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Nasal reconstruction or rhinoplasty was one of the first cosmetic procedures ever developed and is among the most frequently performed today. Rhinoplasty is a surgical procedure in which deformities of the nose are corrected by removing, rearranging or reshaping bone or cartilage. Typical reasons for this surgery are to improve the shape of the nose. Both profile and frontal face views can be altered through rhinoplasty.
Before surgery
Prior to surgery, a medical history is taken in order to evaluate the general health of the patient. The physician and patient discuss together how the nose should look in relation to the patient's other facial features. It is important for the patient to understand that the goal of the surgery is not to achieve perfection but rather to improve the appearance. The type of anesthesia to be used, the procedure and possible risks and complications are also discussed.
The procedure
Rhinoplasty can be done under general anesthesia with the patient asleep or local anesthesia in which the area is numbed and patient remains awake.
The procedure is determined by the type of correction to be made. In most cases involving a reduction in size or shape of the nose, the removal of a hump or the improvement of an angle, incisions are made inside the nose. Working through these incisions, the physician is able to reshape the nose by reworking the bone and cartilage.
Following surgery
Following surgery, a lightweight splint is applied to maintain the new shape of the nose, which is usually removed within a week. Nasal pads may be inserted at the time of surgery to protect the septum. This packing is removed within a day or two.
Pain connected with the surgery is minimal to moderate and is controlled with oral medication. Swelling and bruising around the treated areas diminishes and may be helped with cold compresses. During the healing process, great care must be taken to protect the nose from injury. Although patients are usually up and around a day or two after the procedure, strenuous exercise, particularly that which might elevate blood pressure, must be avoided for awhile. |
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