RHINOPLASTY

INTRODUCTION:

Rhinoplasty is the operation to modify the appearance of the nose. This modification involves re-shaping and re-positioning of the nasal bones and cartilage to achieve an appearance for the nose to be in harmony with the rest of the face. The secret for a successful Rhinoplasty is realistic expectations on the part of the patient and an awareness that the final result will be at least 12 months after surgery.

REASONS FOR SURGERY:

Dr Wallace performs Rhinoplasty for the following reasons:

RISKS OF SURGERY:

This surgery is associated with a low risk of complications and so it is a very popular cosmetic procedure. The specific risks of Rhinoplasty of which you should be aware are:

ANAESTHESIA:

General Anaesthesia is the routine for this operation. Awake surgery with local anaesthetic injections and sedatives is unusual. Anaesthetic sleep time is approximately 60 minutes followed by 45 minutes in the Recovery Room.

THE OPERATION:

Dr. Wallace performs the Rhinoplasty via incisions inside the nostrils. Occasionally, an external incision at the base of the nostrils or columella is necessary. The nose is re-shaped with sculpture of cartilage, cutting, rasping and re-positioning of bone. There are over 100 steps and the procedure is tailored to achieve as closely as possible the pre-planned final result. The incisions are closed with dissolving stitches and the nose is supported by an external plaster and possibly an internal plastic splint.

AFTER SURGERY:

Dr Wallace visits at the hospital early the following morning. Some patients will have stayed in hospital overnight while others will have gone home on the day of surgery. There will be moderate to severe external swelling and bruising but little or no pain. This swelling and bruising subsides quickly over 3 to 7 days. An office appointment with Dr Wallace is scheduled for one week later and most patients take this week off work. The cost of this appointment and a review at 6 weeks is included in the surgical fee.

At your first post-op visit to the office, the external plaster and internal splints will be removed and your breathing will be much improved immediately. One week later, most casual acquaintances would not know that you have had nasal surgery. However, it takes 12 – 18 months to achieve the final result.
Dr Wallace recommends follow-up visits in the office at 3, 6 and 12 months post-op and gives all his patients important written care instructions.

COMBINED OPERATIONS:

The operation of Rhinoplasty is sometimes combined with other procedures. The most common combination is with a Septoplasty to re-align the internal support of the nose, Nasal Turbinate Cautery to deal with the effects of hay fever or rhinitis and Sinus Surgery for treatment of sinusitis.

RESULTS:

The vast majority of patients will be glad that they put themselves through the minor discomfort of a Rhinoplasty. The satisfaction rate is very high and only an occasional patient will feel the need to request revision surgery. The important points to remember are that the aim must be improvement in appearance and not perfection and that the final result takes 12 – 18 months to achieve.

Pre-Op

Pre Op

    

Result

Result

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