The rhinoplasty is a plastic surgery procedure by amending the shape of the nose: change the size, shape of the tip, the thickness of the nostrils, the curvature of the wall, the angle between the nose and upper lip , etc. However, rhinoplasty does not always respond to a strictly aesthetic issue with which a person wants to improve their appearance, but it may be necessary in the presence of malformations of the nose, either congenital or due to trauma, which make breathing difficult (for example, nasal septum deviation).
The rhinoplasty should be performed by an experienced plastic surgeon, who must advise the patient about the results of the intervention in terms of the objectives of this and its aesthetic criteria, in order to define the final shape will the nose. In the case of adolescents, it is not advisable to carry out this intervention before the age of 16 and it must be ensured that it is not a decision taken unilaterally by the parents.
Performing a rhinoplasty usually one to two hours, depending on the complexity of each intervention. It requires hospital admission and is carried out in an operating room, under local anesthesia and sedation or general anesthesia. The operation begins by separating the skin of the nose from the bone and cartilage that serve as support and which are then sculpted according to the characteristics of the morphology to be obtained. Subsequently, the skin is redistributed and sutured.
Normally, the intervention is performed by making small incisions inside the nostrils, although sometimes an open surgery concept may be necessary, accessing from the columella.
At the end of the rhinoplasty , a cast is placed over the nose and both nostrils are plugged with cotton to prevent bleeding and stabilize the nasal septum (they will be removed one or two days later. It is normal that in the first days there is a slight nosebleed. The cast will come off after a week or a maximum of two.
The patient can return to normal in their daily activity after two days and return to work in a week after having performed the rhinoplasty . However, certain precautions must be observed, such as avoiding intense physical exercise for three weeks, minimizing the risk of blows, not sunbathing for two months and, of course, following all the instructions of the surgeon that he will give in the successive follow-up consultations.
Rhinoplasty complications are rare and minor as long as the procedure is performed by a qualified plastic surgeon. Sometimes small red dots may appear on the skin as a result of the rupture of some small vessels and that will not disappear with time. In approximately one in ten cases, a surgical revision is necessary to correct a defect.