What is a Rhinoplasty in Scottsdale?
Rhinoplasty is a surgical procedure of the nose that can be done for cosmetic purposes, reconstructive purposes, or as a combination surgery for both reasons. In the vernacular of today, it is a nose job.
An aesthetic rhinoplasty can reshape or resize one’s nose to make it more pleasing in appearance.
A septorhinoplasty is a surgical procedure typically performed to improve nasal airflow. The procedure addresses a deviated septum and other nasal components that affect nasal airflow. Insurance companies will most likely cover the following procedures: a broken nose, a deviated septum, turbinate hypertrophy (abnormally large intranasal structures) or a nasal birth defect.
Rhinoplasty is usually performed as an outpatient procedure, under general anesthesia.
What to Expect Before Rhinoplasty in Phoenix
During the pre-operative visits, the plastic surgeons at North Valley Plastic Surgery will evaluate one’s nasal appearance, nasal airflow, intra-nasal anatomy, and expectations. Occasionally, a CAT scan may be required.
One should ask questions during this pre-operative evaluation and more than one visit with the surgeon should be scheduled. Expectations should be voiced during the pre-operative consultation. The surgeon will assess whether those expectations can be met and whether they are reasonable.
It is a good idea for one to take digital photographs of his/her nose from the front and sides and bring them along to the initial consultation. If the nose is broken, it is a good idea to bring in older photographs of the nose, so that your surgeon may understand the appearance prior to the fracture.
If the procedure is for cosmetic purposes, one may want to bring in photographs of models to help your surgeon understand what is desired. One must understand that what is desired and what can be achieved can often be very far apart. The surgeon will clarify this issue.
Photographs will be taken so that your surgeon can meticulously plan the nasal surgery. Computer imaging may be performed.
What to Expect During Rhinoplasty
When nasal surgery is performed, the board certified plastic surgeon may opt to perform an open rhinoplasty or a closed rhinoplasty. The nasal anatomy will dictate your plastic surgeon’s approach.
In the United States there is a trend toward performing open rhinoplasty. In an open rhinoplasty, in addition to the internal incisions, a small incision is made in the columella of the nose, that 0.8 centimeter bridge of tissue that separates the two nostrils.
In a closed rhinoplasty, there is no incision in the columella, all the incisions are internal. Typically, the incision in the columella heals with an imperceptible scar. Once all of the incisions have been made, the skin, bone, and cartilage are reshaped and resized for the desired look and function.
What to Expect After Rhinoplasty
Generally, since the surgery involves the internal and external nose, one can expect to feel as if the nose is congested once the operation is complete. This feeling is due to swelling and typically resolves within the first week. Swelling typically continues after the surgery and becomes maximal at two to three days post-operatively. Do not be alarmed if the nose continues to swell. Cold packs are applied to the face during the first 48 hours to lessen this post-operative swelling. The patient is encouraged to sleep with the head elevated for the first two weeks after surgery to promote drainage and lessen the symptoms of congestion. The surgeon may prescribe medications to lessen the swelling.
It is common for the face to ache. Bruising may occur around one or both eyes; bruising is almost certain to occur if the bones are reshaped. Bruising around the eyes can take two to three weeks to dissipate. An external nasal splint is typically applied and stays in place for seven to fourteen days, depending upon the surgeon. An internal silastic splint may be placed on both sides of the nasal septum. A nasal drip pad is typically placed to control nasal drainage. It is common for the nose to drip bloody discharge for two to four days after the surgery. Generally, nasal packing is not used.
Minimal pain medication is required for this procedure. We encourage the patient to perform non-strenuous activity as soon as possible. Exercise, aerobics, lifting, or aggressively climbing steps is deferred for four to six weeks after the operation. The patient is asked to not blow, sneeze, or sniff through the nose for the first three to four weeks after surgery. These actions can potentially distort the reconstructed nasal form or cause bleeding.
Significant bleeding is not common with this procedure. However, bleeding is a potential serious complication that may have to be addressed surgically. Significant bleeding occurs less than 1% of the time. Here at North Valley Plastic Surgery, our plastic surgeons are trained to manage this remote issue. Infection after surgery is extremely rare.
Nylon sutures are removed within seven days after surgery. External and internal nasal splints are left in place for seven to fourteen days, depending upon surgeon. It is advised to not let regular or reading glasses, or sunglasses sit on the nose. The nasal skin is sensitive to sunlight after surgery. A wide brimmed hat should be worn for the first eight weeks after surgery and a high SPF sunscreen should be applied.
Our patients are seen frequently in the immediate post-operative period for splint management and suture management. After the immediate post-operative issues are managed, the patient returns for follow-up visits at three months, six months and one year. Photographs are taken at six months and twelve months after surgery. It is important to understand that most of the post-operative swelling will resolve three weeks after surgery. However, complete resolution of the swelling may not occur until six months to twelve months after the surgery. For this important reason, we do not suggest any revision type surgery or touch-up surgery for at least eight to twelve months after the initial surgery.
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For more information on Scottsdale Rhinoplasty, Rhinoplasty procedure, plastic surgery Rhinoplasty or Phoenix Rhinoplasty please contact North Valley Plastic Surgery at (480) 991-6877.