How Should The Recovery Be After a Rhinoplasty?

Rhinoplasty is one of the most demanded cosmetic operations. The reasons why it is carried out can be both aesthetic and physiological.

Recovery after rhinoplasty is slow and difficult, which means that the operation’s final result takes up to a year to be achieved.

The upper part of the structure of the nose is bone, and the lower part is cartilage. Rhinoplasty can modify bone, cartilage, skin, or all three.

When planning the operation, the surgeon considers facial features, skin on the nose, possible changes, etc. Surgical plans are usually individualized.

Rhinoplasty, a nose repair surgery

Some of the typical aesthetic aspects that are intended to be corrected with rhinoplasty are the saddle’s filing, to obtain a more rectilinear profile of the nose, refine the tip of it, shorten its length, or correct deviations of the entire nose.

Regarding the functional problems that may require a rhinoplasty, we find congenital malformations such as a cleft palate or cleft lip, or others acquired due to trauma.

Sometimes, there may be septum deviation problems that can lead to breathing difficulties in the affected person. However, it should be noted that in these cases, the operation to be carried out would not be a rhinoplasty but a septoplasty.

Closed rhinoplasty

This type of intervention is the most used, in those cases that allow it since its great advantage is its low invasiveness. Through this technique, the bones and cartilage of the nose are accessed through small incisions through the nostrils. After the operation, the incisions are usually sutured with absorbable stitches, and there are no visible scars.

Open rhinoplasty

In the most complicated cases, which require a great restructuring of the nasal bone structure, this type of rhinoplasty is chosen. In them, an incision is made in the basal part (columella), an external approach is made in which the bones of the nose are exposed. After the operation, a small scar remains in the basal part of it.

Recovery after rhinoplasty

During the first 24 hours after rhinoplasty, the patient must remain completely rest in a bed with the head elevated. In these first hours, the person usually feels severe pain in the nose and head and a general feeling of swelling in the face. To avoid these pains, analgesic and anti-inflammatory drugs will be prescribed.

In the first postoperative days, the nose will remain very swollen and bruised, with bruises that can even reach the eye area. These effects can be alleviated by applying cold compresses. Another very common side effect is the presence of bleeding and persistent nasal stuffiness.

Some of the postoperative instructions that will be given to patients are to avoid both blowing the nose during these first days and tilting the head below the level of the heart.

The bruises and most of the swelling will disappear during the first 2 or 3 weeks. Nasal plugs, if required, will be removed after a few days. Dressings, splints, and sutures will be removed after three weeks at most.

Who Is The Ideal Candidate To Have A Rhinoplasty?

There are two types of patients, those who seek a Rhinoplasty for purely aesthetic reasons since they want to show off a more beautiful nose, and therefore, the shape is modified, and the tip is restructured to beautify the patient’s face. On the other hand, other candidates need it for the proper functioning of the nose, such as correcting the nasal septum’s deviation to improve the passage of air and optimize breathing.

The first visit is the first contact with your Plastic Surgeon. It is an important activity since it will allow you to get to know him and be able to trust him. The clinical examination will examine the state of your nose, shape, size, and proportionality concerning the face and its features, state of the nasal septum, air passage … and in certain cases, a nasal CT scan requested.

What Is The Recommended Age To Perform A Rhinoplasty?

The recommended age to perform a rhinoplasty is from the age of majority. There may be some exceptions, but it will be the Plastic Surgeon who will carry out the medical evaluation directly.

What Kind Of Anesthesia Is Used?

Pre-anesthetic evaluation is essential. It serves to properly prepare you for the surgical act, with the time necessary to normalize any altered parameter and avoid any unforeseen complications.

How Long Does A Rhinoplasty Intervention Last?

Depending on the technique used, but the most common is that it lasts between 30 and 90 minutes. In more complex cases, secondary or tertiary rhinoplasties, the intervention time may increase.

What Items Are Important About Recovery?

After the rhinoplasty intervention, a plaster or plastic splint is placed on the back of the nose to immobilize the bone, maintain and fix the new shape. In the first 24 hours, also, nasal packing is placed to prevent bleeding and stabilize the septum.

The nose, once operated, does not hurt. During the first 24 hours, a slight headache and discomfort in the nose may appear, which subside with the usual painkillers. The area around the eyes may swell a little for the first few days. Hematomas and ecchymoses may appear, which will take about 15-20 days to disappear.

Recovery in rhinoplasty is very fast and optimal. It is possible to join work obligations in 2 or 3 days. However, it is advisable to wait a week to rejoin everyday life.

It is very important to avoid unintentional blows to the nose. To carry out any sports activity, the estimated recovery time is 3-4 weeks, always more cautious than usual with the area.

Rhinoplasty: Beauty or function, that’s the dilemma

Today, things are different. The nose is considered to be the most important element in the beauty of the body because it cannot be hidden like a leg, a breast, or an arm. It is in good accounts, the presentation structure of a person. That from an aesthetic point of view. About the function of the nose, it is proven that only nasal inspiration is physiological. Those who do not breathe through it, as happens with people who do it through their mouth, do not have normal breathing.

In that sense, the nose’s relevance is not only related to an aesthetic matter. The nose is the organ in charge of moistening and heating the inspired air. Both functions are the fundamental characteristic of good gas exchange. Therefore, for there to be adequate aerobic respiration, the nose must function properly. Otherwise, the person may experience various situations that will prevent them from leading a normal life. Snoring and apneas, so in vogue today, have their main cause in nasal obstruction.

However, many people undergo nose surgery because they consider that they have a cosmetic problem and not a functional difficulty, what is the explanation?

The nose is both an aesthetic and a functional organ. Both elements cannot be separated. A good example to graph is the following. The nose is like a coin: if we twist it or change its shape, both sides are altered. For this reason, when a nose is intervened, structural changes of aesthetics and function occur. Sometimes it is not enough for a nose to be beautiful after surgery. In the quest to seek beauty, significant damage can occur, such as deviations of the septum and synechiae or adhesions in intranasal wounds, which ends with obstruction of the nose. So the only solution is to operate again.

– Which specialist should you consult for nose surgery: an otolaryngologist or a plastic surgeon?

Currently, it is intended that the specialist who operates an organ is not a carpenter or a mechanic who changes one structure for another, but rather someone who understands form and functionality. Now, the great masters of nasal surgery are generally otorhinolaryngologists, specialized in rhinology, and with appropriate training in facial plastic surgery.

– Is it possible for both doctors to carry out the intervention together?

Yes, they could, but it falls into a mistake, so I don’t agree. Suppose a person undergoes an operation of this type. The ENT, responsible for the functional part of the nose, operates a deviated septum or hypertrophic turbinate, an internal structure of the organ, and leaves the nose in good working condition. Then, in the same surgical act, a plastic surgeon performs structural modifications that can cause a narrowing of the airway not due to a factor dependent on the septum or the already operated turbinate, but to meet the aesthetic expectations of the patient. That person will be left with breathing problems and ask the otolaryngologist for explanations, who will probably have to operate again. This is easy to happen.

– So what is recommended?

My concept is very similar to that used in centers specialized in this kind of intervention: the nose must be operated by a surgeon who is an expert in its structure and its operation, be it an otolaryngologist or a plastic surgeon since both factors are important and influential in the success of the operation. Ultimately, the foregoing indicates that we must strive for excellence in patient care. This is only achieved if those who carry out the medical tasks are qualified professionals, with an adequate degree of knowledge and extensive experience. Some people believe that by attending a cosmetic rhinoplasty course, they can operate safely and efficiently.