(Plastic Surgery of the Nose)
Reasons for Procedure
- To change or improve appearance
- To improve breathing
- To correct an injury or birth deformity
- A septoplasty can be done at the same time to open blocked nasal passages due to a deviated septum
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- Poor healing of the skin
- Unsatisfactory cosmetic result
- Increased risk of nosebleeds
- Reaction to anesthetic
- Puncture of septum or collapse of nose bridge (relatively rare)
- Age—recommended age is after teen growth spurts and before middle age
- Prior nose surgery
- Prior trauma to the nose
- Medical problems
What to Expect
Prior to Procedure
- Blood tests
- Urine tests
- X-rays of the facial bones
- EKG or chest x-ray may be also required
- Take before pictures of your nose
- Arrange for a ride to and from the procedure.
- If you are having general anesthesia, do not eat or drink anything for at least 8 hours before the procedure.
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- Gingko biloba or others
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- For the first few days after surgery, rest in bed with your head elevated to reduce swelling.
- Apply ice packs to your nose during the first two days. This will help to relieve discomfort.
- Take prescription or over-the-counter pain medicines as directed by your doctor.
- Do not blow your nose at all during the first week. Do not blow your nose forcefully for one month.
- Protect your nose from any injury for eight weeks. Do not wear glasses. Be careful when washing your face.
- Ask your doctor about when it is safe to shower or bathe.
- Avoid vigorous exercise for at least three weeks. Avoid contact sports for six months.
- Be sure to follow your doctor's instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Persistent elevated temperature
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Pain that you cannot control with the medicines you have been given
- Cough, shortness of breath, chest pain, or severe nausea or vomiting
- Any new symptoms
American Academy of Facial Plastic and Reconstructive Surgery http://www.aafprs.org/
American Society of Plastic Surgeons http://www.plasticsurgery.org/
Canadian Society of Plastic Surgeons http://www.plasticsurgery.ca/
Health Canada http://www.hc-sc.gc.ca/index-eng.php
American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) website. Available at: http://www.plasticsurgery.org . Accessed October 14, 2005.
Rhinoplasty. Mayo Clinic.com website. Available at: http://www.mayoclinic.com/health/rhinoplasty/MY00425 . Updated April 2009. Accessed November 12, 2010.
Rohrich R, Adams W, Gunter J. Dallas Rhinoplasty: Nasal Surgery by the Masters . 2nd Edition. San Diego, CA: Plural Publishing: 2007.
- Reviewer: Marcin Chwistek, MD
- Review Date: 09/2012 -
- Update Date: 00/91/2012 -
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