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Because it is one of the most popular and talked-about facial cosmetic surgeries in the world, there is a very little number of people who might not know what rhinoplasty is. Nose reshaping surgery, or colloquially called a nose job, is a plastic surgery procedure that resizes, re-contours, and proportions the nose to your face. But how exactly does rhinoplasty do that? Let us discover how rhinoplasty procedure is done and what we should expect before, during, and after this sought-after plastic surgery.


What is rhinoplasty for?

rhinoplasty resultsIt is obvious that if you undergo rhinoplasty surgery, you are concerned about how your nose looks. Aesthetic purposes of a nose job are actually the most common reasons why many men and women are willing to undergo this procedure. On the contrary, rhinoplasty is not just for the improvement of the physical appearance of the nose. Some plastic surgeons get patients who need a nose job to improve their breathing and correct certain medical conditions, like septal deviation, sleep apnea, or congenital birth defects concerning the nose. This makes rhinoplasty different from any other cosmetic surgery procedures since its purpose can also be functional in nature.


What to know about rhinoplasty

Before the procedure

You need to undergo a comprehensive initial medical consultation with your chosen rhinoplasty surgeon. This is where information about your overall health, expectations, and the evaluation of your nose are gathered to determine if you are a good candidate for the nose job surgery.

Once you passed the assessment, a critical evaluation of your nose is going to be performed. Imaging and lab tests to help prepare the surgeon for your treatment plan are requested. Medical clearance from your doctors or specialists, if any, should be submitted to make sure that no complications during the surgery may be caused by a pre-existing medical condition. Changes in medicine intake and vices (smoking or alcohol intake) should be done in accordance with your doctor’s instructions.


During the procedure

Ideally, your surgeon would explain to you even before the surgery about how he will perform the steps to your nose reshaping procedure. Every surgeon will have his own approach, so it is best to talk to your surgeon about his technique to get an accurate picture of the procedure. But generally, there are two ways a rhinoplasty surgeon approaches a rhinoplasty surgery – the closed or open method.

rhinoplasty procedureIn the closed method,  the surgical incisions are hidden inside the nose so that no scars may be visible post-procedure. This technique is applicable to mild to moderate revisions of the size, shape, and curvature of the nose. The open method, on the other hand, has the same incisions that are performed in the closed technique, with an additional external incision located at the lower base of the nose in between the nostrils. This incision is needed to further access and visualise the internal structures of the nose. This may be the technique of choice for patients with complex nasal restructuring and realignment.

You and your rhinoplasty surgeon may decide whether the use of implants or cartilage grafts may be used to reshape the nose. Manipulations of the upper and alar cartilage, as well as the nasal bone, will be made as deemed appropriate by the surgeon. After the procedure, the stitches are closed with absorbable sutures, and splints and nasal packing are used to support and protect your newly-shaped nose.


After the procedure

For the first few weeks, you can expect that the splint and nasal packing are still in place. This may cause you to have difficulty breathing as well as have some feelings of congestion and fullness of the nose. Swelling, bruising, and tenderness that may extend up to the circles of your eyes are to be expected because of the internal manipulations on the nose and facial bones. Take advantage of the follow-up consultations to address your concerns to your surgeon so he can answer and assess your condition to give you an estimated time when you can appreciate the results of the surgery. Work restrictions and activity limitations are enforced and may be lifted at least two weeks after the procedure, all depending on your healing capacity and your tolerance to discomfort. Some side effects of the surgery may subside at the one-month mark, but expect that nasal swelling and discomfort may still be felt on and off for at least a year. Other than that, congratulations and enjoy your beautiful and natural-looking nose job!