Rhinoplasty Recovery: A Quick Guide For After The Procedure

The recovery process following rhinoplasty and nasal procedures is essential to the long-term results of your procedure.

There are a variety of aspects of your recovery that you know before going in, what you should expect recovery time will look like.

While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. However, during this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.

Swelling may come and go and worsen in the morning during the first year following your rhinoplasty surgery.

You will be given specific instructions that may include:

• How to care for the surgical site
• How to care for the surgical site
• Medications to apply or take orally to aid healing and reduce the potential for infection
• Specific concerns to look for at the surgical site or in your general health.
• When to follow up with your plastic surgeon

Be sure to ask your rhinoplasty surgeon specific questions about what you can expect during your individual recovery period:

• Where will I be taken after my surgery is complete?
• What medication will I be given or prescribed after surgery?
• Will I have dressings/bandages after surgery?
• When will they be removed?
• Are stitches removed? When?
• When can I resume normal activity and exercise?
• When do I return for follow-up care?

Though the time of recovery will vary from person to person, being armed with knowledge going into Rhinoplasty procedure will keep you ahead of the game.

 

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Rhinoplasty Surgery Preparation Guide

Before scheduling rhinoplasty, you must meet with your surgeon to discuss important factors about your surgery. This meeting can include many topics, but generally includes:

1. It is important to discontinue the use of any aspirin, ibuprofen, vitamin E, and herbal supplements two weeks before and two weeks after your rhinoplasty surgery. ~ William Portuese, M.D.

2. Stop smoking for at least two to four weeks before surgery. Nicotine can horribly inhibit healing.

3. Stock up on prescriptions ahead of time if possible.

4. Make sure you have plenty of lip balm and cool beverages on hand. (Your mouth will get VERY dry from breathing through it.)

5. Enlist the help of a relative or friend to help with your first couple days and nights post-surgery. It’s great to have support, someone to fetch your beverages and soft foods, and a person to keep track of when you’ve taken your meds and when you’ll need more.

6. Make sure you and your doctor are on the same page about what you want done to your nose and what you do not want done. This is no time to be a shrinking violet. Speak up or you may regret it later.

7. If you are feeling extremely anxious, schedule another appointment with your surgeon to alleviate your fears and ask more questions.

8. Arrange transportation for after your surgery. You will not be able to drive yourself home after rhinoplasty.

9. Do anything strenuous that needs to be done before surgery. You’ll want to avoid heavy lifting for at least three weeks post-op.

10. Bring comfortable clothes to return home in. Front buttoning tops are better than shirts that pull over your head.

A Word About Food and Medications

Avoid medications containing aspirin or ibuprofen (Advil, Motrin IB, others) for two weeks before and after surgery. These medications may increase bleeding. Take only those medications approved or prescribed by your surgeon.

If you smoke, stop smoking. Smoking slows the healing process after surgery and may make you more likely to get an infection.

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Closed vs. Open Rhinoplasty: Making the Best Choice for You

Often one of the most confusing questions when confronted by a rhinoplasty patient is prospective rhinoplasty with a choice of open versus closed rhinoplasty.

This portrayal often results in puzzling looks from patients. Since virtually all changes to the outer nasal contour result from corresponding changes to the nasal skeleton, the surgical approach, and the corresponding skeletal exposure it provides, has a direct bearing on the ease of surgery and thus, the quality of the rhinoplasty outcome.

Endonasal Rhinoplasty: The Closed Approach

In the closed rhinoplasty approach, also called endonasal rhinoplasty, all of the surgical incisions are positioned inside the nostrils such that no part of the incision can be seen externally and a visible scar is avoided.

Since the right and left nostril incisions remain disconnected, respositioning the nasal skin is difficult. And what makes it even more challenging is the entire operation is performed through narrow surgical openings with reduced visibility. With that being said, many physicians find the endonasal approach to be quit be quite useful in certain situations including when bridge augmentation or minor bridge refinement is performed.

Open Rhinoplasty Approach

Open rhinoplasty involves a small incision placed in the columella (the skin at the bottom of the nose between the two nostrils). This incision allows wide exposure and assessment of the nasal cartilages and bones, and is closed with tiny sutures without tension so as to promote healing.

Which is best for you?

There is a lot of opinion out there about which approach to rhinoplasty is better. The truth of the matter is that best approach is a patient-specific approach – your surgery should be planned and performed in the way that gives you the best result.

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Rhinoplasty Procedure: Correcting the Radix

One of the most common things done during rhinoplasty surgery is taking down a or bump from the bridge. One variation of this problem that creates the illusion of a large bump is what’s called a low radix or pseudo-hump.

The radix is the upper bony portion of the nose. The radix and underlying cartilage may be large, causing a bump. If the radix is shallow, it can cause a depression and a bump. Your surgeon can reduce the radix by carefully shaving away small portions. The surgeon might add volume to a depressed area using a portion of the patient’s own cartilage harvested from elsewhere in the nose. By augmenting the space just above the radix, a surgeon can create a straighter slope.

The analysis of revision rhinoplasty and its underlying structural cause is an insight into the complications of rhinoplasty. Aggressive reductive techniques without structural support will lead to long-term unpredictable outcomes. Contextually deviant and poorly executed technique will often impart the stigmata of an unsuccessful rhinoplasty as well.

Revision rhinoplasty requires proper planning and understanding of the aberrant anatomy. An appreciation of individualized facial proportion and symmetry with recognition of the structural deficiencies or excess will allow for more favorable rhinoplasty outcomes.

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5 Tips to Find The Best Rhinoplasty Surgeon for You

There are many aspects to consider when choosing a rhinoplasty surgeon. First and foremost, you need to pay special attention who you will be working with since the selected surgeon will largely dictate what kind of results you will see at the end.

Remember that there is no such thing as the “Best Rhinoplasty Surgeon.“ Everybody’s situation is different – what’s good for one person may not be the best choice for another.

There are many good surgeons that have exceptional credentials. Your job is to find one that will work best for you and your situation. The difficult part is to find someone who you will feel comfortable with, and one who is likely to deliver your expected results.

Here are a few tips when choosing a surgeon:

1) The purpose of a Rhinoplasty surgery is to improve the shape and or the appearance of your nose. Therefore, when choosing a surgeon, he or she should fully credentialed and certified by the American Board of Plastic Surgery or of Facial Plastic Surgery.

2) The surgeon should be able to show before and after pictures of previous patients. This does not mean an intrusion to privacy of past clients, but a proof of the surgeon’s work.

3) The surgeon should also understand the essence of beauty and aesthetics. Not all surgeons are concerned with the results of their work from an aesthetic point. Some are only concerned about the functional aspect of surgery. And yet, others are in it ‘just for the money.’ Take time to discuss details and find out if he or she is the best surgeon for you.

4) Consider the surgeon’s experience. A degree from a reputable university is not enough to prove the surgeon’s capabilities. He or she should have ample hands-on-experience.

5) Most importantly, choose a surgeon that you are comfortable with. You can feel this when you discuss details with them and as you ask questions about the procedure. Your surgeon should be able to tell you the risks the surgery can bring.

There you are, a few tips to get you started of what questions to ask in order to find best Rhinoplasty surgeon for your situation. Good luck and let us know if you have any questions.

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