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Rhinoplasty Tips / part 2

Reviewed by: Dr. Ali Bazzai

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August 5, 2024

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What You’ll Read in This Article

Rhinoplasty or nose job Tips Rhinoplasty This continues Rhinoplasty Tips/ part 1 … Rhinoplasty in Iran Note: This article contains images of a surgical procedure being performed. Rhinoplasty in Iran

Rhinoplasty or nose job Tips

Rhinoplasty

This continues Rhinoplasty Tips/ part 1 … Rhinoplasty in Iran

Note: This article contains images of a surgical procedure being performed. Rhinoplasty in Iran

THERE IS A BIG DISTINCTION BETWEEN A SEPTOPLASTY AND A RHINOPLASTY

Rhinoplasty in Iran

Rhinoplasty: The term “nose job” conflates these two separate procedures. When someone has a deviated septum, a septoplasty is an interior surgery that fixes it. Septoplasty straightens the septum and helps to alleviate any breathing issues stemming from blockage of the nasal passages. This type of surgery is usually covered by insurance. On the other hand, a rhinoplasty is for cosmetic purposes. Rhinoplasty shapes the nose, changing it for aesthetic reasons. Most people who have deviated septums (myself included) choose to have both a septoplasty and a rhinoplasty in order to correct any bumps, crookedness, etc., that their deviation caused. Rhinoplasty

Rhinoplasty: Step-by-Step

A nose job is usually done as an outpatient procedure, meaning there is no overnight stay. You’ll get general or local anesthesia. With general anesthesia, you’ll sleep through the operation. With local anesthesia, you will be sedated and your nose will be numbed so you are relaxed and unable to feel the pain. During operation, the surgeon makes cuts within the nostrils. In more difficult cases, the surgeon may also make cuts across the base of the nose. The surgeon then reshapes the inner bone and cartilage to produce a more pleasing appearance.

The Ideal Candidate

the explanation that if patients experiencing one or more of the following conditions might seek rhinoplasty:

Dorsal hump: A bump at the bridge of the nose
Nasal width: A nose that is too wide or too narrow
Asymmetry: A nose that is twisted or deviated
Prominent nasal tip: A nasal tip that is round, bulbous, fatty, or disproportionate to the rest of the face
Drooping nasal tip: The angle between the upper lip and lower nose that is less than 90 degrees
Post-traumatic deformities: Shape aberrations after a nasal injury
Nasal airway problems: Internal valve collapse and septal deviation

Key factors that also help determine the ideal candidate include nasal maturity (if the nose is mature enough — usually over the age of 15), emotional maturity (patients thoroughly understand implications, risks, and purpose of the surgery), having realistic expectations (understanding both goals and limitations of the procedure), and an absence of body dysmorphia. The last on that last, Dugar explains, is something lots of patients have issues coping with. “We all [experience body dysmorphia] to some extent, but some [patients] cross the normal spectrum,” says Dugar. “It’s our duty as surgeons to counsel them and avoid letting patients guide us into wrong ethical decisions.”

The Procedure

Rhinoplasty is typically performed on an outpatient basis and can be done in one of two ways: open or closed. Both approaches involve incisions being made within the internal nostril region, but the open rhinoplasty approach adds an external incision (a few millimeters) on the undersurface of the columella (i.e. the tissue that divides the nostrils), says Kolker. That external cut leaves a permanent scar, says Dugar. The skin of the nose is then “undraped” (similar to opening the hood of the car, says Dugar) so that the inner structures of the nose become visible. “This allows you to do massive changes to the nose and take things apart more readily and reconstruct the nose,” says Dugar. “This is necessary for botched or revision [previously operated on] noses, or noses with very difficult anatomy.” With closed rhinoplasty, “all of the incisions are made inside the nose, which means no external cuts and no risk of scarring,” Dugar says. It is through these internal incisions that the nose is then shaped and sculpted for subtle changes. “We don’t alter the face, yet we soften and improve the overall balance,” he says of the procedure. Ultimately, the plastic surgeon will select the most appropriate rhinoplasty incisions based on the specific structural modifications required for the patient, according to Kolker.

