The typical rhinoplasty surgery is the most popular type of cosmetic surgery among Caucasians and especially Mediterranean people. Fastidious nose surgeons consider it the most difficult type of cosmetic surgery for justifiably demanding patients.
The correct diagnosis of the cosmetic problem of the nose constitutes a prerequisite for the right aesthetic result. This will determine the aim of the correction. Every deviation from the normal with regard to the aesthetic features (bridge, nasion, tip, septum, nostrils and labionasal corner) of the nose is recorded. The patient’s view of what is nice as well as any racial and local characteristics of their descent have to be taken into account when making the final decision for the surgical plan.
Respiration control has to be included in the diagnostic approach and the surgical anatomical problems (nasal scoliosis, hyperplasia of the nasal concha, nasal valve) should be located and corrected by the surgeon during the procedure.
The experience and surgical flair of the surgeon in executing the surgical plan are necessary for a successful rhinoplasty. The postoperative course is nearly always smooth, but it is imperative that all postoperative recommendations are followed for the first ten days.
A complete medical history has to be taken preoperatively, including any medication that the patient may be on.
The procedure is preferably performed with general anesthesia. Depending on the aesthetic and functional problem, the surgery may last between 45 minutes and 1.5 hour.
Upon awakening, patients will have a plastic splint and nasal packing in the nostrils. Often, they have to breathe from the mouth. Vision may be blurred for a short while due to the ophthalmic ointment applied during the procedure. The eyelids may be slightly swollen. Patients do not experience any pain either immediately or on the following days. They may be discharged in a few hours, and have to follow antibiotic treatment and use eye drops (collyrium).
On the first postoperative day, bruising will appear in the eyelids. On the second (or third day if the nasal diaphragm was also corrected) the nasal packing is removed by the surgeon at the surgery. This may probably be the only time the patient experiences discomfort. The full and uninhibited respiration, though, will compensate for that. The swelling of the eyelids will subside gradually and by the tenth day everything will be nearly completely normal. That is when the splint is removed and patients may enjoy their new look, bearing in mind that the swelling has not disappeared completely and they can look forward to an even more elegant nose in the days to come.
Useful Facts about Rhinoplasty
Length of surgery: 45 min- 1.5 h
Duration of Hospitalization: ODC (one-day clinic)
Return to normal activities: 2 weeks
Postoperative care: Nasal tampon removed on the second day. Splint removed on the ninth postoperative day. Avoid any accidental injury to the nose for the next 15 days.