The term “rhinoplasty” means to mold or shape the rhinion, which is another word for the nose. In rhinoplasty, deformities of the nose are corrected for aesthetic and reconstructive purposes.BOOK YOUR CONSULTATION
The operation itself consists of restoring, rearranging, or removing any excess bone or cartilage to give the nose a more pleasing appearance, while preserving nasal function. The goal of aesthetic rhinoplasty is to restore or create symmetry, balance and proportion.
Revision Rhinoplasty is a corrective surgery for those that have experienced complications or unsatisfactory results from a previous nose surgery. Dr. Fedok often performs revision rhinoplasty and specializes in complex cases.
Candidates include individuals who want a nose that is in harmony with the rest of their face. Rhinoplasty is a procedure that spans all ages. A longer, drooping nose may be a tell-tale sign of aging, and a noselift can be performed to give a more youthful look.
Before surgery, Dr. Fedok takes photographs of the face and plans how he will proceed in each individual case. Part of this planning may include computer imaging, so patients can see an approximation of how the improvements may look. Because of the inherent limitations of surgery, it is often difficult to duplicate the exact idea as it was presented. No ethical physician can “guarantee” the results of any treatment. The surgical procedure itself can take one-and-one-half hours to four hours or more, depending on the extent of work that needs to be done. In general, Dr. Fedok finds that packing the nose is usually not necessary. This contributes significantly to the reduction in swelling and discoloration patients experience in the postoperative period.
After the surgery, Dr. Fedok places a tan, taped splint on your nose and advises you to remain out of bed, and in an upright position, as much as possible. It is also advisable to sleep with the head of the bed elevated. The elevated position of your head above your heart helps reduce swelling and promotes healing. Ice-cold washcloth compresses should be used throughout the day and night immediately following your surgery to further reduce swelling, slow any normal and expected oozing and reduce bruising.
If external sutures were used, they will be removed approximately seven days after surgery. One week following surgery, the splint dressing is removed. In most cases, no further dressing needs to be applied. At this time, most patients return to work or school and social activities. Patients are advised to not over-exert, lift heavy objects or blow their nose for at least two weeks to three weeks. In addition, over the next six weeks, patients must be extremely careful not to injure the nose in any way. Once the nasal splint is removed, it is important for patients who wear glasses not to rest the glasses on the top of the nose. The glasses must be suspended from the forehead with a piece of tape or be supported on top of the original nasal splint which will be given to you when it is taken off. These small inconveniences are well worth the effort it takes to arrive at a satisfactory postoperative result and a pleasant-looking nose.
At the end of the first week following surgery, most patients will experience only a reduced amount of swelling and discoloration. Some swelling of the nose may still be present, which the patient feels more than he/she or anyone else sees. This slight swelling will diminish gradually over the following weeks and will resolve within a few months. However, some small amount of swelling persists in the skin for months, and the “final” result may not be apparent for up to one year or more after surgery. The swelling sensation will be more noticeable in the morning hours and subside during the day. Patients may experience intermittent nasal stuffiness, which will progressively decrease over the first month following surgery. It is permissible to ingest oral antihistamines and decongestants, if you desire, to help decrease the congestion.
Although rhinoplasty is a generally safe procedure, as with any surgery, there are potential risks involved. One of the most common risks associated with rhinoplasty is bleeding. While it is common to experience some bleeding during and immediately following surgery, excessive bleeding can be a concern. In rare cases, a blood clot may form, which can be dangerous and require additional medical attention.
If you’re considering rhinoplasty or septoplasty, booking a consultation with Dr. Fedok is definitely the right way to go. His extensive experience and training complement his personalized approach to rhinoplasty and septoplasty procedures. He tailors each procedure to meet his patient’s unique needs. Schedule your consultation today to learn more.
When the dressing is first removed from the nose, it may appear turned up because of swelling and the manner in which it was taped at the end of the surgical procedure. The patient who expects to see a perfectly shaped nose at this time will be disappointed. Swelling does occur, but it will begin to disappear once the splint is removed. The splint will leave a light impression which will blend out within a few hours of the splint’s removal. By the end of the second week, the average acquaintance would probably not notice any swelling. In the ensuring weeks, the nose will begin to assume its eventual shape. The last two or three percent of the swelling will subside over the course of a year or more as the elements of the nasal surgery come together and improve the definition of the new nose. Experience has demonstrated that the thicker the skin, the longer it takes for the nose to assume its final shape. Each case is different, and in our preoperative consultation, I will discuss the skin limitations in your case.
The incisions made inside the nose do not leave visible scars. In order to increase the visibility of the nasal structures, these incisions may be connected with a small incision under the tip of the nose crossing the central portion between the nostrils. This incision is designed to leave an inconspicuous scar after healing is completed. When it is necessary to narrow wide nostrils, incisions are made at the base of the nostril near or in the crease, and this area will be slightly red for a few weeks.
Patients should remember that there is a limit to the corrective procedures that can be completed. The surgical goals is to improve one’s looks and not to match the “ideal” present in a patient’s mind. Rhinoplasty surgery has limitations which include the contour and shape of the face; the texture and thickness of the skin; the inclination of the chin, lip, and forehead; the depth of the angle between the forehead and the nose; the height of the individual; and the healing powers of the person’s tissues. Often, it is necessary to correct a receding chin at the time of nose surgery to bring harmony to the facial features.
Patients must realize that noses which have been severely traumatized as a result of a sports injury or accident, or that are crooked, are inherently more difficult to correct to obtain a perfectly straight nose. Most of the time, these noses can be corrected with one operation, but occasionally, a “memory” of the tissue tends to drift the nose back slightly to the pre-existing curvature. Then, a second stage operation or surgery is required to give the best possible result and is usually done approximately three months to one year later.