Risks

When considering rhinoplasty, or any other cosmetic and elective procedure for that matter, there are risks to keep in mind. Gary Breslow, a board-certified plastic surgeon in New Jersey, explains rhinoplasty is not without risks, although it is considered a very safe procedure. “The biggest risk of rhinoplasty is a poor outcome, which is why rhinoplasties have the highest revision rate of any plastic surgery procedure performed,” he tells Allure. The poor outcome might mean that the cosmetic appearance is not what was desired, and sometimes it might even be worse than pre-procedure. Breslow gives some examples. “Cartilage grafts are often used in cosmetic procedures, and these grafts may move and become visible,” he says. “Rhinoplasty to correct a crooked nose runs the risk of not straightening the nose completely,” he says. “Because cartilage has ‘memory,’ there is also the risk of the nose becoming crooked again over time.”

There’s also your breathing to consider. “Cosmetic rhinoplasties also run the risk of worsening breathing in a patient who had no issues before surgery,” Breslow says. He adds that even when the procedure is performed for breathing issues, there is still the risk that breathing might not improve, and may get worse after surgery. Other risks include those often associated with surgery, such as bleeding, infection, and risks of anesthesia, but Breslow notes these risks are “extremely small.” As always, speak to your doctor about your own potential risk factors.

Recovery and Downtime

In terms of recovery, it largely depends on the type of rhinoplasty, but for both open and closed procedures, downtime is typically a one- to two-week period. “Most patients have a rapid recovery within five to six days [for closed procedures],” says Dugar. After five to six days, you can remove the splint from your nose and go out in public, if desired. Once the splint is removed, there is often little to no bruising, which is (nothing a little concealer can’t cover up). “You can be out to dinner the same evening without any telltale signs of surgery,” says Dugar. While initial recovery is generally quick, healing can continue for the next one to three years. “It is a slower healing process than most people think because the skin isn’t being cut like it is in a face-lift or tummy tuck,” says Dugar. “The skin has to shrink to the new, underlying framework, which can take one year for the bridge and three years for the tip.” At the same time, Breslow says that while rhinoplasty might have a reputation for being painful, the pain factor is not as serious as some people think. “Although there is generally a significant amount of swelling and bruising after the procedure, patients are generally very comfortable with little pain,” he says, adding that the pain patients do experience is usually very well managed with prescribed medications.

The Cost

As with most plastic surgeries, the total cost of the procedure and recovery can vary greatly depending on the region and physician. Dugar explains that other variables include the skill level of the surgeon, whether it’s being done open or closed, and if it is a primary or a revision case. Kolker agrees that costs can vary widely and can include fees from surgeons, anesthesia, and hospital and ambulatory surgery centers. He says that in total, rhinoplasties can range from approximately $6,000 to $15,000. However, for those with documented breathing problems, “surgery of the septum, internal valves, or turbinates that can be performed at the same time as aesthetic refinements may qualify for insurance coverage, but for the functional portion of the procedure only,” Kolker says. you can compare the cost of rhinoplasty in Iran here.

The Experience

Dugar says rhinoplasty is “extremely common amongst the younger demographic,” and that rings especially true in the case of Ruby Priscilla Cruz, 19, a patient of Dugar’s who shared her rhinoplasty experience with Allure. “I couldn’t be happier with the results,” Cruz says. “The first week I had discomfort because I was unable to breathe through my nose because of the packing and cast, but other than that, the healing process was smooth and painless.” For a smooth procedure with happy results like Cruz’s, Breslow stresses the importance of finding the most-qualified doctor. “The ability to precisely and accurately manipulate and restructure the nose to achieve an aesthetically pleasing result, while maintaining or improving functional breathing issues, requires a skill set and expertise that takes many years for a surgeon to acquire,” he explains, adding that correcting a botched rhinoplasty is even more difficult.

scarless-nose-rhinooplasty-before-and-after

“Choosing the correct plastic surgeon is the one factor that a patient must get right when considering having a rhinoplasty,” stresses Breslow. Therefore, doing your research is imperative.

