Rhinoplasty St. Petersburg
A nose job or Rhinoplasty involves making incisions inside of the nose and possibly across the columella creating inconspicuous scars. Rhinoplasty can help refine a bulbous nasal tip, prominent dorsal hump and even improve breathing when combined with a septoplasty. Correcting a dorsal hump is the most common reason patients seek rhinoplasty.
Rhinoplasty can be done using an open or closed technique. Closed techniques are typically reserved for minor dorsal hump refinement. Open techniques are used for rhinoplasties that require tip refinement or combination techniques. Surgeons may disagree on which technique is better, but most agree that surgeons should perform the technique with which he/she is most comfortable. Rhinoplasty is typically an outpatient procedure performed in the ambulatory surgery setting and takes between one and five hours to complete, depending on the complexity of the procedure.
The most difficult rhinoplasties are revision rhinoplasties and ethnic rhinoplasties. Revision rhinoplasties are difficult because of the scar tissue already present making the healing process less predictable. Scar can interfere with blood supply and make the tissues tight or less pliable. Ethnic rhinoplasties are difficult because most patients want to make the nose more Caucasian like. For instance, changing the African nose to look like a Caucasian nose can be challenging because of the different bony framework and much thicker skin of the African nose. For this reason, the end result and how much change will be accomplished are less predictable.
What to Expect
Since the surgery is done under general anesthesia, the patient cannot eat or drink after midnight the night before the procedure. An IV is placed and antibiotics are given just before the surgery begins. Local anesthesia is placed into the tissues and the surgery commences. At the completion of the surgery, splints are placed on the outside of the nose, sometimes on the inside, that remain in place until the post-operative visit a week later. Sleeping with the head elevated is recommended for the first week.
Swelling will be present for at least several weeks. In fact, after the first several weeks, swelling will fluctuate based on activity and food or drink consumption. Some surgeons feel that swelling can fluctuate for up to two years but this would typically apply to patients having revision or secondary rhinoplasty. Expect to be off work for at least a week after the surgery until the splint(s) are removed.
Having rhinoplasty is one of the most emotional decisions patients make compared to all other plastic surgeries because they typically have wanted it for so long. Unlike breast augmentation or tummy tuck, those who don’t like their nose realize that during the teenage years or early adulthood. The emotions behind the decision to have rhinoplasty have been there much longer than the emotions influencing a decision to have a tummy tuck or breast augmentation. Likewise, rhinoplasty can be the most rewarding of all plastic surgeries because it’s often the one surgery someone has dreamed up since they were a teenager.
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