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Rhinoplasty (Nasal Surgery)Rhinoplasty (nasal surgery) involves changes to all or some parts of the nose to reshape it. Nose is considered the centre of attraction in most communities. Changes in appearance can be important to those people who are dissatisfied with the shape and size of their nose. This cosmetic procedure is amongst the most frequently performed all over the world. The deformities of the nose are corrected by rearranging or reshaping bone or cartilage. Septum can be straightened at the same time to correct the deviation thus improving breathing. The results achieved are permanent. This is a highly customized procedure. The aim of the surgery is to create a nose that is in balance with the rest of the face. The common concerns of people with regards to the nose are reducing or enlarging certain areas, smoothening nose humps, narrowing the nose, correcting the deviation and making the nose sharper. The deformities of the nose may be present from birth or may have developed secondary to an injury. Surgery of the nose should ideally be done after the growth is complete. An in depth discussion with the surgeon is the first step in understanding your needs and preferences if any. A brief medical history and examination of the nose will be conducted. Photographs of the face will be taken and the relationship of different parts of the face will be assessed. Silhouette drawings of the nose will help you understand the possible outcome of the surgery. Smoking and use of drugs that contain aspirin will have to be stopped about 2 weeks prior to surgery as in any other surgery. CT scan of the paranasal sinuses will be ordered and an otolaryngologist (ENT) opinion will be sought if there are functional problems or sinus pathology. The surgical plan will depend on your existing nose structure, facial features and your own wishes. The aim of surgery is to create a nose that is in balance with the rest of your face. This is a day care surgery and does not require hospital admission. You could return to work in a week’s time. Protect the sensitive skin on nose and face from sun exposure for at least six weeks. Avoid pressure on the nose i.e. tape glasses off of nose for up to 6 weeks. Also avoid bending over with your head below waist level. The nose may be stuffy the first couple of weeks since this may distort the delicate sutures and cartilage inside your nose. Swelling and bruising are normal as well as some bloody drainage the first couple of days. Expect two to three weeks of recovery before normal activities can be performed.
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