I believe that there is no ideal nose and that the result must match the patient’s face, it does not necessarily have to be “perfect”.
The most important thing is consultation. There you need to clearly state what bothers you, aesthetically and functionally in your nose, to find out the doctor’s opinion on how your nose should change. It is important to know if you are breathing well or not. Many patients come with pictures of celebrities. You confuse the doctor, because not all those noses are operated on, or, if they are, it is not known if they looked like the operation before you. I do not offer simulations, because there is a huge difference between what you can do in the picture and on the real nose.
We operate in the afternoon, so we let the patient eat lightly and drink until 9-9,30. Not valid for everyone, so expect fasting. Everything takes place under general anesthesia. There will be pictures, the doctor will have a final discussion in which we will recapitulate the objectives. Good luck!
Awakening from anesthesia is usually easy, but I use the meshes for 24 hours, so you won’t be able to breathe through your nose. A little exercise in the days before surgery helps. You will sit with ice on your eyes to reduce edema (swelling). Usually the nose does not hurt. It will just be a tense feeling. The service assistant will help you to spend the first 24 hours well and comfortably. Sometimes a mass moves and you will feel it in your throat, behind your mouth. The nurse will take her out. It doesn’t hurt, it’s a routine thing.
You Will Receive Directions For Home:
- sleep with your head up;
- clean your nose with sea water and cotton swabs;
- apply arnica gel to bruises;
- do not blow your nose, use Vibrocil if it is too clogged.
The First Week After Surgery
It is also the most difficult, but it is easier than many other surgeries. A few words about cleaning your nose. First, gently soak and remove the blood crusts that form at the entrance to the nostrils. Then use the chopsticks to clean the inside as well. The direction of the stick should be horizontal (along the airway) and not upwards. The swelling of the face increases the next day, then begins to pass. Add more ice (through a textile material) until it passes. And the bruises are starting to lose their color. Fortunately, it doesn’t hurt much. Don’t expect to be able to breathe well already. There is also mucosal congestion, blood clots.
At 7-8 days
It’s time to see each other again. What’s harder is over. We remove the threads and the splint. Many patients are scared of this maneuver. Rest assured, it doesn’t hurt. Maybe a little pinch. And removing the splint is easy to bear.
Healing The Nose And Getting The Final Shape
As with many cosmetic surgeries, getting the final look takes time. On the nose maybe more than in other situations. So rule number 1: BE PATIENT! You will see in some pictures how a nose that did not look very good at 9 months became almost perfect at a year and a half. Of course, the time to healing is variable. Noses with thicker skin, those that have been intervened more, which had more defects to solve, will stabilize more slowly.
Another difficult or sometimes impossible to correct element is asymmetry and a deviated nose. If the deviation also includes the upper part of the septum, the bony one, the nose cannot be brought completely on the midline, because that part of the septum cannot be directed without great risks. You will breathe better, your nose will be more central, but not perfect.
Sometimes, the nose is straight on the midline after the intervention, but it progresses crookedly for up to a year. Sometimes it is the fault of the soft part (ie not bone or cartilage), which have the memory of the incorrect position or the “over deformity type” that we talked about above. If you are careful and realize that the nose tends to twist again, we can do something by massaging or taping.
When the nostrils are asymmetrical, they cannot always be perfectly symmetrical. The most difficult is when the place where the side wall of the nostrils touches the face (place of insertion) is higher on one side. This is difficult to correct. I only went out once, but these cases are very rare.
If you experience persistent breathing difficulties after surgery, you may have cornet hypertrophy. The cornets are “outlets” in the side wall of the nostrils that regulate the flow of air (the mucosa on them swells or deflates).
Sometimes, in response to the trauma of the operation, they become permanently swollen or “hypertrophied”. The problem is solved, but it takes patience and sometimes short intervention (cauterization). You need to know that it’s not anyone’s fault, that’s how your body chose to react.