Rhinoplasty

The rhinoplasty is among all cosmetic surgery procedures one of the most common. It can reduce or increase the size of the nose, change the shape of the edge or the back, narrow nostrils, change the angle between the nose and upper lip. The best candidates for rhinoplasty are those patients who seek an improvement more than the perfection in their physical appearance. Whether in good health, psychologically stable and with realistic perspectives.
The rhinoplasty is performed also to improve the breathing problems. This surgical procedure should be  run before the full growth of bone structures, not before than15 to 16 years, but above all, it requires a careful pre-operative patient assessement.

All surgeries carry with them a minimum of unpredictability and risk

If the rhinoplasty is performed by an expert plastic surgeon, complications are rare and usually minor. In about 8% of cases (statistical data in literature) it possible to have further surgery for small refinements. In fact, in the biological processes of healing the rhinoplasty is absolutely unpredictable, and even the most experienced surgeon may face small irregularities that must be corrected by a second, usually minimal procedure.
The scars are always hidden inside the nostrils, except for the open technique that provides a small incision on the culumela.

Even for correcting nostrils is essential to an external approach, but for both of these procedures, the scars are very small and usually heal very  well.

Preparing for surgery

To prepare the  patient to surgery may prefigure the final result through a computer simulation. There are stored photos of patient, that verified and clarified present defects and then change the photos thanks to a particular software dedicated to that.
In no case, the images obtained can be considered a promise of results, since the correction can not take into account the biological processes of healing that come into play in a rhinoplasty.
It's a good practice, beginning with the previous week to not take Ac. Acetilsalicic (aspirin) to prevent clotting problems, and for smokers to abstain for at least 4 weeks (two before and two after the operation).

If you have veterans from an infection of the airways or a disease it would be prudent to postpone the surgery.

The surgery

The surgical procedure usually requires about 1 hour. The incisions are inside the nostril and the nose reshaped according to the pre-operative planning. Sometimes external incision (transversely to culumela and along the nostrils) are performed ("open rhinoplasty"). When the surgery is completed a splint is placed to stabilize the fractures.

The Anesthesia

The rhinoplasty is generally performed in General Anesthesia.

After surgery

After  a rhinoplasty, swelling extends very quickly to surrounding areas. It's a good practice apply frost tablets to control swelling and bruising in the immediate post-operative period. Typically, the patient sees gradually grow the swelling in the first 48 hours, then noted in the third day the beginning of the reverse process.

The pain is virtually absent and the discomfort is well controlled by medication. In fact it feels much better than we see in the mirror. Swabs are removed in 2 ° -3 ° day, while the plaque in the back containment is removed after 7-9 days.

Resumption to activity

Most bruising tends to disappear in the space of two weeks. The swollen nose instead tends to decline at a time much longer. Especially the tip is slower to return in the parameters of absolute normality. The average time of the disappearance of the oedema is not less than 6 months, but it is not unusual having to wait even 1 year or more.
The recovery in you can have in very short time. Once rmoved swabs, and then after 2-3 days if the patient has no problem to know who is subjected to a rhinoplasty, may return to normal activities.
Instead banned any sporting activity or it can somehow raise your blood pressure and thus delaying the process of healing.

If you are bearers of contact lenses, is normally not good to wear them for the first 4-5 days. Instead for glasses, which must rest on the back of a fractured nose and just being healing. The use should be banned for at least 6-7 weeks.

The new look

The rhinoplasty takes time and patience from those who undergo the surgical procedure because times are long complete, recovery is normal and sometimes live for moments of discouragement. Many patients feel depressed after the procedure and this is normal and easily understandable, but gradually that the swelling decreases, the state of mind tends to improve.
It's common experience  patients undergoing a rhinoplasty, that people at their nearest not note a big change in the nose. This information should be taken as a synonym for successful intervention and not as failure, because the appearance of the face is not only radically improved and changed.

The rhinoplasty can change the appearance and restore the lost self-confidence, but not necessarily change the look according to the desires or change the way to be of  people around us.