Medical facts about facial rhinoplasty

The rhinoplasty surgery is one of the most popular and appreciated aesthetic procedures in the whole world. The number of patients that are interested in getting this surgery increases significantly each and every day. Facial rhinoplasty is a complex procedure which can be used to correct congenital malformations, deformations (lifetime traumas) or removal of nasal obstructions (such as a septal deflection). The main reason why patients opt out for this procedure or for aesthetic remodelling altogether is to improve the appearance and proportions of their face, eventually achieving the ideal image of a harmonious facial aesthetics.

Each patient has their own expectations and requirements, so rhinoplasty approaches a wide range of changes regarding the shape of the nose – reduction in size, ridge, tip, trimming, defining and so on. Correcting an asymmetric nose or narrowing the nostrils is not impossible either and it can completely change someone’s life. Many people are bullied because of the way they look and having this surgery performed often changes the way they are perceived by society.  Here are some medical facts you should know about a facial rhinoplasy:

Basics

There are three main segments of the nose area that the patient will have to take into consideration before choosing the shape and size they want to obtain after surgery:

  • The proximal area (above the nasal bones)
  • The median area (above the upper cartilage)
  • The distal area (meaning the nose tip)

Of course, the nose as a sense organ has several functions:

  • The sensory one (where trigeminal nerves perform the fundamental function of the body which is breathing)
  • The motor one (where facial nerves intervene with significant importance in protecting the body from damage)

The definition of sinuses can be summed up as air-filled cavities that are capable to communicate with each other. The frontal sinus and the sphenoid sinus are formed in the first ten years of life, while the maxillary sinus is usually present at birth. Their development doesn’t start until the final dentition appears. This is the explanation why the issues occurred with the maxillary sinus usually lead to dental extractions.

Observing the main structure of the nose, the patient can tell it performs a paramount role from anatomical points of view. This is why it is very important to take into account everything the aesthetician tells before performing the surgery, even though this is considered only an aspect-changing surgery. The results should be both visually pleasing and functionally correct.

The procedure

The rhinoplasty procedure has several advantages, both in terms of aesthetics and functionality:

  • It improves the appearance of the nose
  • It helps with building a correct harmony of the facial features
  • It can improve respiratory problems caused by narrowed airways
  • It is the ideal solution for patients who desire to solve an asymmetrical nose shape or a deviation of the nasal cartilage

There are two main types of rhinoplasy:

  • Closed

The closed rhynoplasty involves a small incision in each nostril which will allow the insertion of certain nasal remodelling medical instruments. With the help of these instruments, the aesthetician will be able to correct the flaws of the nose. The main advantage of such procedure is that the scars remain basically invisible. The disadvantages consist of limitations when talking about the available work area for the surgeon and the restricted time. Another thing that is worth mentioning is the fact that with closed surgery the aspect of the patient’s nose tip cannot be altered in any way. 

  • Open

With open rhynoplasty, the nasal bones will be fully exposed which will grant the surgeon full access to them. The cartilage will be exposed too and the external incision can extend on the collum until the entire layer of skin can be separated in order to completely see the area. With the open type surgery, the surgeon will be able to perform any kind of anatomical modifications, while with the closed type one it is impossible. Recovery can last longer than in the closed rhynoplasty case.

The human body immediately reacts to trauma, meaning that a single sharp cut or a strong shock to any part of our bodies can react in the most unexpected ways. This is the reason why anaesthesia should be used before performing risky surgeries to prevent unexpected reactions of the body. Of course, depending on their complexity and special recommendations, certain aesthetic procedures can be performed without a general anaesthesia, but only with a local one, which is much more convenient. The patient should remember to inform both the surgeon and the anaesthetist about any medical history and side effect they may have experienced during previous procedures. 

Recovery

Facial rhinoplasty recovery period depends on each and every patient and the way their body reacts to it. The first two or three days are paramount for deciding everything went well and these will also be the most unpleasant and uncomfortable ones due to the intranasal meshes the patient will be wearing. Generally, in about a week or two the patient can go back to the daily routine without involving too much physical effort.

Most of the times, a complete recovery takes about three weeks, while in the first two months since the last doctor appointment the patient should be careful not to damage the area in any way (hitting, friction, scratching etc. ). Wearing glasses should be avoided too because they can alter the shape of the nose while it is still fragile. Avoiding any kind of inconvenience can be done by always staying in touch with the aesthetician who will analyse every kind of symptom you may notice.

Patience is the key for a healthy recovery and if this criterion of waiting is not respected, there can be serious consequences which will later result in disappointment. Expecting results should come along with respecting whatever recommendation the patient was given. The appearance of the nose will gradually change and stabilize once time will pass.  Besides that, the perfect nose shape is not the one seen in magazines, but the one who suits your face physiognomy the best.