Whether you would like to restructure your nose to improve your breathing, or balance your facial features, rhinoplasty or nose reshaping surgery can deliver the desired results through a relatively minor, but extremely delicate and complex, surgery. This procedure is one of Dr. Shahram’s specialties, and he has performed hundreds, giving his patients a more balanced appearance and freer, easier breathing.
Rhinoplasty, also called nose surgery, reshapes the nose by reducing or increasing the size, removing a hump, changing the shape of the tip or bridge, narrowing the span of the nostrils, or changing the angle between the nose and upper lip. This procedure may also relieve some breathing difficulties when combined with surgery performed on the nasal septum.
Surgery takes approximately two hours or more. General anaesthesia, intravenoussedation or local anesthesia is used.
This is an outpatient procedure.
POSSIBLE SIDE EFFECTS
Tiporary swelling, bruising around the eyes and/or nose, and some bleeding and nasal stuffiness.
Infection, asymmetry, unsatisfactory nasal shape and incomplete improvient (which would require additional surgery) are possible.
The patient may go back to work after one week. Activities that are more strenuous may be resumed after two to three weeks. The patient should avoid any activity that could impact on the nose or allow it to become sunburned for at least eight weeks. The use of a sunblock that provides both UVA and UVB protection is useful. The final results may take one year and sometimes longer to achieve.
Rhinoplasty is performed either from inside the nostrils (called closed rhinoplasty) or by making a small cut on the skin between the nostrils and lifting the skin (this is called open rhinoplasty). The precise nature of the operation will depend on the area of the nose that is being treated.
Changing the bridge of the nose
If the bridge of the nose is being operated on, the surgeon removes the bone and cartilage that is causing the ‘hump’. The nose may then be broken so the remaining pieces of bone can be moved closer together to narrow the nose.
Changing the tip of the nose
If the tip of the nose is being operated on, the cartilages that makes up the support under the tip needs to be partly removed or reshaped. This is usually done through an open rhinoplasty.
Changing the length of the nose
Dr. Sajjadi will adjust the septum, to help exactly determine the overall length of the nose this is combined with adjusting the cartilages at the tip of the nose.
Changing the width of the nose
Dr. Sajjadi can reduce the width of the nose, to make it narrower, by breaking the bone and repositioning it and also sometimes correcting the nostrils and make them smaller or place them closer to the midline and thus reducing the width of the base of the nose.
Increasing the bridge or tip of the nose
Dr. Sajjadi can use bone or cartilage to change the contour of a ‘flat’ bridge or tip. This is called additional rhinoplasty or augmentation rhinoplasty. The bone or cartilage used can be taken from the nose (the nasal bone or the septum), or from other places such as the ear or rib.
Changing the septum
If your nose has been flattened by an injury, the septum could be broken or buckled, making breathing difficult. This can be altered at the same time. Rhinoplasty Dubai
It is not unusual to have swelling and perhaps bruising, depending on the type of surgery. Although with new techniques such as Piezo surgery, which uses ultrasound vibrations to cut the bone, the bruising and downtime has substantially been reduced. If bruising happens it may take about 7-14 days for it to resolve. Swelling of face also resolves in a week or two however the swelling of the nose may not fully resolve for several weeks. Elevating your head when sleeping/resting, applying ice, and use of over-the-counter or herbal medications and supplements may assist in the relief of these symptoms. Rhinoplasty Dubai
This is very uncommon. If you feel unwell, hot, or the treated area appears red, with sensations of burning or there is any discharge Dr. Sajjadi would urge you to contact the clinic for advice and/or urgent treatment.
Pain is rare. You will experience discomfort over the first few days following surgery however the degree of pain does vary from person to person. Painkillers can be prescribed and taken home with you and manages any discomfort well.
Work / Sport / Leisure Activities
It is recommended that you take 2 weeks off from work if you don’t what anyone to know you have had rhinoplasty. If you have a sedentary job 1 week is acceptable. If you have an active hobby or leisure interest, please seek advice from Dr. Sajjadi as to when you will be able to return to it following surgery.
If you have young children or babies, please ensure that the area is not touched or disturbed for at least 2 weeks. Your tissues, cartilage and very often bone have been agitated and require a period of time to heal and re-set without disturbance. It is recommended that you organise help with caring for young children during the first week of recovery.
Wounds must be kept completely dry for the first week. After your post-operative check with the nurse usually at around 7 days’ post op, you will be advised that you can shower and wash as usual – you will also be provided specific guidance about how to cleanse the treated areas.
Do not sit out in strong sun for the first 4 weeks after surgery if you have had an open rhinoplasty. Once you have fully recovered and your scars are matured you may completely expose your face when in the sun but shielding them as much as you can following your treatment will only improve your final scarring results
Ensure that you maintain a healthy nutritious diet with plenty of fruit and vegetables, as this is important for wound healing and bowels. Take regularly Vitamin C and Zinc to help with healing.
If possible avoid flying for the first six weeks - usual medical guidelines dictate 2 weeks for short haul flights and a full 6 weeks for long haul. Following surgery, you must ideally wear flight socks and take low dose aspirin before flying. Rhinoplasty Dubai
You should discuss when to return to work with your surgeon but usually after a week or two you can resume your normal daily activities. You should limit heavy lifting and exposure to dusty/smoky environments. Rhinoplasty Dubai
Congestion may take weeks to fully resolve. This will improve as swelling decreases in about 2-3 weeks. Rhinoplasty Dubai
Many people are self-conscious about the shape of their nose and have rhinoplasty for cosmetic reasons (that is, to improve the appearance of their nose). If this is the case, the aim of the operation would be to make your nose look right for you and to make you less self-conscious about it. So it is very important that you are clear in your mind what you dislike about your nose, and that you can explain this to Dr. Sajjadi. He will then be able to tell you what is surgically possible and what is not. Most people who dislike their nose have concerns about the bridge or the tip.
Other patients may choose to have rhinoplasty because of an injury to the nose, if the nose has been broken or bent by some kind of accident. Others may have breathing problems relating to the nasal airways, and will choose to have septoplasty along with their rhinoplasty. Rhinoplasty Dubai
Contact sports may not be permitted for several weeks/months. Any sports that involve the risk of injury, trauma, or strenuous activity should not be resumed until cleared by Dr. Sajjadi. Rhinoplasty Dubai
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