Cirugía de la nariz - Rinoplastia

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Rhinoplasty is an aesthetic and sometimes a restorative operation, which is generally performed under total anesthesia. Topic anesthesia is applied only when the surgeon is under pressure to do so, or when the problem is small enough, so that it would be certain that he can bear the operation under topic anesthesia.

We could classify rhinoplasty as an aesthetic-cosmetic operation, a re-operation – after a failed previous rhinoplasty, or a restorative operation to treat anomalies or post-traumatic dysformosis. Depending on the case, the operation time is from 40 minutes to 3 hours.

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The proper diagnosis of the anomalies during the medical examination, the patients view on the result-to-have and the correct execution of what has planned during the operation are the factors that determine the excellent aesthetic result, namely “a nose which suits in that specific face”. Unfortunately, there are cases that a beautiful-shaped nose did not suit the patient’s face. A nose that is not a match to a face is a diagnostic and surgical error.

Nose surgical and functional problems, as diaphragm scoliosis, nasal valve, bays, etc, are performed by the same surgeon. A failed surgical diaphragm correction from the plastic surgeon leads to a “crooked nose”.

Rhinoplasty can be performed as soon as the patient is old enough as to have complete his growth, namely after 16 years for girls and 18 years for boys.

The patient who is about to have a rhinoplasty must come to the surgery prepared for a simple operation with an easy post-operative course. Thus he must be foodless and not drink any water for the last 6 hours before the operation. The medical examinations, which are required for the anesthesia, can be made the last days or the same day of the operation in the morning. The examinations required are the following: General Blood Test, Blood Glucose and Blood Urea Test, General Urine Analysis, Electrocardiogram, Ro Chest. Depending on the patient’s medical condition, some extra tests may also be required.

After the operation, the patient remains in the hospital for 2-3 hours until the dizziness of the anesthesia to fade. The patient wears a plastic splint on his nose and a tampon in both his nostrils. For 2 days he must breath from the mouth until the tampons get removed. He may eat normally. Rarely is pain reported. Usually the patient doesn’t need any painkillers, but if needed he can take from the mouth Depon, Ponstan or Lonarid. Aspirin is strictly forbidden because it causes hemorrhage. Bruises will show up right after the surgery, so the patient must apply ice-packs to prevent further bruising. He is advised to continue this procedure for the next 24 hours. The bruises get larger during the first days, thus the eyes might shut from the swelling. The second day the swelling recedes until it is gone on the 5th day. The bruises also recede, but traces could remain up until 15 days later. The splint is removed on the 10th day.

Many patients return to their daily activities from the 3rd day, but many wait the 10th day, when the splint is removed to return to their jobs.

The functional recovery of the nose, provided that the patient had a simultaneous operation in his diaphragm, may be delayed for a few months, since the swelling of the mucous gland has to recede completely.

The use of aspirin for 4 days before all operations is forbidden.