Surgery of the nose

The surgery of nose is the surgery done aiming the modification of the nose's form.
Due to be situated in the center of the face, the nose is fundamental for the harmony and facial beauty.
The result always changes, even if slightly, the features of the face, and the patient should be prepared for that.
By having a complex structure, the nose presents a big variation between races and individuals.
The surgery focus the correction of the nose's disproportions, making it more harmonious with the remainder of the face and, like this, perfecting the facial aesthetics.

After anesthesia, habitually are done incisions in the internal region of the nostril, more rarely in the interal region of the nasal shell.
The dissection of the cartilages and of the nasal spine is done.
According to the need, is able to dries up cartilages to reduce the bridge and lower the spine, shave the excess bones for diminish the spine, put grafts for increase the spine or the nasal shell, etc.
When necessary, the fracture of the nasal bones is done.
A prudent suture is done, reconstructing the tissues.
A bandage is done and the nose is plastered.

See the pictures below:

	Anatomy of the nose (cartilages and bones)
	Points for the local anesthesia
	Achievement of internal incisions and dissection the structures
	Ressection of cartilage and bone shaving
	When necessary, a fracture in the juncture of the nasal bone with the bone of the face is done.
	There is the possibility of diminish the nasal wings. In this case, an external scar will exist.
	Bandage made with micropore, plaster or splint of acrylic.

 

In general it is tranquil. There is little or no pain. In the face, is common to occur swelling and wound, that generally regress until 30 days. A residual swelling persists here abouts 6 months, being noticed by the patient as a local scars hardening. The nose usually stays "blocked", and this sensation can last for months, having gradual improvement.
Any trauma in the nose should be avoided by 2 months, specially when is deed fracture of the nasal bones, a trauma can cause to the displacement of the bones.
Must avoid heat (sun, baths and very hot environments, etc .), therefore the heat leads to the increase of the edema. Bandages are done for 15 to 21 days. It is necessary solar protection of the localities for 6 months.

The complications include post-operative bleeding, wound, infection, opening of the scar, change of the lower eyelid, between other. The rates are very reduced, when observed all the prescribed post-operative cares.
As all the surgeries, the anaesthetic and sistemic risks still exist. They have to be well should researched in pre-operative phase. Those complications has been less and less frequent with the evolution of the techniques and of the medicine.

Around a month occurs the reabsorption from 80% of the swelling, giving good notion of how the eyelids will stay.
From the 30th day to the 6th month, they earn bigger harmony and better consistency by the accomodation of the tissues and the scar.
The scars are only considered as definitive after the 12th month.

1. Food:
The food after surgery should be gentle to avoid nauseas. The next day, the diet is normal.

2. Positions:
The rest is relative, being bigger in the first day; subsequently, are necessary small walks inside home
Upon sleeping: always of belly for top (for three weeks), with a high pillow or cushion under the head. It put a wedge kind 02 bricks or 02 phone books under the feet of the head to elevate it in the 4 first days and, then, diminish the swelling.
Do exercises with the calf (roll the feet -10 times of each side) three times a day.
Do not it carry weight in the first fifteen days.
Do not low the head for catch objects.

3. Cares with the nasal region:
Use the gel term mask (or gauze humid in serum chilled) for 24 hours hours after surgery.
Drop the Rinossoro® or Salsep® regularly, from 60 to 60 minutes.
Do not lower the head.
Avoid sun, hot localities, wind or cold in the 30 first days.
Change the bandage and the external gauze always that necessary.
Special cares for with the splint: do not traumatize the bandage, avoid the humidity or the temptation to see "how stayed the nose".
Do not it worry about the obstructed nostrils. Wait for the removal of the plugs (case are being used)
Avoid straight solar exposition for 60 days. It will be able to, however, expose itself to the occasional sun of street, from the 7th day, with use of solar protector.
Do not it use eyeglasses, to that be authorized (a).
Do not it worry about the intermediate forms in the diverse phases (the nose is swollen).
A temporary nasal obstruction during some weeks or months can occur, dut to swelling or secretion. If that occur, the doctor should try the adequate way.
Do not smoke for at least 10 days in post-operative
Resolve with us any doubts. Avoid to sensitize yourself by friend's opinions on this initial phase.

4. Baths:
The bandage surgical can not wet in the first 7 days, so that the bath in this period should be taken avoiding wet the face.

5. Medication:
They will be prescribed anti-inflammatory and common painkillers, by a medium period of 5 days.

6. Returns:
The returns are of 5 in 5 days, for 3 weeks, and monthly to the 4th month.
Those frequencies can be altered, according to the clinical need.