The days after the rhinoplasty will not be painful, but will still be uncomfortable.
Information for patients
(correction of the external nose)
Before undergoing rhinoplasty, please read the following information carefully:
During the rhinoplasty procedure, your nose will be given a new shape that will make it less noticeable and often significantly improve its overall appearance. On the other hand, conditions such as a fleshy tip of the nose remain, since mostly only the bony and cartilaginous skeleton of the nose is changed. A nose sits exactly in the middle of the face, neither before nor after the operation. The nostrils are usually different in size and shape and can remain slightly different even after the operation. This should be particularly emphasized, since every patient looks at his “new nose” much more critically than before the operation. Many patients worry that the change in nose will spark more discussion among family or friends. A few weeks after the operation, neither you nor your next of kin will remember the former shape of the nose. You should therefore not be alarmed by friendly comments such as “I liked your nose better before the operation”, but leave the judgment to those who have experience in this area.
Surgical method for rhinoplasty
During the nose correction procedure, the incisions are either placed invisibly in the depth of the nostrils (closed technique) or additionally connected to each other at the bridge of the nose (open technique). From there, the skin of the nose is lifted off the bony and cartilaginous skeleton, the alar cartilage is narrowed and an existing nasal hump is removed. To narrow the nose, both nasal bones are chiseled and fixed in a narrower position with the help of a splint bandage. The skin is elastic and adapts to the shortened and narrowed structure of the nose. A previously pronounced crooked nose can never be completely straightened out due to the elasticity of the cartilage. In the case of saddle noses or sunken tips of the nose, a cartilage chip may have to be inserted. If you have difficulty breathing before the operation, the nasal septum could also be straightened and the erectile tissue in the nose (lower turbinates) reduced somewhat. You will then get two rubber tubes in your nostrils (tamponades) for the next 1 to 3 days.
The operation, which lasts approximately 1 to 2 hours, will take place under general anesthesia, which will be performed by a specialist in anaesthesiology. The necessary examinations are carried out in our clinic.
There is an increased tendency to bleed before and during the period, which could affect both the duration of the operation and the cosmetic result. If your period falls on the date of the rhinoplasty procedure, it could be postponed with medication. If you tend to have conspicuous bruises or have experienced persistent bleeding after minor injuries, a coagulation disorder should be ruled out before the operation by means of a special examination (major coagulation status). Taking painkillers, e.g. aspirin or anti-rheumatic drugs, reduces blood clotting. In order to avoid unnecessary bleeding, you should definitely stop bleeding a week beforehand after consultation with your doctor!
Usually one day, with minor changes an outpatient rhinoplasty is also possible. You are usually able to work after 7 to 14 days.
The days after the rhinoplasty will not be painful, but will still be uncomfortable. As a rule, the eyelids are usually swollen to a greater or lesser extent from bruising for about three days and have a bluish discoloration for about eight days. The swelling inside the nose can cause a cold-like sensation; nasal breathing will also be restricted for about 8-14 days. The nose bandage is left in place for 14 days to fix the newly erected nasal bones. The whole nose is a bit swollen afterwards and it will usually take six months before the nose has its final shape. Under the nose bandage, the tip of the nose was overcorrected upwards, as experience has shown that it lowers after the swelling has gone down. Sometimes a numb feeling in the area of the upper lip and the tip of the nose persists for a few weeks. After removing the bandage, you can blow your nose and remove any crusts of blood with tweezers. The usual “make-up” can then be applied again, whereby the remains of the bruises in the area of the lower eyelids could be covered. The scars inside the nostrils are not visible but can sometimes be swollen for several weeks. During this period, avoid sports activities that can affect the nose.
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