People not happy, for one reason or another, with their nose often pursue nose reshaping surgery, which is known as rhinoplasty. These complaints, both medical and aesthetic, can be improved by rhinoplasty. Aesthetically, patients complain about nasal humps, cartilage bumps, breaks, etc. Medically, patients experiencing breath problems or who need to correct trauma or birth defects, undergo rhinoplasty. Rhinoplasty can be an open or closed surgery, and should be performed by a plastic surgeon, maxillofacial surgeon or otolaryngologist.
Rhinoplasty is split into primary and secondary categories. Primary rhinoplasty is the original surgery itself. All rhinoplasties, whether aesthetic, functional or reconstructive, fall into this category. Secondary rhinoplasty, more commonly referred to as revision rhinoplasty is a second surgery performed to correct an unsatisfactory outcome from prior surgeries. 5% to 20% of rhinoplasties have an unsatisfactory outcome. This usually occurs when the patient does not believe that the surgery has corrected enough, like an aesthetic nose reshaping.
Reconstructive rhinoplasty can correct defects, and provide a sense of confidence and relief for patience who have dealt with traumatic incidents. Reconstructive rhinoplasty is not to be confused with cosmetic or aesthetic rhinoplasty. Reconstructive restores the normal shape and function of a nose following previous damage. This includes traumatic incidents, autoimmune disorders, intra-nasal drug abuse, previous botched cosmetic surgery, cancer or birth defects. Reconstructive rhinoplasty can re-establish nasal airflow, recreate the normal contours of the nose and restore skin coverage. Septoplasties, a more minor surgery, can be performed to correct breathing.
Non-surgical rhinoplasty is an option for patients who do not want to undergo surgery. Non-surgical rhinoplasty uses injectable substances to reshape and alter the nose to achieve some of the desired affects of surgical rhinoplasty. If patients are seeking a procedure that is not permanent, they can undergo a “non-surgical nose job.” This is the process of putting inserts that go from the tip to the back of the nose, thus reshaping it temporarily. These inserts last about a month.
It is important to note that recover following rhinoplasty is not immediate. The patient should stay home for a week after undergoing surgery, although it is safe for the patient to go outside. External sutures will be removed four to five days after surgery, external casts after a week. Internal stents may have to remain in the nose for up to two weeks. The nose may shift or settle in the year following surgery. Doctors will likely prescribe antibiotics, pain medications and steroids. It is important to follow the doctor’s directions on medication use.
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