Rhinoplasty is usually done inside the nose. Your surgeon readjusts the bone and cartilage underneath your skin. The surgeon usually makes cuts inside the nostrils. Sometimes he or she makes cuts in the septum between the nostrils. Then your surgeon separates the skin from the underlying bone or cartilage and mucous membranes, and follows a series of steps to cut, trim or build up (augment) the nasal bone or cartilage.
Your surgeon can augment your nasal bone or cartilage in several ways, depending on how much needs to be added, the structure of your nose and available materials. For small changes, the surgeon may use cartilage harvested from deeper inside your nose or from your ear. For larger requirements, the surgeon can use implants or bone grafting. Bone grafting is a procedure in which bone material (the graft) is inserted into another bone (the host bone) to enhance the host bone.
Rhinoplasty requires local or general anesthesia, depending on the complexity of the surgery and your surgeon’s preferences. Discuss with your doctor beforehand which kind of anesthesia is best in your case.
After the surgery, you’ll be in a recovery room, where the staff monitors you for any complications. You might leave later that day or, if the procedure is done in a hospital, you might stay overnight.
To further decrease the chances of bleeding and swelling, your doctor may ask that you follow these precautions for several weeks after surgery:
- Avoid strenuous activities such as aerobics and jogging.
- Don’t swim.
- Don’t blow your nose.
- Avoid foods that require heavy chewing.
- Avoid large facial expressions, such as smiling or laughing.
- Brush your teeth gently to limit movement of your upper lip.
- Wear clothes that fasten in the front; don’t pull clothing, such as shirts or sweaters, over your head.
In addition, don’t rest eyeglasses or sunglasses on your nose for at least four weeks after the surgery, to prevent pressure on your nose. You can use cheek rests, or tape the glasses to your forehead until your nose has healed.Also, avoid exposing your skin to the sun for two to three months after surgery. Too much sun may cause permanent irregular discoloration in the skin of your nose.
Some temporary swelling, black-and-blue discoloration of your eyelids and numbness can occur for two to three weeks after nasal surgery. Rarely, this may last up to six months, and subtle swelling may take a year to resolve entirely. Ice packs or cold compresses can help reduce swelling and discoloration around your eyes.
Because of the slow healing process, you might not see the final results of your surgery for up to a year.