Many people choose to undergo Primary Rhinoplasty to have better looks, or repair functional problems including trouble breathing. Primary Rhinoplasty generally means that it is the first time that the patient undergoes nose job surgery. Primary Rhinoplasty can also repair crooked or asymmetrical nasal structure, flared or pinched nostrils, abnormally wide noses, or noses that are too small or too large for your face.
Before the surgery your plastic surgeon consults with you and examines your condition. Based on your medical needs and your desirable result, the surgeon chooses the most suitable technique.
The procedure takes up to two hours, and is done under general anesthesia. It can be done through open or closed technique.
In primary Rhinoplasty, excess bone and cartilage is removed from beneath the skin that covers the nose. Cartilage grafts may also be added to help remodel the nose.
Rhinoplasty is done through two main techniques, the open approach, and the closed approach. Generally, the procedure is done under general anesthesia, and you may need to stay at the hospital overnight.
In the open approach, incisions are made within the nostrils, and the skin of the nose is separated from its supporting framework of bone and cartilage, allowing the surgeon to see the entire structure of the nose. This technique is mainly used in secondary or revision Rhinoplasty.
In the closed approach, incisions are made across the columella, which is the vertical tissue separating the nostrils. One of the advantages of this technique is that there will be no external transcolumellar scar after the surgery.
Depending on the patient’s condition, the surgeon will decide which technique leads to the most desirable result.
The surgeon will then separate the skin of the nose bone and reshape the nose to the desired shape. At the end of the surgery, the surgeon will re-drape the skin over the newly reshaped nose.
After the surgery
Bruising and swelling after nose job is common like any other surgery. It may take one to two weeks for the initial swelling to subside. However, all swelling may subside after several months up to a year. Nasal packing helps reduce swelling, but you cannot breathe through your nose until the packing is removed.
You may feel nauseated after the surgery. To help relieve any pain related to the surgery, your surgeon will prescribe painkillers.
To stop the bleeding during the first few days, which is completely normal, applying a cold compress to your forehead is recommended.
For two or three weeks after the surgery avoid blowing your nose, salty food, and taking showers.
You will also be advised to eat soft food, wear buttoned shirts, sleep with your head elevated, and take baths instead of showers for the first couple of weeks after the surgery.
It is also noted that recovery in revision and primary Rhinoplasty is similar.
Stitches will be removed after three days.