Many people choose to undergo Rhinoplasty to have better looks, or repair functional problems including trouble breathing. The first rhinoplasty or nose surgery one undergoes is called Primary Rhinoplasty. Primary Rhinoplasty can repair crooked or asymmetrical nasal structure, flared or pinched nostrils, abnormally wide noses, or noses that are too small or too large, hence unproportional to your face.
Before a primary rhinoplasty, your plastic surgeon gives you consultation 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.
Primary rhinoplasty procedure
Primary rhinoplasty is done through two main techniques, the open approach (open rhinoplasty), and the closed approach (closed rhinoplasty). 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, In this technique, all incisions will be hidden inside your nose. So the scars are also hidden as this procedure is also considered to be a cosmetic one. 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.
After primary rhinoplasty 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, eating 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 the same.
Primary rhinoplasty in Iran
Iran is named the nose job capital of the world for having the most rhinoplasty surgeries per capita. Iranian nose job surgeons are highly skilled and experienced. The demand for rhinoplasty surgery is so high that it has made the Iranian plastic surgeons extraordinarily prolific so much so that some of them have several ops a day.
Not only is the quality of rhinoplasty in Iran exceptional, the affordable costs are also eye-catching. People from around the world are increasingly flocking to Iran to get their noses under the knife and Tehran is now the hottest destination for nose job candidates.
Primary rhinoplasty cost in Iran
Primary rhinoplasty is very affordable in Iran. While the cost of a primary rhinoplasty in the United States and the UK, for example, ranges from $4000-12000, a primary rhinoplasty in Iran costs $1200 to $4000 depending on the doctor, the technique, the current and desired shape, the clinical costs, etc.
The reason for low cost of (primary) rhinoplasty in Iran is the low living cost, low currency value of the country, high demand for rhinoplasty operations, high competetiveness among rhinoplasty specialists, etc.
Rhinoplasty before & after photos
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Nose surgery archived questions and answers
Q1: What is the ideal age for a rhinoplasty (nose surgery)?
Generally speaking, the ideal age for undergoing a rhinoplasty (nose surgery) is 17 for men and 15 for women. The bony and soft tissue structure of the face, when reaching this age, is fully matured so the later teens would be a great starting time to do such surgeries. On the other hand, nasal septum is developed fully during facial growth in this age which allows the proper growth of the midface and nasal structures.
The Rhinoplasty surgery is best performed once an individual has hit puberty and also should not be performed before a major growth spurt.
Q2: How long should I stay in Iran for a rhinoplasty?
After checking in the clinic and visiting the doctor, the next day you will get ready to undergo the surgery. six or seven days after the surgery, your plaster (nose splint) will be removed and after a short break you can return to your country with no worries.
Q3: Is exercising OK after a rhinoplasty?
After the rhinoplasty surgery, the most common problem you might experience is a slight nose bleeding and also some swelling. For reducing this problem you should avoid heavy exercises such as weight lifting, jogging, running , body building , diving, etc for at least a month to reduce the post-surgical problems.
Q4: Should I have an open or closed rhinoplasty? Which one is better?
Basically, both methods are used for both primary and secondary rhinoplasties but generally surgeons’ preference is to use the open approach in primary and revision rhinoplasty if tip of the nose needs reconstruction wholly . The open approach allows surgeons to visualize the tip (lower lateral) cartilages directly and in a undistorted way while working on it. But If the patient desires the removal of a hump or get another alteration on the upper part of the nose, then a closed rhinoplasty surgery is preferable.
To sum it up, you should let your surgeon decide what kind of surgery is the proper one for you. Each surgeon’s experience and medical background is different and therefore the method being used will be different.
Q5: Do I have to pay for a revision rhinoplasty if the primary one was a botched one?
Basically, less than 1 percent of our patients need the secondary rhinoplasty because of a medical malfunction (either doctor or clinic). This is because of the highly skilled and most experienced doctors in Iran. Still, in case of a need for a revision, the secondary (revision) rhinoplasty will be free of charge.
Q6: When to re-start skin care after rhinoplasty? Should patients typically wait longer so the cast comes off?
Generally, it is better to talk with your surgeon and discuss the issue with them about your current skin care. They will inform you what to do and what not to do. Just try to avoid strong exfoliants on your nose for 2-3 weeks and be careful with harsh rubbing of your nose .
Q7: How long after rhinoplasty should I wait to get a revision?
As The nasal tip resolves slowly, the average time to do a revision surgery will be 6 up to 8 months after the previous one (at least). this allows the swelling to go down and the tissues soften. As the secondary Rhinoplasty is more difficult, it requires an experienced plastic surgeon to fix it. So a highly skilled doctor is an important factor.