The operation is performed using a hidden incision inside the nose (closed rhinoplasty) or incision in the columella between the nostrils (open rhinoplasty).
Through these incisions, the soft tissues that cover the nose rise and access to the structure of the nose to be modified.
You can reduce or increase the nasal structures with cartilage grafts from other parts of your body. Normally the septal cartilage or septum, which is in the middle area of the nose is used. Sometimes the cartilage used is ear and rarely the ribs.
Once the framework of the nose is sculpted to the desired shape, the incisions are closed. Occasionally it is necessary to place scars in the creases of the nostrils if you want to resize.
Nasal packing and splint on the nose for a week is the preference.
The initial inflammation lasts a few weeks, but it takes about a year for the new nasal silhouette to be defined correctly. Inflammation can be variable and worse in the morning during the first year after surgery.
The decision to undergo rhinoplasty is extremely personal and you must decide if the benefits to your objectives and the risks and potential complications are aceptable.
- bleeding (hematoma)
- Poor healing
- nasal asymmetry
- Risks of anesthesia
- Numbness or changes in skin sensation
- Changes in the air flow
- Perforation of the septum. Although the incidence is rare, surgery may be necessary for treatment and sometimes this repair is not possible.
- Persistent pain
- unfavorable Scars
- Irregularities in the shape of the skin
- Pigmentations and inflammation
- Possibility of further surgery
The practice of medicine and surgery is not an exact science. The good results are the norm although there is no guarantee. Sometimes it is not possible to achieve optimal results with an intervention and may require a second operation.
The inflammation can last months or even a year or more until the outcome of the surgery is fully defined.
Although the results are usually permanent cartilage may continue modeling itself and the result may change over the years.