Nose surgeries are performed in patients with innate or acquired nose deformation such as a large bulge on the nose, side deflection of the nose, or nose tip deformity, or in patients who are not satisfied with the shape of their nose. Nose deformity may also result from an injury.
For your subsequent satisfaction it is important to realize that the nose changes shape in the course of life.
As for a suitable age of the client for nose plastic operation there are different opinions. The lowest age limit is after completion of body growth and the upper age limit is usually not specified. This is subject to individual assessment by the surgeon.
Advantages of nose surgery
- Change of appearance is visible at first sight and the surgery is painless.
- There are no traces of the operation or scars on the nose surface for the remodelling takes place inside the nose.
- The most frequently reported change is increased self-conscience and improvement of quality of life.
Nose plastic operation: your surgery
The intervention is usually performed under overall anaesthesia and takes about 1 hour.
The nose is made of cartilage in its front – soft – part and further of nose bones in its rear – hard – part. The intervention may target both the soft nose – especially in the case of smaller deformation of the nose tip – and the hard nose – for example for the purpose of removal of a bulge. In most cases both parts are operated. Through a few mm incisions from inside the nose – through the nasal holes - diminution and modelling of the nose cartilage in the nose front and tip is performed.
In the case of correction of the whole nose a fine nasal rasp and chisel are used to adjust the shape of the nasal bones and their moving to form the required shape. Sometimes deflected nasal septum needs to be shortened and adjusted. In this way the nose may be diminished, narrowed, shortened, lowered, shaped, its tip can be refined, its bulge may be straightened, the nasal axis deflection may be corrected etc.
In the case of need the nasal holes and the nostrils may be slightly reduced. Finally the mucous membrane inside the nose is sutured with absorbable suture and the nose is fixed with a gypsum splint secured with adhesive plaster. Cotton wool tampons are placed in the nose in case of bleeding – these may be removed in 1 – 4 days.
In exceptional cases of very complicated nose deformities the open operative method is used. In addition to the incisions inside the nose a short section is made between the nasal holes. This way the nose skin may be partly removed for better access to corrections of complex deformities of the cartilage etc.
Nose plastic surgery: recovery
Hospitalisation is usually required to the day following after the surgery. The plaster remains for 10 - 14 days till the first post-operative visit to the clinic. The suture need not be removed. Right after the surgery eyelids may swell and bruise. Cold compress is recommended. Rest is required for the first couple of days after the surgery for good healing. Avoid hitting the nose. Do not bend forward on the first post-operative day. The nose will acquire its final shape after a couple of months. Nose massages may be needed for several months post surgery if your surgeon recommends this.
Nose plastic surgery: possible risks
Like all operations, nose plastic surgeries may be associated with certain risks which you must be aware of.
These are general operation-related risks connected with the total anaesthesia (bleeding - hematoma, infection, pulmonary embolism, poor healing, operation wound splitting, development of colloid scars etc.) plus intervention-specific risks.
Possible risks of nose surgeries
- Nose correction is a delicate performance whose result depends not only on the skills of the plastic surgeon but also on your ability to heal, to repair cartilage and bone and to diminish scars. That is why the result may sometimes be a little different from the shape and appearance agreed before the surgery and neither the patient nor the surgeon can be blamed for that.
- Common complications include swells of the nose, eyelids, cheeks and nose mucous membrane, which may last for several weeks. These are accompanied with temporary colour change of the nose ski and temporarily reduced sensitivity.
- The nose may be bruised by the plaster splint, the skin may be hurt with the chisel or small areas of necrotic skin may develop in the nose. These complications are more often reported in the case of smokers.
- Injury of the inside of the eye corner and paranasal cavities is very rare.