Rhinoplasty, nose surgery in Uccle, Brussels
A nose for beauty
A crooked nose, or a nose that is either too big or too small … It should come as no surprise that rhinoplasty is among the most frequently requested aesthetic operations.
The result must be aesthetically perfect, even more so than with other aesthetic interventions. The reason obviously being that the result is written on your face …
The patient and the surgeon must discuss what the patient wishes for, what is technically feasible for the surgeon and what is the most appropriate solution from an aesthetic point of view.
What is rhinoplasty ?
One has to distinguish between functional rhinoplasty and corrective rhinoplasty. The former aims to modify the septum of the nose in order to facilitate the patient's breathing. The latter strives to alter the morphology of the nose, either at the nasal bone or at the movable cartilage below.
This allows the shape of the nose to be corrected, either by shortening it or by reducing the height and the width, by operating on the two structures of the nose: the bony part and the cartilage.
It is essential to clearly determine the aim one wants to achieve via rhinoplasty. The patient must clearly express which change he wants.
It is absolutely vital to use pictures or drawings. These allow analysing and simulating, especially where the profile of the nose is concerned. Also, they make it easier to imagine the future result. Frontal simulations are, unfortunately, less precise.
One must be careful using computer-aided simulations, the reason being that these do not reflect the end result well. Despite its limitations, a simulation is needed if you want to approximately assess the result and if you want to have a tailor-made surgical intervention.
The intervention will visibly change the face and will alter its harmony. It is important to bear this in mind.
The face does indeed exist of interdependent parts. When the nose is changed, this also affects the look, the visual impression of the upper lip and especially the appearance of the chin in relation to the face as a whole.
The quality of the skin is one of the factors that will determine the final result of the nose correction. A thick, greasy skin, for instance, does not make very precise work possible, especially not on the tip of the nose. Another restriction that faces rhinoplasty is when the nostrils are very large.
In practically all cases, the scars are hidden under the rim of the nose or on the inside of the nose.
The intervention takes place under general anaesthesia, but a stay in hospital is not needed.
Depending on the modifications that are required, the intervention lasts between one and two hours.
Consequences of the operation
A little bleeding is possible during 24 to 48 hours.
When the shape of the nose is altered, a nose bandage (a steristrip, or a small plastic or plaster plate) must remain in place during 7 days. The moment at which one can resume one's social or professional life, depends on the period during which one must wear this external bandage, as well as on possible ecchymoses on the eye-lids and the cheeks, which in its turn differs between individual persons.
Small pimples can appear where the bandage has been applied. These can - if needed - be treated by locally applying an ointment.
The sutures do not have to be removed, since the threads in the nose will be resorbed.
The intervention causes no pain, but the nose will be sensitive for about a month. It is therefore important to avoid shocks and movements that can cause harm (such as contact sports, strongly blowing one's nose, etc.), as well as wearing heavy glasses.
When touching the nose, one can sometimes feel a small unevenness. This is, however, invisible from the outside.
Considering the healing inside of the nose, and even when the first results are excellent, minor correction are required in rare cases.
Erythemata (the skin which locally turns red) or telangiectasie (widening of the small blood-veins, making them visible through the skin) can occur too, especially in the case of re-inclusion of the cartilage.
With persons who have greyish-purple rings under the eyes, there can be an impression that this phenomenon has worsened. In such cases, this part of the face requires extra protection from the sun for a few months.
Perturbation of the sense of smell, mostly transitory is possible but exceptional.
Small changes in the nose line can occur. These will however disappear.
The oedema will cause an apparent widening of the nose, which will take a while to disappear.
It takes 6 months for the nose to obtain its final form, especially when the intervention is about narrowing the tip of the nose.
And it takes even longer for the tip of the nose to become flexible again.
It will take a year before a definitive assessment can be made.
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