Recovery from nasal surgery can depend on the type of surgery performed. Typically, a nasal cast, sutures and possibly nasal splints are usually placed during surgery and then removed at 6-7 days post-operatively. Nasal packing is rarely, if ever, used. Most patients are able to breath through their nose immediately following surgery, and often better than before. In general, one should expect 7-10 days of bruising following nasal surgery. Swelling following surgery can last for weeks to months and does require patience during the healing process to achieve the final product. Depending on the extent of the surgery, and whether a closed or open approach was utilized, the recovery may differ. A closed approach may lead to less swelling and bruising, but sometimes an open approach is necessary. Icing in the first 2-3 days is very important and often arnica and be utilized to help reduce bruising. Nasal saline spray is helpful during the healing to keep the nasal cavity moist. For persistent bruising, IPL (intense pulsed light) skin treatments can be performed to help accelerate the elimination of the bruising.
During a rhinoplasty or nose job, small changes make a huge impact. Many patients want their nasal bridge brought down, the nose narrowed and the tip refined. This is accomplished through a variety of maneuvers to remove and reshape the bone and cartilage of the nose. While many of the procedures are similar, intraoperative judgement is needed to help know what changes to make.
This lovely patient wanted her bridge brought down and more tip definition. She also wanted her nose to be narrowed. These are some intra-operative photos that we often take and share with the patient to provide a preview of their result. She’s going to look great!
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Undergoing a rhinoplasty or nose job procedure is very common around the world. American plastic surgery statistics indicate that in the last year alone, at least 223,000 rhinoplasties were performed. From celebrities to college age students, nasal reshaping is routinely done to help balance facial features. Rhinoplasty can be performed to improve a bump on the bridge, narrow a wide nose, or to refine the nasal tip. While there are several ways to accomplish these procedures, sophisticated techniques allow surgeons to perform this surgery via incisions inside the nose, therefore precluding an external scar. This type of approach is called an ‘endonasal’ rhinoplasty.
Performing an ‘endonasal’ rhinoplasty requires advanced surgical maneuvers to complete the operation entirely inside the nose. No external incisions are made, thus effectively concealing the fact a rhinoplasty was performed. Through the endonasal incisions, the tip cartilages can be shaped, the cartilage and bone of the bridge can be adjusted, and the septum can be adjusted, if necessary, to improve breathing. Every rhinoplasty is a balance between form and function, and proper practices are necessary to ensure that both are addressed. This safeguards nasal function when enacting changes in the nasal form. While not every patient is a candidate for an endonasal procedure, it can be an option for many depending on treatment goals.
Dermal filler injections to the nose or ‘nonsurgical rhinoplasty’ can also be performed in some patients to provide small but powerful changes to the nose. When a nonsurgical rhinoplasty is completed, the result is immediate with minimal to no downtime. Whether there is a bump on the bridge or an area of asymmetry, dermal fillers can serve to improve nasal contours. While these treatments are not permanent, they can be a helpful adjunct before an important event or to allow someone to ‘try out’ what a rhinoplasty would be able to provide.
While there is not one ‘perfect’ nose, an ideal nose strikes a balance with the other features of the face. Dr. Sand uses artistic and highly refined techniques to help you achieve your ideal nose. During your complimentary consultation, Dr. Sand will be able to discuss your options for nasal surgery, provide you with a rhinoplasty image simulation, and help you set treatment goals. Call (509-324-2980) or email ([email protected]) today to schedule your complimentary appointment!