Rhinoplasty is surgical intervention that aims to alter the size and shape of the nose in harmony with the rest of the face. Rhinoplasty may interest the entire nose or a part of it. For example, cocooning, nose tip reduction and nose augmentation to improve the appearance of the profile with implants or grafts. By rhinoplasty, malformations or post-traumatic defects can be corrected.
At the first consultation, the surgeon determines to what extent the nose contour may be improved. It is very important to establish an eventual associated pathology: family history or prolonged bleeding, especially nasal bleeding, allergy history, drug abuse, chronic aspirin users. Rhinoplasty is one of the most difficult interventions in plastic surgery, and it is an intervention that is done blindly in case of closed rhinoplasty.
The end result is obvious after months or even years, when the nose will undergo permanent transformations. A meticulous preoperative examination including anterior and posterior rhinoscopy should be performed to detect any septic anomalies and nasal obstruction.
Rhinoplasty can be done with the patient hospitalized or outpatient. The operation can be done under local or general anesthesia. In local anesthesia interventions, the patient will only be anesthetized with the nasal region and will be able to communicate with the surgeon throughout the operation.
The operation consists in detaching the soft parts of the osteocartilaginous skeleton; shaping the osteocartilaginous skeleton to obtain the desired shape. Rhinoplasty can be closed, intervening by incisions inside the nose (healing with invisible scars) and open, which involves the presence of a minor scar at the base of the nose, the motoda being preferred in the case of complex operations.
Postoperatively, the patient may experience pain in the nose or a headache that can be medicated. Local cold applications and high-head immobilize combat edema and, implicitly, pain. There is an edema (swelling) that will be maximal on the third postoperative day and a greater or lesser degree of bruising (bruising). The post operative maintains a nose throat and an endonasal swab.
Patients who have undergone rhinoplasty may return to their activities one week after surgery. Also, postoperatively, the surgeon will recommend for a period of 1-2 months the observance of some indications for avoiding certain activities and exposure to certain environmental factors.