PLASTIC SURGEON - Nose Surgery


	Nose Surgery The nose being the centre of the face strongly affects a person’s general appearance. The nose can be corrected and thereby harmonize the rest of the face. Rhinoplasty - the procedure commonly known as nose reshaping or having a nose job - involves surgery to reshape the nose. Various parts of the nose can be altered to change its appearance, including the tip, bridge and nostrils. There are no apparent scars because rhinoplasty is usually performed from the inside of the nose. The skin is detached from the cartilage and bone and the nose is then reshaped. After the necessary alterations, the skin is reattached. The patient will need to wear a cast for 7-10 days to ensure proper healing and to protect the nose. Anesthetic: general aneshetic Duration of the procedure: 1-2 hours Generally the hospital stay: 1 day and the proposed stay in Cyprus: 4 days after surgery *What should I expect during the post-operative period?* Whether the procedure is done under general or local anesthesia, it is usually possible to go home on the day of surgery. During the first few days your face will feel and look swollen and you will have some pain. Take pain medicine as prescribed by your doctor. Except for going to the bathroom, stay in bed with your head elevated or in a comfortable chair for the first day or two. In the first two days it is also a good idea to avoid hot baths or showers and also hot food or liquids. Heat dilates the blood vessels inside the nose and can increase congestion and may cause bleeding. Bruising around the eyes increases for two to three days and then begins to subside. Using a cold compress will help during this time. A certain amount of blood tinged mucus discharge is normal. Persistent fresh blood should be reported to dr. David. If you have nasal packing it will be removed within the first few days. Even after the packing is removed you will continue to have some nasal congestion but you should not blow your nose during the first week. Within three or four days you should be able to start a gradual return to normal activities and be back at work or school within a week to ten days. At about this time the external splints will have been removed. Strenuous activity such as jogging, swimming or other vigorous exercising should be avoided for at least two weeks. Even after the splint is removed the nasal bones are not stable or completely healed for a few more weeks so do not bump your nose! Complete healing and final results of the surgery take a long time. All the noticeable swelling and bruising will be gone within two weeks but the skin on your nose will be sensitive for several months and sun block should be used. There may also be some numbness and slight congestion for several months. What are the risks and complications of this procedure? Every surgical procedure involves a certain amount of risk and it is important that you understand the risks involved with noseplasty. Although the majority of patients do not experience the following complications, you should understand all possible consequences of nose surgery. The risks include: Rupture of small surface vessels of the nose Infection Poor wound healing Anesthesia risks Bleeding (hematoma) Nose asymmetry Cardiac and pulmonary complications can occur in longer surgical procedures and may be associated with the formation of, or increase in, blood clots in the venous system Change in skin sensation (numbness) Nasal airway alterations may occur after a rhinoplasty or septoplasty that may interfere with normal passage of air through the nose Nasal septal perforation (a hole in the nasal septum) may develop but is rare; additional surgical treatment may be necessary to repair the nasal septum but in some cases, it may be impossible to correct this complication Pain, which may persist Unfavorable scarring Skin contour irregularities Skin discoloration and swelling Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal Possibility of revisional surgery Fortunately, major complications from nose surgery are uncommon. Every year, thousands of patients undergo nose surgery and experience no significant problems

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Nose Surgery

The risks include: