What is rhinoplasty?
Rhinoplasty, also known more commonly as a nose job’, is the procedure to refine and/or reshape the nose, often to alter the size and shape of the bridge and/or the tip of the nose
At what age is it appropriate to have rhinoplasty?
Rhinoplasty really should not be performed on children while they are still growing and thus their nose is still growing, and often in an unpredictable fashion. If surgery is performed before a child has stopped growing, revision rhinoplasty will likely be needed in the future. Results achieved through surgery can be destroyed or altered through the continued growth of the nose.
So for aesthetic or cosmetic purposes, it is best to wait until a child stops growing, usually around the age of 16 for girls, and after the age of 19 for boys. If, however, a nose job is required due to severe disfigurement (caused by an accident for instance), surgery may be an option, though for lesser deformities it still may be best to wait.
Keep in mind, too, that younger patients may not be prepared to deal with the psychological impact of cosmetic surgery.
Is it true that it takes a full year until you see results?
What this typically refers to is the resulting swelling of the nose after surgery. While patients will notice a difference in their nose immediately following surgery, it is generally not fully representative of the final result. Immediately following surgery, the nose can be swollen and discolored. Within about a week after surgery, the swelling will begin to dissipate. Within 2 to 3 weeks time, approximately 80% of the swelling and 100% of the discoloration have disappeared. Within three months time, about 90% of the swelling will have dissipated, while the remainder of the swelling can slowly disappear over the next year or longer until the final, most refined result is achieved. Keep in mind that after the first few months, any lingering swelling is typically not apparent to either the patient or other observers.
How painful is the surgery?
While different people may experience different degrees of pain, the pain associated with rhinoplasty is typically considered more of a discomfort. Most patients complain of discomfort due to nasal packing which is often inserted into the nose to control bleeding following the procedure, and patients often feel a great deal of relief once the packing is removed. In addition, you may feel congested following surgery, as if you had a cold.
How long does the surgery take?
Procedural times will vary greatly depending upon several factors, including the amount of work to be done. The operation can take as little as 45 minutes for a relatively straightforward procedure, and upwards of 3 hours for more complicated surgeries.
What is nasal packing?
Nasal packing is when a small bandage is placed inside of the nostril to stop or prevent bleeding. While packing may not be needed, it is nonetheless often used just in case any bleeding may occur. Some patients will have the packs removed before they go home, while others will have them removed the following morning. Packing is, unfortunately, an aspect of rhinoplasty which some find uncomfortable.
I’ve heard people get runny noses after surgery. Why?
Some patients do complain of runny noses after having rhinoplasty. This typically clears up within 9 months following surgery, but can persist for 2 years or longer.
How much downtime is associated with nose reshaping surgery?
While this will vary from patient to patient, typically you’ll want to plan to stay in bed for the first day. Because swelling and bruising can remain visible for three weeks or longer, much of this will depend upon whether or not a patient chooses to be seen in public. Most patients are up and about within two days following surgery, and able to return to work or school within a week’s time. You will, however, need to avoid strenuous activities, exertion, sun exposure and risking injury for two to three weeks.
Will I have scars after surgery?
That can depend on whether you have open or closed rhinoplasty. With closed rhinoplasty, incisions are confined to the inside of the nose which allows for no scarring. For open rhinoplasty, however, small incisions are typically made at the base of the nose, though these are usually well-concealed and fade over time to become barely noticeable.
What type of anesthesia do you use?
Depending upon your particular procedure, rhinoplasty can be performed with a local anesthesia combined with sedation, or with general anesthesia.