Surgery of the nose (rhinoplasty)

Extremely few people have what might be called a perfect nose. Almost every individual has a more or less visible profile with humps or depressions on the bridge, enlarge nasal tip, and asymmetry. Those deformities are mostly congenital, or may be a result of injury. It makes a lot of people unhappy. Nasal surgery is usually performed to reshape the tip, reduce the overall size of the nose, remove a nasal hump or improve an incorrect angle between the nose and the upper lip. Nasal deformity may also cause breathing difficulties. Usually, correcting the shape of the nose results also in improved breathing. Rhinoplasty can be performed once nasal growth is complete (after age 14 - 16).

The procedure

Incisions are made inside the rim of the nostrils. The soft tissues of the nose are separated from the underlying structures. Cartilage and bones are separated too, modified, and reshaped to eliminate the deformity and are fixed in the new position. Removing cartilage reduces the size of a nasal tip and provides a better contour. To improve the angle between the nose and the upper lip, the nasal tip can be elevated by trimming the septum. Structural irregularities are corrected to improve breathing. The operation takes one to two hours.

Recovery

The operation can be done under either local or general anesthesia depending on your preference. An overnight stay is highly recommended. After completing the operation, the surgeon usually inserts packing inside the nose and puts a splint on the outside to keep structures in position. Packing is removed in 3 to 5 days, the splint remains for about two weeks. Afterwards, caution is required on order not hurt the nasal bones that are growing together again with the underlying bones. That process takes about six weeks. Swelling occurs regularly and may repeat itself several times. Complete healing takes up to one year. Surprisingly, there is very little pain after nasal surgery so that a majority of patients do not require analgesics.

The result of rhinoplasty is remarkable. The operation will provide significant improvement in the appearance of the nose. The effect - depending on the nature of the original deformity - can be either dramatic or subtle. In any event, you will be told that you look "better" and "natural". In most cases, no visible scars are left.

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