Indications:
This surgery is recommended for the patients uncomfortable with the appearance of the nose, either for alterations in the development, sequels of fractures, or secondary to previous surgery.
Anesthesia:
It is recommended general anesthesia or sedation under local anesthesia if the procedure is smaller or if it doesn’t involve bony handling.
Procedure:
It is carried out a conventional surgery with incisions inside the nose, in most of the cases or an incision in the columnela for selected cases, we retire the bone and the cartilages in the event of big nose with hump or big tip, fractures are carried out in the event of wide nose and you can tune the tip and to close nasal wings. In special cases the procedures were recommended but appropriate for each patient to obtain the result that better goes in agreement with the individual features.
For this purpose, it is very useful in the initial valuation the taking of digital pictures and realization of a simulation in the computer so that the patient and the surgeon come to an agreement with a surgery plan.
The breathing function will be evaluated as well as the presence of internal deformities and allergic rhinitis to combine at the time reconstructive surgery to improve the breathing. Approximate duration: 1 ½ to 2 hours, ambulatory handling.
Micropore bandage and nasal plaster are placed for 10 days, in some cases nasal plugs for 2 days, the stitches are not removed unless they have decreased the nasal wings within 5 days.
Analgesics, antibiotics, nasal decongestants drops, ice during 2 days are formulated. The patient should take care and avoid the use of glasses for 1 to 2 months.
Procedure or surgery:
Improvement of the aesthetic and functional aspect of the nose.
Methods:
– Classic endonasal rhinoplasty (scarless)
– Open rhinoplasty.
– Increasement or reduction rhinosplasty.
– Use of implants (the own patient’s nasal cartilages) for further definition.
Objective:
– To increase, to reduce or to improve the appearance of the patient’s nose.
– To look for a harmony between the aesthetics and the function.
– To look for natural results individualized for each patient.
Preoperative Preparation:
– Fast 8 hours before.
– To communicate possible medical allergies.
– To go the day of the intervention with comfortable and wide buttoning or zipper dressing.
Type of Anesthesia:
– General in most of the cases.
– It can sometimes be carried out by means of local anesthesia and sedation.
Incisions:
– The incisions generally go inside the nose being invisible. In the open rhinoplasty a small incision is placed in the columnela (central portion of the nose)
– The reduction of nasal wings leaves a minimal scar in the furrow of the nasal wing.
– The scar is usually almost invisible 6-12 months after the intervention
Effects and/or convalescence:
– Light swelling during one month.
– Ecchyimosis (bruises) during 15 days.
– Located changes of sensibility (they disappear in weeks)
– Congestion and nasal obstruction during one week.
– Hypersensitivity of the nose during two or three weeks.
Complications:
– Infection. Not very frequent.
– Postoperative hemorrhages. Not very frequent.
– Bony irregularities. They are consequence of the scarring of the bone.
Post operative Instructions:
– Rest during the first 3 days.
– Do not to carry out any effort during the first 5 days.
– Use of nasal rod (plaster) for 10 days.
– Micropore bandage for 15 more days.
– Post operative massage for two months.
– Use of lubricants and nasal decongestants.
– Do not take the sun at least in one month
Hospitalization:
– Ambulatory.
Results:
– Aesthetic improvement of the nasal aspect and of its function.
Final time:
– Three to four months.
