Rhinoplasty

Why is this procedure done?

Rhinoplasty is a surgery done on your nose. It is done to repair or reshape the nose. It can also be done to: � �

Make the size of your nose larger or smaller
Correct a broken or deformed nose
Narrow the opening of you nostrils
Change the bridge or tip of your nose
Improve breathing

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What will the results be?

Results may be seen slowly as your nose heals. The desired size and shape of your nose is often seen over time. Your "new " � nose will seem natural to you. Breathing problems will improve as the swelling goes down. � �

What happens before the procedure?

You and your doctor will talk about how your nose will look. Your doctor may take pictures of your nose and face.
Your doctor will take your history. Talk to the doctor about:
- All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
- Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some of these are Coumadin � �, ibuprofen, Aleve � � (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about them.
- When you need to stop eating or drinking before your procedure.
You will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home.
Your doctor will do an exam and may order:
- Lab tests
- X-ray of facial bones
- ECG or chest x-ray

What happens during the procedure?

Once you are in the operating room, you will be given a drug to make you sleepy. It will also help you stay pain free during the surgery. You may also be given a drug to help you relax.
Your doctor will make a small cut inside or outside your nose. The skin of your nose will be lifted from your face.
Some nasal bones may be taken out, fixed, or reshaped. The hard tissue, called cartilage, will also be trimmed. Tissue grafting may also be done. This uses tissue or cartilage to change the shape of your nose. It may also be used to fill in areas to give a smoother look. It may be taken from the cartilage of your nostrils or from the ear. The shape or size of your nostrils may change.
Your doctor will close the cut with stitches and cover it with clean bandages. The doctor will put the skin back on to your new nose. The skin will be tightly taped to keep it in place.
A special splint and bandages are used to help keep the shape of your new nose as it heals. Gauze materials, called nasal packs, may also be put into your nose to support it.
This procedure may take 2 to 4 hours.

What happens after the procedure?

Your nose and face may be swollen and painful for a while. Your doctor will give you drugs for pain and swelling.
You can go home within hours after the surgery when the staff is sure that you will not have any problems.

What care is needed at home?

Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
Get a lot of rest at least for the first few days after the surgery.
Keep your head up on 2 to 3 pillows when you lie down to help with swelling.
Do not use machines, drive, or drink beer, wine, and mixed drinks (alcohol) for at least 24 hours after your surgery.
Place an ice pack wrapped in a towel over the painful part. Never put ice right on the skin. Do not leave the ice on more than 10 to 15 minutes at a time. This will help with the swelling.
Do not blow your nose at least for a month. This can cause more swelling and may cause injury to your new nose.
Wash your face gently and carefully. Do not touch or rub your nose.
Protect your nose from injury.
Do not wear glasses until your doctor says it is OK.
Do not stay in the sun for more than 15 minutes. This will help to avoid getting sunburn on your nose.
Avoid activities that put pressure on your face, like bending over or holding your breath.
Avoid tiring activities and exercise for at least 3 weeks. Do not play sports for 6 months.
Do not lift heavy things for 2 to 4 weeks.

Ask your doctor about: � �

When it is safe to take a bath or shower.
Drugs needed for skin care and to avoid scarring.
Nose care. Ask your doctor how and what you need to keep your nose clean.
Wound care. Ask how and when you need to change the dressings.
Be sure to wash your hands before touching your wound or dressing.

What follow-up care is needed?

Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. Your stitches, splints, and nasal packs will be removed at one of these visits. � �

What problems could happen?

Poor healing of the skin
More risk of nosebleed
Breathing problems
Infection
Bleeding
Scarring

Helpful tips

Be sure to follow everything your doctor tells you to do to get the desired results. � �

Where can I learn more?

American Society of Plastic Surgeons � �
http://www.plasticsurgery.org/cosmetic-procedures/nose-surgery-.html#content � �

Consumer Information Use and Disclaimer

This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. � �

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