Rhinoplasty (Nose Surgery) The Woodlands
What Is A Rhinoplasty/Septoplasty ?
A rhinoplasty is also known as a “nose job” or nose surgery. This can be a strictly cosmetic procedure, a medically indicated procedure, or a combination of both. A septoplasty is also known as surgery done to the wall separating the left and right side of the nose.
Who Benefits From Nose Surgery
Clients that benefit from this a nose job operation are clients that are unhappy with any aspect of the appearance of their nose (too big, crooked, too wide, large boxy tip, large hump on the nose, etc). Virtually any part of the nose can be surgically changed to improve its appearance and increases its harmony with the rest of the face. Also, some clients may have a medically indicated need for a rhinoplasty or septoplasty. Clients with a deviated septum can have problems breathing (nasal blockage) and a septoplasty can improve this.
Any medications (prescription, over-the-counter, and herbal) that can lead to excessive post-operative bleeding are stopped two weeks before the surgery, if the prescribing physician clears the patient to do this. The procedure is usually done in an outpatient surgery center.
Traditionally, two surgical approaches can be used. The open technique, which is the one we prefer, will leave a very small scar on the skin on the columella (bridge between the nostrils). The scar is very well hidden. The remainder of the incisions will go inside the nose and will not be seen. We prefer this open approach because it allows the best visualization of all of the structures of the nose that need to be altered during the rhinoplasty.
A closed approach can also be used where all of the incisions are inside the nose. However, in our practice, we only use this approach for isolated cases where only minimal work needs to be done (i.e. simply taking down a large dorsal hump on the nose).
Depending on the case, some times extra cartilage is needed to reshape the nose or to provide support. When needed, cartilage is typically harvested from an ear or a rib. The procedure usually takes two to three hours.
Post-Operative Care From a Nose Job
Narcotic pain medication prescriptions are given to the patient. If nasal packing is used a prescription for antibiotics will also be given. The client will keep the head elevated as much as possible for the first few days to decrease swelling and bleeding. A nasal splint and nasal packing will typically be in place and are important and should not be removed. The area around your nose and eyes will likely be bruised. Cold compresses will be used to minimize this bruising and swelling. The client is seen in the office usually around five days after the operation and the nasal packing and sutures are removed at that time. The nasal splint on the outside is usually removed at ten days. Some swelling and bruising will occur and will improve in about two weeks. Clients should be able to return to work in two days unless it involves strenuous activity. Most normal activities (exercise, etc) can be resumed in six weeks but this depends on the extent of the operation. It is very important for clients to understand that a small amount of swelling will be present for up to a year after the operation but this is usually not noticeable by others. Therefore, the final shape and contour of the nose will not be appreciated for up to a year after surgery.
Potential Complications From a Nose Job
Complications in rhinoplasty are rare. Post-operative bleeding (hematoma) can occur. It is normal to have some nasal drainage and bleeding after the operation. Therefore, a gauze (drip pad) will be placed under the nostrils to catch this drainage. Injury to the nasal septum, skin breakdown, and/or nasal obstruction can occur. Other potential problems will be discussed with you during your aesthetic consultation.
Jeffrey G. Lind II, MD and The Lind Institute of Plastic Surgery offer quality service and personalized care for rhinoplasty and septoplasty clients in The Woodlands and Houston, Texas area.