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Nose Surgery (Rhinoplasty)

Rhinoplasty, also known as a nose job, corrects the shape of the nose, giving the face a more harmonious balance. 

The operation can only be performed once the face bones are fully ossified, which is at the age of 15 or 17. However, it is always better to wait until you are of full age before taking the decision to operate. 

During preoperative visits, an agreement is reached with the patient and family in terms of their expectations and what can be offered to them. It is important not to create false expectations with this type of surgery which, in itself, involves a great change in the appearance of the face.

Benefits of the Operation

This operation corrects nasal deformities that are often the cause of psychological problems and which tend to be linked to very difficult times of life such as adolescence. 

You will not suffer from pain after the operation and analgesics are not generally used.

Medical-technical description

There are two ways of doing this surgery. The most common is what is known as closed rhinoplasty,  when the surgery is performed through incisions inside the nostrils, meaning there are no visible external scars. The surgeon sculpts and shapes the nasal bones and cartilages through the inside of the nose, and creates a new structure. The skin and membranes then retract and adapt to achieve the shape desired. 

In more difficult cases, such as modification of serious deformations of the tip, a procedure called open rhinoplasty is performed. An incision is made in the membranes in the tip and at the back, which gives the surgeon direct access to the nose structures. This type of surgery leaves a tiny scar at the base of the columella.

About the operation

The procedure usually takes place under general anaesthesia, although tip surgery and small tweaks may be performed under local anaesthesia with sedation. The operation usually takes one hour. If general anaesthesia is used, patients have to stay in hospital for around 24 hours.

Before the operation

  • You will have a blood test, ECG and X-ray.
  • You must not eat or drink for 12 hours before your operation.
  • You must remove all metal objects during the operation (rings, bracelets, earrings, body piercings, etc.).

Post-operative care

  • You will leave the operating theatre with nasal packing and a cast on your nose. Effusion and inflammation around the eyes are common for a few days after the surgery. The packing is removed after three days and the cast after 10-12 days.
  • If you have to sneeze, do so with your mouth open to release the air freely.
  • When the plaster is removed, the swelling and bruising will have disappeared and your nose will be in a suitable condition to allow you to go back to your normal life. However, the final appearance of your nose will continue to evolve over at least six months.
  • We recommend you use solar protection cream for a few days after removing the cast.
  • Although you will not be able to see it, the swelling caused by the operation will persist for a long time. You will notice this when you wear glasses, because they will leave a deep mark where they rest on your nose. There is no danger, but we recommend you avoid wearing glasses continuously for the first two months after your surgery. You can wear them is you remove them from time to time for long enough to allow the area to recover.

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