Preparing For Rhinoplasty

The plastic surgeon will perform specific measurements and may utilize photographs to determine what aspects of rhinoplasty surgery may be most beneficial for you. The ideal candidate for rhinoplasty surgery is a patient who has realistic expectations and the actual nasal defect is proportional to the patient’s perception of the defect. Oftentimes, patients may come into the office requesting rhinoplasty surgery when in reality a major component of their nasal appearance is related to a disproportion of some adjacent facial structures. These patients may benefit from additional facial cosmetic surgery and it is not uncommon for the plastic surgeon to discuss how the adjacent facial structures may or may not be affected by rhinoplasty surgery. Occasionally, a plastic surgeon may discuss the pros and cons of a chin implant or other facial contouring procedures as these procedures do have an affect on the appearance of the nose in relation to the entire face.

The actual “full” recovery period from rhinoplasty or cosmetic surgery of the nose is at least a year and this involves a gradual softening and resolution of edema. A significant amount of the recovery occurs within 2-3 months but it will take the external scar a year to soften/mature and the internal tissues undergo similar softening. Immediately following rhinoplasty, the nose will have a very swollen. Other long term potential complications are related to each patient’s own tissues and these tissues are dependent on that particular patient’s genetic makeup.

Consider Eyelid Surgery

Disclose medical conditions such as hypertension and any thyroid problems. Discuss your health related to your eyes such as glaucoma or dry eye syndrome. It is important to work closely with your plastic surgeon. Be prepared to discuss your expectations and desired outcome. Make sure all of your questions and concerns are addressed. Aspirin, Motrin, non-steroidal anti-inflammatory medications, and some over-the-counter herbal medications must be discontinued at least 2 weeks prior to surgery. These and other drugs and substances may cause excess bleeding and bruising. You can usually begin taking them again after a week or so. Your local cosmetic surgeon will discuss this in detail with you and you will also be given a sheet with a list of common medicines to avoid for a short period. Your plastic surgeon will detail the risks associated with surgery.
THE RECOVERY

Following your plastic surgery, you will have ointment applied to your eyelids that may cause your vision to be blurry. It is important to keep your head elevated and you may have to apply cool compresses to aid in healing and minimize swelling. You will be given specific instructions on how to care for your incisions including any medications that you may need to take.

Healing time is highly variable, but most patients’ experience moderate swelling and some bruising that can persist up to 2 weeks. Sutures are usually removed within the first week after surgery. It is best to avoid strenuous exercise and heavy lifting for 2-3 weeks after surgery to minimize the chances of bleeding. It often takes several months for swelling to fully resolve, and 6 months or longer for the incision scars do fade.