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Rhinoplasty (nose job); How To Do It Right.

Rhinoplasty: Getting a nose job is a somehow unusual procedure in the middle east, but it is done quite a lot. We just don’t hear about it. Whether it’s done to fix a breathing problem or amend something in how the nose looks. It doesn’t matter as the pain is minimal and the risk isn’t that big.  But we’ll get into that further in the article but first we will discuss all the steps you need to know about Rhinoplasty or a nose job in this article: 

1- Consult a certified plastic surgeon 
2- Reasons for a nose job 
3- Preparation & Kinds of Rhinoplasty 
4- Risks & Recovery time 

So let’s figure out this world of crooked noses and breathing difficulties

Consult a certified plastic surgeon

The first step into doing a successful nose job (Rhinoplasty) is understanding what it is and that entails consulting a certified plastic surgeon to understand exactly what a nose job is. 

A Rhinoplasty is a surgical procedure to reshape the nose. Sometimes referred to as a “nose job”, it can be performed to correct a structural deformity (such as a bump or hook), to improve your appearance by making subtle changes to nose size and shape, or to correct a functional problem (such as difficulty breathing due to a deviated septum). 

 The Septum is the wall between your two nose nostrils that divides your nasal cavity into halves and its ideal shape is straight.  Understanding what a nose job actually is and how it helps you will go a long way in setting your expectations.  And an even better way is to understand if you are the ideal candidate for this procedure. 

How to be a candidate for Rhinoplasty (nose job)

Before releasing the knife on your nose you need to understand what makes you the ideal candidate for that we need nasal maturity if the nose is mature enough usually over the age of 15, emotional maturity where patients thoroughly understand implications, risks, and purpose of the surgery, having realistic expectations of understanding both goals and limitations of the procedure and an absence of body dysmorphia.
 
If you have one of the following conditions then you can be a candidate for Rhinoplasty (Nose Job): 

  • Dorsal hump: A bump at the bridge of the nose
  • Nasal width: A nose that is too wide or too narrow
  • Asymmetry: A twisted or deviated nose.
  • Prominent nasal tip: A nasal tip that is round, bulbous, fatty, or disproportionate to the rest of the face
  • Drooping nasal tip: The angle between the upper lip and lower nose that is less than 90 degrees
  • Post-traumatic deformities: Shape aberrations after nasal injury
  • Nasal airway problems: Internal valve collapse and septal deviation 

Usually when you need to straighten your septum to fix breathing difficulties the procedure is called “Septoplasty” but on the other hand, a “Rhinoplasty” is for cosmetic purposes. Rhinoplasty shapes the nose, changing it for aesthetic reasons. 

Now that we have understood what a nose job is and how to be the perfect match for it. Let’s start on your preparation and the types of nose jobs. 

Preparation & Rhinoplasty (nose job) types

A huge part of recovering fast from any procedure is preparing for it the right way and listening to your surgeon’s advice. So here’s a list of do and don’ts: 

  • Don’t eat or drink on the night of the surgery
  • Avoid caffeine and Alcohol
  • Stop smoking one month prior to the surgery.
  • Apply arnica a homeopathic herb that can help decrease bruising and pain in advance 
  • Doing all of that will help reduce things like swelling, bleeding, and bruising after the surgery. 

Now to the types nose jobs that can be operated: 

Open Rhinoplasty (nose job)

For major nose reshaping, the incisions are made in the vertical strip of skin separating the nostrils. This is called the columella. The skin and soft tissue are then elevated off the underlying structures of the nose so the surgeon can see the nasal anatomy.

Closed Rhinoplasty (nose job)

For minor reshaping, many surgeons make incisions within the nose. The skin of the nose is then separated from the bone and cartilage, which form its supporting framework.

 Once exposed, bone and cartilage can be removed, reshaped, augmented or rearranged to achieve the desired new shape.

Secondary Rhinoplasty (nose job)

Also called revision rhinoplasty, this is performed to correct problems that persist or develop after a previous rhinoplasty. Although the problems may be minor and easily corrected, often the problems are major, which makes the secondary rhinoplasty more difficult. 

Revision rhinoplasty can be done as an open or closed procedure.

Filler Rhinoplasty (nose job)

This involves the use of injectable fillers to fill depressions, smooth out sharp angles or change the angle of the tip of the nose, restoring symmetry and making your nose appear smaller and more attractive. 

Instead of removing a bump, a surgeon would use an injectable filler to even it out. The results are not permanent. Some plastic surgeons may use injectable soft tissue fillers such as Juvederm, Restylane or Radiesse, to smooth out post-nose job irregularities.

Now you can understand everything you need to know about a Rhinoplasty (Nose Job) from what it is, to knowing the mechanics of the procedure, but last but not least you need to realize the risks that although are minor but can still happen after a rhinoplasty. 

Risks & Recovery

Any procedure whether it being rhinoplasty or any other cosmetic surgery has risks that you have to bear in mind and your attending surgeon must inform you with them. Risks vary from 

  • Infection
  • Bleeding
  • Breathing issues (nasal obstruction)
  • Septal perforation (a small hole in the septum causing turbulence that results in a whistle when a person speaks or sings)
  • Anesthesia complications
  • Nose Job Swelling  

Or just the risk of having a poor outcome that doesn’t satisfy the patient that’s one of the reasons why rhinoplasty has the biggest revision rate in cosmetic surgeries. 

Recovery time always varies from patient to patient and might change depending on the type of rhinoplasty done. It can be from one day to six and the results may not appear instantly and will show gradually. If you have taken the right preparation steps before the procedure then your recovery time will shorten accordingly. 

In Conclusion, Rhinoplasties can help fix breathing pains and help with your self-image, they are highly important and very beneficial. Taking those steps from start to finish will ensure you have a safe, pleasant experience. 

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