How is a nose surgery performed?

At present, the open nose surgery or Rhinoplasty is the method of choice. Every nose surgery usually involves the following stages:

• Lifting of the skin, skeletonizing the nose and separating the septum from the adjacent cartilages sub-mucosally.
• Removal/excision of the bony or cartilaginous hump.
• Correction of the septum.
• Correction of the nose tip including reinforcement of the tip, lifting, removal, stitching or other measures.
• If needed, grafting in required areas such as the tip.
• Proper restoration of the necessary areas, including the roof of the nose, with nylon strings.
• Breaking of the bones and reassembling them back in order to reshape the roof of the nose.
• Correction of the wings if necessary.
• Placement of mesh work or silicone tampons inside the nose as well as tapes and splints and proper stitching of the skin and all the required external areas.

Initially or at the first stage, we have the separation of cartilages from the septum which has to be performed sub-mucosally so that it doesn’t cause adhesion or obstruction of airways. Through all these stages, the least manipulation hands out the best results. The following are some of the most common questions from the users of Dr.Kazemi’s web-site along with the answers.

What is the suitable age for having a nose job?

There is no particular age for this operation but the nose must have reached to its complete growth so it not advised to have this operation under the 17 for boys and 16 for girls. On the other hand, it is not recommended in people above the age of 60 due to the loosening of skin and loss of its elastic properties.
Is the surgery performed according to the doctor’s diagnosis?
In cases where the nose is suffering from severe fracture or deviation, the nose job along with the operation to correct the deviation is necessary. However in most cases it is the patient who asks for the operation for aesthetic purposes and the surgeon only considers the possibilities and contra-indications so as for this operation and generally cosmetic surgeries, the patient’s request is most important.

What is the role of Laser in nose surgery?

Laser plays a vital role in many surgeries but it doesn’t have a significant role in nose surgery and the presentation of this issue is solely for advertising. Laser might be effective in treatment or surgeries of the polyps but there is no particular role for Laser in nose surgeries and Lasic nose jobs are not really approved.

What are the necessary things to do before a nose job?

The patient is definitely required to take blood cells count test, coagulation test, blood sugar test and urine test. It is necessary that smoking is stopped a week before the operation and for a month after it too. Patients should stop taking aspirins 2 weeks before the operation and inform his/her doctor in case of any blisters or catching cold. They should also inform their surgeon if they are allergic to soya beans, eggs or any drugs.

Is it possible to have the operation during menstruation?

Menstruation cannot be a certain contra-indication for the surgery but relatively, since it increases the chances of bleeding during the operation it is better not to have the operation during this period but after all the decision is up to the surgeon.

Is nose surgery painful?

No.The operation itself is not painful at all but there is swelling afterwards so the patient doesn’t have to worry about the pain. E.N.T surgeons prevent a painful operation by using their special technics and performing a high standard operation.

How do we reduce the swelling after the operation?

Regular application of ice-compress in the first five days is very important. Dr.Kazemi who is well known E.N.T surgeon, considers the Intra-Muscular injection of Betamethazone L.A helpful in the second day after the operation.
It is recommended that the splints are removed 10 days after the operation to reduce the swelling to minimum. The head of the patient’s bed should definitely be at a 30 to 45 degree angle. Local injection of Corton as prescribed by the surgeon could be very helpful.
Patients must visit the surgeon once a week for proper taping and to avoid any problems. Careful and proper taping after the operation equals to the reduction of swelling.

Is the bleeding in the white part of the eye dangerous?

There is a slight bleeding in the white part of the eye which is not at all dangerous or worrying and will disappear within a month.

What are the necessary post-operative cares?

The most important post-operative care is the application of ice-pack compress on the nose and around it for the first 4 to 5 days after the operation. Keeping the head in a higher position by means of 2 pillows during rest is another important point which has to be maintained. Other important cares are punctual intake of the antibiotics and cold tablets every 6 hours, avoiding severe physical activity and wearing glasses for 4 weeks. You can also refer to post-operative care section for all the necessary instructions.

Is the operated nose weaker than a natural nose?

Such a statement is absolutely false and wrong. An operated nose is completely same as a natural nose after a year and is not weak at all.

What are the chances of success and satisfaction in a nose surgery?

More than 95% of the nose surgeries reach to the desired and expected results without any problems.

What is the role of taping and how long should it be continued?

Application of tapes after the operation causes the skin to adhere to the underlying bone and cartilage and stabilizes the skin in the desired area and continuing it for a month or 2 after the operation would be sufficient. Some colleagues advise a one month nightly taping period after this. Post-operative taping

How long after a Rhinoplasty or nose surgery can we have a Lasek or Lasic surgery?

The Rhinoplasty operation is allowed almost one month after an ophthalmic Lasic or Lasek surgery since the cornea takes a stable position and doesn’t have any negative influence on the eye.

When should the repairing or retouching take place if required?

The swellings will completely subside after a year so reparative or retouching procedures are allowed after this period. Performing any reparative nose surgeries earlier than a year would carry some adverse effects.

And the most important question is that which surgeon do we refer to?

For nose surgeries only E.N.T surgeons, due to their predominance on the nose anatomy and sinuses, are preferred. Since other surgeons like plastic surgeons or general surgeons and maxillo-facial surgeons do not have level of proficiency on the anatomy or the surgeries of the nose, there might be breathing problems occurring after their surgeries.