17 Points Regarding Rhinoplasty

People who have already had a nose job or those who are planning to have one should read these important issues:

1. In the first couple of months after the nose surgery, the tip of the nose would have the most inflammation or swelling so they will have to be patient.
2. The tip of the nose stands in a bit more elevated position for a short time after the surgery and it will gradually drop 1 to 2 millimeters. This might take up to 6 months to reach to the desired level so patients should not worry about the elevation in the tip.
3. The asymmetry is natural to some extent after the operation. It will gradually improve within 3 months as the swelling subsides and hardly noticeable after a year.
4. The final shape of the nose appears after 6 months to 1 year so one has to be patient to see the final results.
5. Those who have thick skin should wait a little longer for the swelling to disappear because the thick skin leads to more inflammation and swelling.
6. In noses with severe deviation there should be minor revision surgery after the Rhinoplasty as the deviation main remain to some extent after the surgery.
7. Those patients who complain from post –operative deviation should keep in mind the asymmetry in the two halves of the face could be the cause of this issue which should be addressed before the surgery.
8. If you intend have a revision nose job it is better to refer to the surgeon 1 year after your operation since the final shape of the nose and the complications appear after 1 year.
9. After 1 year the, the flaws are distinguished and rectified with a revision surgery.
10. The weakened sense of smell after the surgery is due to inflammation of the lining on the inside of the nose which prevents the scent molecules from reaching the olfactory nerve endings. This is temporary and reversible.
11. Bleeding doesn’t happen frequently after the nose surgery but there is a possibility that the patient may have severe bleeding during and after the surgery which may be due to: coagulation disorders, high blood pressure, use of aspirins, vitamin E and garlic.
12. Too much reduction in the size of the nostrils could cause problems such as over closure of the wing of the nose to the septum during breathing. This is because the wing was weak from the beginning and has become even weaker by the operation or the surgeon has failed to reinforce the retaintive structure of the nose. In such cases a revision surgery is needed to enlarge the nostrils. For this, a cartilage has to be taken from the septum and grafted to the nostrils.
13. In case of any infections, which are not very common, anti-biotics should be taken. If nostrils are not cleansed properly, the secretions remain inside the nose which leads to the accumulation of microbes and onset of infection and lack of treatment would result in adhesion.
14. There is a possibility for numbness and permanent loss of sensation after the operation which, of course, is not predictable.
15. The allergies may worsen for weeks or months in patients who have had history of allergies prior to the operation. Some patients may even be required to breathe through their mouth for a while after the operation.
16. It is highly recommended that patients start walking the same day or from the day after the operation.
17. Patients should try to avoid sports like martial arts, football and volleyball which may involve direct contact with the nose for at least 8 weeks after the operation to allow for the complete healing of the nasal bone.