shutterstock_731042263

Rhinoplasty (Nose Job)

Rhinoplasty (RIE-no-plas-tee) is surgery that changes the shape of the nose. The motivation for rhinoplasty may be to change the appearance of the nose, improve breathing or both.

The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can change bone, cartilage, skin or all three. Talk with Dr. Chauhan about whether rhinoplasty is appropriate for you and what it can achieve.

When planning rhinoplasty, Dr. Chauhan will consider your other facial features, the skin on your nose and what you would like to change. If you're a candidate for surgery, Dr. Chauhan will develop a customized plan for you.

Before The Procedure: 

Avoid medications containing aspirin or ibuprofen (Disprin, Ecosprin, Combiflam, others) for two weeks before and after surgery. These medications may increase bleeding. Take only those medications approved or prescribed by Dr. Chauhan. Also avoid herbal/ayurvedic remedies and over-the-counter supplements.

Nasal decongestant (Otrivin Nasal Drops) is usually advised before the surgery. If you smoke, stop smoking. Smoking slows the healing process after surgery and may make you more likely to get an infection.

Anesthesia

Rhinoplasty requires local anesthesia with sedation or General anesthesia, depending on how complex your surgery is and what Dr. Chauhan prefers. Discuss with your doctor before surgery which type of anesthesia is most appropriate for you.

Local anesthesia with sedation. This type of anesthesia is usually used in an outpatient setting. It's limited to a specific area of your body. Your doctor injects a pain-numbing medication into your nasal tissues and sedates you with medication injected through an intravenous (IV) line. This makes you groggy but not fully asleep.

General Anesthesia

In this type of anesthesia the drug through a small tube (IV line) placed in a vein usually in your hand. General anesthesia affects your entire body and you don’t feel anything and remember nothing about the surgery and  you are awakened when procedure is complete. 

Rhinoplasty may be done  from inside of your nose or through a small external cut (incision) at the base of your nose, between your nostrils the incision will be explained to you during 1st consultation. Dr. Chauhan will likely readjust the bone and cartilage underneath your skin.

Dr. Chauhan can change the shape of your nasal bones or cartilage in several ways, depending on how much needs to be removed or added, your nose's inherent structure, and available materials. For small changes, the surgeon may use cartilage taken from deeper inside your nose or from your ear. For larger changes, the surgeon can use cartilage from your rib, implants or bone from other parts of your body. After these changes are made, the surgeon places the nose's skin and tissue back and stitches the incisions in your nose.

If the wall between the two sides of the nose (septum) is bent or crooked (deviated), the surgeon can also correct it to improve breathing. After the surgery, you'll be in a recovery room, where the staff monitors your return to wakefulness. You might leave later that day or, if you have other health issues, you might stay overnight.

After The Surgery

After the surgery you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the splints placed inside your nose during surgery, so you have to breathe through out mouth. In most cases, the internal dressings remain in place for one to seven days after surgery. Your doctor also tapes a splint to your nose for protection and support. It's usually in place for about one week or so .

Slight bleeding and drainage of mucus only or blood tinged are common for a few days after the surgery or after removing the dressing. Your doctor may place a "drip pad" — a small piece of gauze held in place with tape — under your nose to absorb drainage.

Results

Very slight changes to the structure of your nose — often measured in millimeters — can make a large difference in how your nose looks. Most of the time, an experienced surgeon can get results both of you are satisfied with. But in some cases, the slight changes aren't enough, and you and Dr. Chauhan might decide to do a second surgery for further changes. If this is the case, you must wait at least a year for the follow-up surgery, because your nose can go through changes during this time.

Risks & Complications

Rhinoplasty is very safe surgery. As with any major surgery, rhinoplasty carries risks. You can help reduce them by making sure it is done only by a specially trained, board-certified cosmetic surgeon.

As with other types of surgery, it has risks like wounds may become infected but this is rare, post operation bleeding can sometime occur, excessive swelling on the face and color change of surrounding skin of nose or even eye lids may occur but usually it subsides on it on, flap/tip necrosis leading to collumellar defect which may need intervention.

Adverse reactions to drugs and complications related to anesthesia are always there, though very uncommon.

patient-29126-male-rhinoplasty-before-after
Newport-Beach-Nose-Job-Dr-Kevin-Sadati-27-F