Rhinoplasty or Nasal Surgery

Every year, half a million people interested in improving the appearance of their nose are looking for rhinoplasty. Some are dissatisfied with the nose they were born, others have been distorted by trauma, others cannot breathe properly through their nose or are simply not satisfied with surgeries already performed.

Nothing has a greater impact on a person than the shape and size of their nose, because the nose is the most defined feature of the face, and a change in it can greatly improve their appearance.

If you have wondered how a nasal surgery or rhinoplasty can improve your appearance, your self-confidence and your health, you need to know how to perform a rhinoplasty and what to expect from it. No brochure can answer all your concerns but we will try to answer many of them.

Successful facial plastic surgery is the result of a good doctor-patient relationship. The trust should be based on real expectations and a good experience in the pre-operative evaluation. Dr. Miery will answer all the questions about your doubts.

¿Are you a candidate for a rhinoplasty?

As with all facial plastic surgeries, good health and realistic expectations are prerequisites. It is important to understand nasal surgery. The objective is to improve the nasal appearance, harmonizing the nose with the other facial structures. There is no perfect rhinoplasty.

Skin type, ethnic features and age are important factors that should be evaluated with the surgeon.

Rhinoplasty for aesthetic purposes should be practiced when the nose reaches full growth, this usually happens between 15 and 16 years of age in women and 18 years in men; Dr. Miery may suggest some additional surgery to improve the appearance and harmony of your face. Many patients need to increase their chin along with rhinoplasty to get a more appropriate balance in their profile.

¿How to undergo rhinoplasty?

Most facial plastic surgeons are trained in not only aesthetic surgery, but also functional nose surgery, so putting yourself in the hands of a good facial plastic surgeon will ensure the highest level of quality possible.

Dr. Miery will examine the structure of your nose both internally and externally to accurately assess the particular expectations of your case.

The Doctor will give you a thorough explanation of the actual expectations and risks.

The Doctor will perform a photographic study and with the help of special facial plastic surgery software you will be able to do an analysis of the measurements of your face and do a surgical simulation until you get the ideal nose, you will be able to see your face both front and Of profile with the new nose and on these images you will be able to make changes until obtaining the expected result.

After this you can make a decision together with Dr. Miery to proceed with a rhinoplasty. He will explain how your nasal structures including bones and cartilage can be sculpted to reshape your nose.

After an examination and a thorough medical history, Dr. Miery will give you more information about the anesthesia and the cost of the procedures.

Recommendations for the days before surgery

It is important that one week before surgery you suspend the following medications that increase bleeding:

  • Aspirin, Vitamin E, Omega 3, Ibuprofen and Anti inflammatory.

The day of surgery

  • Do not eat or drink 8 hours prior to surgery
  • Present without nail polish on hands and feet
  • Wear comfortable clothes and do not wear any objects of value
  • Double wash your hair and face
  • Remove earrings or similar piercing

How is a rhinoplasty performed?

Rhinoplasty literally means "nose remodeling" first incisions are made to allow the skin to be detached from Hosea and cartilaginous structures and modern rhinoplasty techniques require a small scar in the column, which becomes imperceptible in a short time. In some cases incisions may be required in the insertion of the nasal wings when the nose is very wide. Some parts of cartilage and bone are then remoulded and reinforced, or rearranged to reshape structures.

For example when the tip of the nose is very long the surgeon can sculpt the cartilage of that area to reduce its size. The angle that forms the nose and upper lip can be modified to obtain a more youthful appearance or to correct a deformity.

Subsequently, the skin is repositioned on the new structure already remodeled and the incisions will be closed.

In 99.9% of cases we do not use intranasal plugs after surgery. The risks of a rhinoplasty are generally minor; your facial plastic surgeon will inform you before the operation.

This procedure is performed under general anesthesia and is outpatient.

What to expect after the surgery?

A splint will be placed over your nose to protect it and keep structures stable for 15 days; your face will be swollen the first week after surgery, specifically the first five days of surgery. You will need a prescription and you will be advised to:

  • • To reduce inflammation, apply ice in the first 48 hours in the operated areas in case of bandaging. The ice should be applied without wetting it so that it does not peel off.
  • • You should not stay in bed, it is preferable to stand and walk. The horizontal position increases the inflammation. Sleep in a reclined position for the first 2 nights.
  • • You should not blow your nose for the first two weeks but you should breath in hard every 5 to 10 minutes to get your nose cleaner so you can breathe better.
  • • The day after surgery try to have as normal an activity as possible, without strong physical exercises like gymnastics, which you can restart progressively 20 days after surgery.
  • • Avoid:
    • o Sports that are at risk of hitting the nose
    • o Passionate kisses
    • o And other activities in which the nose can be pressured or hurt during the first 3 months which is the time it takes the nose to regain the strength it had before surgery.
  • • While you are still bandaged take a shower from the neck down and separately wash your hair back as at the hairdresser. If it gets wet it can cause itching and can cause the bandage to peel off.
  • • Avoid hot spots or direct exposure of the dressing in the sun for a long time, as the heat may give off or loosen the bandage and sweat will cause itching.
  • • You should use sunscreen in areas where you have bruises and avoid the sun until they disappear.
  • • Avoid crowded places or situations where you can hit your nose, also pressures on the nose like the pillow, kisses etc.
  • • Do not consume raw meats (sushi, ceviche and Carpaccio) the first two weeks.
  • • The passage of air through the nose completely normalizes approximately 6 weeks after surgery, the obstruction will improve day by day as the inflammation and the formation of scabs of mucus decreases.
  • • Most of the swelling of the face disappears in a week. The inflammation of the nose disappears in 80% at 30 days and at 100% between 12 and 18 months (in secondary rhinoplasty this time is longer). The bruises will disappear in a week and a half, to two weeks.

The sutures and bandages will be removed between 8 and 15 days, depending on the case of each patient. It is important that you follow the instructions of your surgeon, you should have a careful post-operative follow-up to monitor healing, and obviously any situation that seems out of the ordinary should be reported immediately with your surgeon. It is important that you keep a timely follow-up of your post-operative appointments.

Health insurance does not cover cosmetic surgery. Surgery to improve obstructive respiratory problems or that indicated by deformities or trauma may be partially or totally reimbursable. It is the responsibility of each patient to carry out the corresponding procedures of this reimbursement.