YOUR CONSULTATION IS IMPORTANT

Bringing your plastic surgeon reference photos is not just something you see on TV. Little did I know (oops!), you should really come into a rhinoplasty consultation with an idea of what you want your ~future~ nose to look like. If you voice the changes that you want, it will make your doctor’s life much easier. Plus, you’re more likely to have a better end result—one that you’re actually happy with. Luckily, my doctor was able to give recommendations and guide me through the process. I wanted to still feel like myself, so instead of modeling my nose after someone else’s, we used a computer model to make small adjustments to my “problem” areas. Besides straightening the interior deviation of my nose, we decided to 1) fix the bump on the bridge of my nose, 2) bring the tip of the nose up a little, and 3) even out the nostrils to make my nose more symmetrical as a whole.

THE PAIN REALLY ISN’T THAT BAD

Weirdly enough, the most painful memories I have from my surgery are getting the IV inserted pre-op and getting my stitches plucked out post-op. This probably has to do with the fact that I was under anesthesia for the almost three-hour-long procedure and then on hardcore prescription painkillers afterward. With all of the medication I was given post-op, my pain ended up feeling duller than expected. So although my face looked like I had gone to hell and back, there wasn’t any intense suffering. The main issues were extreme weakness and sleepiness as a side effect from the drugs I was taking. For the first few days, I was so weak that I couldn’t walk or go to the bathroom without assistance. I had to constantly ice my face so that the bruises and swelling went away, and I couldn’t eat solid foods for a while. I was forced to sleep on my back with my head elevated at night, which was very uncomfortable. I also had crazy dreams and was groggy for most of the day.

THE Rhinoplasty RECOVERY PROCESS IS SHORTER THAN YOU THINK

As this was one of my first major surgeries (the other was getting my wisdom teeth removed), I was a complete wreck beforehand. After heavily researching and staying up late at night watching YouTube videos, I figured that my recovery would take about three weeks. I was pleasantly surprised when my bruises disappeared about six days later. Two days later I had my stitches and the splint on my nose removed and finally looked like a normal human again. My face was still slightly swollen, and my nose was tender with visible marks from where the stitches were removed, but none of that was a major hindrance. However, most people don’t realize that your nose takes up to a whole year to strengthen and re-form after surgery. According to my doctor, I was not allowed to do any physical exercise for a few weeks and needed to avoid all contact sports (that was a no-duh, thanks to Clueless). I couldn’t blow my nose (unless I blew it one nostril at a time), had to refrain from wearing glasses, and had to make sure I wasn’t slipping and falling on the icy winter streets of New York. Any blunt force could cause some serious damage, as the nose is still sensitive and flexible. To retain the new shape of my nose, being especially careful was a must.

MOST PEOPLE WON’T NOTICE THE DIFFERENCE

Since there is still a stigma around plastic surgery, I only told family and close friends about my procedure at first. Justifying my personal choices to acquaintances wasn’t something I cared to attempt. But after my nose healed, I was much more open to sharing it with the world. My results were exactly what I hoped and more, and I now want people to notice. The thing is, the difference isn’t obvious enough for anyone to realize without blatantly telling them. Even after I share the news, they are often in disbelief until I pull up my handy side-by-side “before” and “after” photos. Although a *little* more recognition/attention would be nice, I’m nonetheless happy with the natural-looking results. And by happy, I really mean overjoyed. My confidence levels are at an all-time high, and I haven’t regretted my decision once.

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About TebMedTourism company

TebMedTourism Company is an International healthcare facilitator based in Tehran, Iran. We start our professional activity in medical tourism industry regarding the profound capability of Iran in both healthcare & touristic fields. We are ready with open arms to provide desirable services to our dear patients & guests from all over the world to enjoy world-class treatment quality and highly skilled doctors in Iran. TebMedTourism company is cooperating with more than 40 internationally certified hospitals, 140 selected local hospitals, 300 specialized medical centers, 430 doctors, 112 hotels, domestic and international airlines in Tehran, Shiraz, Mashhad, Tabriz, Qom and other cities in Iran. TebMedTourism team facilitates comprehensive medical & cosmetic packages in all medical & wellness & touristic fields aimed to achieve your desires. TebMedTourism experienced team will make this procedure seamless and enjoyable from A to Z, so you will just focus on your recovery.