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Before a rhinoplasty is performed, you should be absolutely certain that you want to go ahead with the procedure because the results are permanent.

You should have had a detailed consultation with your surgeon in which your goals will have been outlined and the results you should expect were explained.

Having a detailed consultation is vital for both patients and surgeons because it allows them both to understand what can and will be achieved by having a rhinoplasty.

On the day of the surgery, make sure you don’t eat or drink anything unless advised otherwise. Once at hospital, the anesthesiologist will administer the correct dose of general anesthetic. Once the general anesthetic has sent you to sleep, you will be taken into the theatre where the surgery will take place.

Infographic That Tells You Almost
Everything About Nose Surgery

Rhinoplasty Atlanta infographic by Dr. Pradeep Sinha.

In this Infographic you will find some interesting information about
rhinoplasty Atlanta procedure.

View infographic

How Rhinoplasty Surgery is Performed

Rhinoplasty surgery is different to most other forms of cosmetic surgery in that there are several techniques used depending on the results the patient wants to achieve.

Nose surgery is performed under general anesthesia and can be combined with other forms of cosmetic surgery, such as facelift, brow lift or liposuction. A typical surgery will take between 30 minutes and 3 hours.

Prior to surgery, your face will be cleaned with an antibacterial solution. The incisions are then made so surgery can begin. Where exactly the incisions are made will also depend on the form of rhinoplasty surgery being performed.

For example if the aim of the nose surgery is to reduce the tip of the nose then the incisions will be made at the base of the septum. If the aim of the surgery is to reduce the width of the nostrils then the incisions can be made at the corners of the nostrils.

Rhinoplasty surgery can be performed either as an open or closed surgery. How it is performed is dependent on what changes are being made to the nose.

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In open rhinoplasty (nose surgery), the incisions are made in the bit of skin between the two nostrils. This allows the skin to then be peeled back so that the structure of the nose is revealed and can be operated on.

An open rhinoplasty tends to be used if the patient wants the nose drastically reducing or increasing in size and large bumps need to be removed. This type of rhinoplasty can is also used to correct the crookedness of a nose.

Most major rhinoplasty procedures are performed using this method. Once open rhinoplasty surgery is completed, a small scar, around 4-5 mm, will be visible underneath the septum. The scar would only be seen from certain angles and most people barely notice it.

During an open rhinoplasty, the structure of the nose is visible and more accessible than in closed rhinoplasty. This means that the surgeon can perform the procedure with more accuracy and precision.

In closed rhinoplasty the incisions are made within the nostrils. The same concept of open rhinoplasty applies however, closed rhinoplasties don’t leave any visible scars. This option is preferred by people that don’t want to have a scar on show.

Having a closed rhinoplasty will result in less bruising and swelling than an open rhinoplasty and the procedure is usually quicker to complete.

If the aim of the rhinoplasty surgery is to either thin or widen the structure of the nose, then a surgical hammer and chisel will be used to break the bones in the nose so they can be restructured. This is a very precise process and can be used to achieve the exact type of nose shape that’s desired.

Whatever type of rhinoplasty surgery you have, the surgeon will make sure that the scars are as inconspicuous as possible.

Once any reshaping/restructuring has been done, the incisions will be sutured.

Depending on the type of rhinoplasty surgery, you may have packing inserted into your nose in order to reduce swelling and bleeding and to hold the new shape. Packing will only be used if absolutely necessary as it can be the most the most uncomfortable part of the recovery process.

A gauze can also be put in place with a dressing that wraps around the ears. The purpose of the gauze is to collect any drips of blood. And dripping usually subsides after 24 hours and the gauze can be removed.

Post-operation

Once the surgery is completed and your nose has been sutured and dressed, you’ll then be awakened from anesthesia. It’s normal to feel nauseous immediately after waking so this is nothing to worry about. You’ll be given plenty of time to fully awaken from the effects of the anesthesia before being released.

Painkillers will be administered to ease the pain caused from the procedure and your nasal passages will feel swollen and blocked.

Most patients will be discharged from hospital on the same day as their surgery but will be expected to come for a post-operative consultation with the surgeon around 7 days after the surgery has taken place.

It’s important that you arrange travel to get home following your operation, whether you ask a friend or family member to drive you; or you get a taxi. Under no circumstances should you attempt to drive yourself.

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