AFTER THE INTERVENTION:
After surgery, the patient is discharged from the hospital wearing a splint in the nose area. Gauze is placed inside the nose and remains in place for 48 hours, while the splint is usually removed after 7 days. The majority of the swelling and bruising will gradually subside within 2 to 4 weeks. The patient can return to their daily activities after about 3 days. External stitches (if any) are removed in 5 to 7 days.
About 80% of the aesthetic result is visible after 3 months, while the final result will be visible in 12 to 14 months.
Recurrent bleeding and loss of sense of smell may be a result of this surgery, but these problems usually resolve quickly. The result of rhinoplasty is permanent and any remaining abnormalities can be corrected with a much smaller surgery under local anesthesia.
- Head elevated with two pillows during sleep for the first 7 days.
- Ice compresses or crushed ice (in a bag) on the eye area (without touching the splint) for 72 hours (3 days) after surgery placed. It helps to reduce swelling (swelling) and bruises.
- Taking a painkiller every 3 to 4 hours, such as DEPON , MESULID etc., if there is pain.
- A light diet of fluids and soups for 48 hours, and caution in the first 2 weeks to avoid foods that require excessive movement and effort, such as hard apples.
- Possible minor bleeding the first 3 – 4 days – change of gauze.
- Avoiding loud sneezing for the first 2 weeks.
- Attention-protection of the nose from possible blows (hugging, opening doors, etc.).
- No water in the narthex. Washing like in the hairdresser’s.
- Once the internal gauze is removed, clean the area with a cotton swab and a little bit of acetic acid and a nasal spray.
- Splint removal usually in 7 days.
GENERAL POST-OPERATIVE INSTRUCTIONS
- Avoid strenuous exercise, gym or anything that can raise the heart rate above 100 beats/minute for 2 weeks. After the 3rd week, gradually, one can come back.
- Be careful not to injure the nose for 4 weeks after the operation.
- After removing the splint, it is advisable to avoid wearing glasses for at least 4 weeks.
- Protection of the sensitive skin of the nose for 6 months with SPV 15 sunscreen and the first days careful cleaning with moisturizer.
- A possible feeling of numbness of the tip of the nose and some of the front teeth is normal and improves with time.
- Swelling of the nose for up to 12 months.
- Possible feeling of “hardness” and stiffness of the nose, especially when someone smiles. It improves with time.
- Faithful and consistent adherence to the surgeon’s instructions for the use of medications, changes, cleanings, etc.
- If nausea, vomiting, rash, difficulty breathing or fever over 38°C occur, contact your doctor immediately.
Plastic surgery of the nasal septum – Nasal valve dysfunction
In addition to the aesthetic result, the nose should “function properly”, which is why it is described as an “aesthetic and functional” rhinoplasty.
Causes that can cause breathing problems are:
Α. The crooked nasal septum
Β. The nasal valves
Γ. The hypertrophic niches
Α. Causes of a crooked diaphragm:
⁃ A hit (in sport, childhood, etc.).
The patient complains about
⁃ Difficulty in breathing consistently and always on the same side (of the scoliosis).
⁃ Fatigue during exercise.
⁃ Feeling of dryness in the mouth, throat.
The plastic surgeon should carefully examine the patient (rhinoscopy etc.) to diagnose possible malfunctions. The septum is the cartilaginous membrane that divides the nasal cavity into two nasal chambers that are covered by mucous membrane and as air enters the nose they are moistened, heated and cleaned of foreign particles.
The septum very often deviates to one side or the other causing nasal obstruction. This deviation sometimes affects the aesthetic appearance of the nose (it turns to one side) and sometimes not. The correction of the nasal septum is often done by using special cartilage grafts (spreader grafts) that support the septum like beams while at the same time improving the internal nasal valve (the point where the septum meets the upper lateral cartilage and should be >15).
Hypertrophic niches can be reduced by various techniques such as cautery, microfractures, etc.