WHAT IS A NOSE SURGERY?
Rhinoplasty can be done for cosmetic reasons to improve your appearance or for reconstructive purposes to correct injuries or birth defects. Nose surgery can accomplish any of the following:

Change the size or shape or your nose in various ways
Narrow the space between your nostrils
Alter the angle between your nose and upper lip
Correct a birth defect, such as a deviated septum (the dividing wall between the air passages on the right and left side of the inside of the nose)
Correct a nose deformity due to injury or cancer
Relieve breathing difficulties

WHO IS A CANDIDATE FOR RHINOPLASTY?
Characteristics of good candidates for nose surgery include:

You have passed your growth spurt (usually age 14-15 for girls, slightly later for boys).
You have realistic expectations about results—you want to improve the appearance of your face, but you are not seeking a perfect look.
You are in generally good health.
You feel your appearance would benefit from nose surgery.

HOW IS RHINOPLASTY DONE?
The operation is done at the Sinno Center for Plastic Surgery on an outpatient basis. You may receive either a local or general anesthetic, depending on what you decide in advance with Dr. Sinno. Local anesthesia allows you to stay awake during the procedure and you will also receive a sedative to help you relax. With general anesthesia, you will sleep through the procedure.

As shown to the right, incisions are made inside your nostrils. Your soft tissues, cartilage and nasal bones are then reshaped to improve the external contour of your nose. If your nostrils are large, they also will be made smaller using tiny incisions at their base.

Your rhinoplasty will take 2-3 hours, depending on the extent of the procedure.

After completing the surgery, Dr. Sinno will put a small splint over the outside of your nose to help maintain its new shape during the healing process. Nose packs or soft plastic splints may be inserted into your nose to stabilize the septum.

WHAT RESULTS CAN YOU EXPECT AFTER NOSE SURGERY?

When your rhinoplasty is completed and your body has completely healed, you will be pleased with your enhanced appearance. Many patients report a renewed sense of well being and an increase in self confidence.

HOW CAN YOU PREPARE FOR YOUR RHINOPLASTY?

Initial consultation
You will have a comprehensive consultation with the staff at the Sinno Center for Plastic Surgery that includes:

Discussion of your goals and expectations. Dr. Sinno will ask you how you want your nose to look.
Evaluation of your face and nose structure
Review of the various options available, based on your nasal bones and cartilage, your facial shape, your age and the condition of your skin
Outline of how the surgery is done, anesthesia used for the procedure and what to expect with rhinoplasty
Costs
Answering any questions you have

Be ready to provide the following information:

Complete medical history
List of medications you take, including use of aspirin and other over the counter medications, vitamins and herbal supplements
Details about your tobacco and alcohol consumption

Before your surgery date:

Live right. The best way to prepare your body for any surgical procedure is to make healthy lifestyle choices in the weeks beforehand. If you prepare your body for surgery, your “back-to-normal time” is often reduced.
Exercise regularly.
Get adequate sleep.
Eat right.
Take vitamin supplements.
Reduce stress.
Depend on someone. Arrange for someone to drive you home after surgery. You may want to have someone to help you at home for the first day or two while you recuperate.

WHAT CAN YOU EXPECT WHEN YOU ARE HEALING?

Right after surgery

The first 24 hours after the procedure, your face will feel puffy, your nose may ache and you might have a headache.
Take pain medication for any discomfort.
Keep your activity to a minimum the first 24 hours. When in bed, keep your head elevated.

Swelling and bruising

Bruising and swelling around your eyes actually will increase in the first few days, reaching a peak about day 2.
Use cold compresses to reduce both swelling and bruising.
Most swelling and bruising will go away after the first week following surgery.

Nasal dressing, packing, splints and stitches

Sometimes gauze or foam (packing) is put inside the nose. This will be removed after a few days and you will then feel much more comfortable.
All dressings, splints, stitches will be removed within 7-10 days.

Nasal stuffiness and bleeding

A little bit of bleeding after nose surgery is normal for the first few days.
Your nose will feel stuffy for several weeks. Talk with Dr. Sinno about the use of nasal sprays.
Try not to blow your nose for a week or so to allow the tissue inside to fully heal.

Getting back to normal
Healing is a gradual process. Day by day, the appearance of your nose and face will improve. Try to be patient. The results are worth it – you will look and feel better about your nose!

You can expect to be up and around within one to two days of your rhinoplasty.
Make every effort to avoid rubbing, bumping or hitting your nose for several weeks.
Use extra care in washing your face or hair and as you apply make up.
Plan on returning to school or sedentary work about a week after surgery.
Any exercise which raises your blood pressure (aerobics, biking, bending, sexual relations, etc.) should be avoided for at least 2-3 weeks after rhinoplasty.
Stay out of the sun to avoid sunburn for up to eight weeks.
Internal swelling subsides very gradually. Keep in mind that final results of rhinoplasty may not be apparent for a year or more.

Diet and Nutrition
Good diet and nutrition will help your body heal better, and faster, after a surgical procedure.

Drink plenty of water or clear fluids; up to 64 ounces a day is recommended
Eat fresh fruits and vegetables with every meal
Eat small amounts of protein with every meal
Eat every 4-5 hours; do not wait longer to eat
Eat more frequent meals, with fewer calories per meal
Eat breakfast within an hour after you get up
Use vitamin supplements, especially antioxidants, to promote healing and renew energy

HOW LONG WILL RESULTS LAST?
Results of your rhinoplasty are permanent. Your face--including your nose—will change somewhat as you age. The Sinno Center for Plastic Surgery offers a range of procedures and treatment to enhance your face through time.

WHAT ARE THE POSSIBLE RISKS OF NOSE SURGERY?
All surgical procedures have some degree of risk. The specific risks and the suitability of this procedure for you can only be determined during your consultation with Dr. Sinno prior to performing the procedure.

You can reduce chance of risk by closely following instructions before and after the procedure that are provided by Sinno Center for Plastic Surgery.

Scars
When the procedure is done inside the nose, you will have no visible scarring whatsoever.

If an “open” technique is used, or if your nostrils are narrowed as part of the procedure, some skin incisions are made between the nostrils or at the base of the nose. Small scars at the base of the nose are usually not visible.

About 1 in 10 patients need a second follow up procedure to make minor corrections to the surgery. These cases are unpredictable and the surgery is usually minor.

ARE THERE OTHER PROCEDURES THAT COULD BE DONE ALONG WITH RHINOPLASTY?

You may want to consider additional plastic surgery procedures to enhance the results of your rhinoplasty. These might include one or more of the following:

WILL INSURANCE PAY FOR RHINOPLASTY?
Your insurance may cover a rhinoplasty if the surgery is needed to correct a nasal injury or to reconstruct the nose after tumor removal. Septoplasty (correction of a deviated septum) is frequently covered when it is done to improve breathing difficulties.

Nose surgery done for cosmetic reasons is not covered. You are responsible for full payment.

NEXT STEPS . . .
Please contact the Sinno Center for Plastic Surgery or set up an appointment with Dr. Sinno to explore the facial plastic surgery options that are best for you.