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08.06.2014
Every year, half a million people who are interested in improving the appearance of their noses seek consultation with facial plastic surgeons. As with all facial plastic surgery, good health and realistic expectations are prerequisites. For this reason, a story out of Egypt today highlights the recovery process from rhinoplasty surgery. Fortunately, the vast majority of people will not be subject to loss of their job or political party should they have a rhinoplasty. The aesthetic recovery from rhinoplasty takes a long time, much longer than that of the surgical recovery.
For some patients they can look remarkably good even by six weeks after rhinoplasty surgery.
Changing the appearance and improving the function of the nose through rhinoplasty surgery is sought by many patients. While the outcome of a rhinoplasty can be very exciting, it is surgery and with that comes a recovery period. The first stage of rhinoplasty recovery is up to a week after surgery and is largely a functionally restrictive period.
The fourth and final stage of rhinoplasty recovery is between three months and one year after surgery. In conclusion, recovery from rhinoplasty surgery is a long process and the final result may take up to a year to fully appreciate.
The changes that rhinoplasty surgery does to the outside of the nose can be both significant and appearance-changing.
It is important to realize that significant nasal congestion is to be expected in full or more complete rhinoplasties.
While time will improve the nasal congestion substantially, it make take up to 10 to 14 days until it is really better for many patients. There are several things that can be done, however, to lessen the uncomfortable symptoms of postrhinoplasty congestion and help it clear sooner. The use of hot showers or a dehumidifier in your bedroom at night keeps down dry surrounding air.
Nasal congestion is usually the most uncomfortable part of the recovery after a complete septorhinoplasty.
Rhinoplasty is an operation that is a complex series of surgical maneuvers that changes in shape or size the bone and cartilages of the nose. One of these options that has great impact on whether one will have bruising and how much is the bones of the nose. Whether one has an open or closed rhinoplasty influences how much and how long swelling of the nasal tip will persist. The other issue affecting recovery is whether one has had any internal or functional nasal surgery done at the same time as the rhinoplasty. Understanding what to expect after surgery, before you have it done, can ease one’s concerns as they go through the recovery period.
Disclaimer: The information contained on this website should not be construed as medical advice.
If you have just had rhinoplasty surgery, at Little Rock Cosmetic Surgery Center, you will have to wear a splint on your nose for at least 5 to 7 days. The purpose of the splint taped to your nose is to hold your cartilage and bone in their new position while they heal. Of course the staff of Little Rock Cosmetic Surgery Center will instruct you thoroughly about how to care for yourself after your rhinoplasty. Send Off Summer with One of Little Rock’s Best ToursCould Latisse Also Help Fill In Your Brows? Sometimes referred to as rhinoplasty, nose plastic surgery, or nose reshaping, nose surgery is a surgical procedure typically used to aesthetically improve the appearance and proportion of the nose, and thus improve your facial harmony. The procedure can also be used to correct and reconstruct the form, or restore the functions of the nose after incidents such as nasal injury (from a blast, blunt object, or a penetrating object). It may as well be needed to reverse or improve upon the results of a primary rhinoplasty procedure.
During the surgery, the nasal skin and the underlying soft tissues are separated from the osseo-cartilaginous nasal framework and once corrected as needed, the incisions made are sutured before applying a stent or a packing to keep the nose immobilized as the incision wound heals.
Taking a look at nose surgery picture can offer insight into the kind of results that can be achieved. Nose plastic surgery cost varies widely according to factors such as surgeon experience and reputation, the complexity of the surgical procedure required, and geographic location (yes a surgeon based in Beverly Hills, California will most likely charge a higher fee than a surgeon based in Denver Colorado) among other factors. According to the American Society of Plastic Surgeons, the average cost for a nose plastic surgery is $4,545 based on 2013 statistics. This might explain the slight discrepancy observed between the average cost provided by The American Society of Plastic Surgeons ($4,545) and the one provided by the Real Self Community ($6,950) which bases its calculations on the costs incurred by actual nose surgery patients. While it is only natural to want to get the best prices, remember that nose plastic surgery cost is just one part of the equation. You will also want to check some before and after pictures for patients he or she has worked with in the past to get an idea of the kind of results you can expect.
After the surgical procedure, you will most likely be allowed to go home and rest as the nasal cartilage and bone tissues heal from the effects of the incisions involved in the surgical procedure.
Your surgeon will most likely give you a prescription of various medications including antibiotics, analgesics (pain relievers) and maybe steroids to relieve pain and encourage.
The initial swelling and bruising will subside within a few weeks but full nose surgery recovery time may be as long as 1 year. Your surgeon will discuss with you some of the best practices to observe during the recovery phase in order to ensure speedy recovery and minimize chances of infections. The external sutures are typically removed in 4 to 5 days while the stents are removed in 4 to 14 days. You may decide to go for a nose reduction surgery if you feel that your nose is too large that it appears disproportionate to your face, your nose appears too wide when viewed from the front, or that the tip of your nose is too bulbous (too wide) droops, or is too long. Should you decide to get a nose reduction surgery for any of these reasons, you should keep in mind that it may not be covered by your medical insurance company. It is only natural to want to know some of the nose surgery before and after procedure best practices that will ensure that you recover as soon as possible and lower the risk of infection. The period after the procedure is perhaps the most important as this is during which your surgical site may get serious infections if not properly cared for. One last point to keep in mind; it takes up to a year for the full outcome of the surgery to settle. One case of nose plastic surgery gone wrong that got the most media attention is that of Vishal Thakkar whose procedure went so bad that he ended up losing his nose – breathing through a straw – 22 surgeries down the line. It all started in 2006 when his first nose job got him bleeding so often that he had to undergo several surgeries the culmination of them all being one done in 2011 after a serious infection.
Such horrible case of failed procedures gone wrong aside, patients often find that they didn’t get the results they desired or would at all desire, but there is always the possibility of getting a secondary surgery.


Some are unhappy with the noses they were born with, and some with the way aging has changed their nose. Sitting dead center in the face, it is hard to escape what it looks like…and even harder to hide it should it have surgery. An Egyptian government official was forced to quit the parliament after being caught lying about cosmetic surgery.
But this extreme example highlights a common problem with this structural facial surgery…the recovery process is often underestimated.
This doesn’t mean that one can’t walk around and their nose looks like it has obviously had surgery.
But for patients with thicker skin and a more broad and wide tip of the nose, getting to the point of visible improvement can be excrutiatingly slow. Having the opportunity to get rid of that hump, narrow and lift the tip, straighten the nose and overall make the nose more proportionate can improve the look of one’s entire face. While often stated as being two or three weeks for a rhinoplasty recovery period, what happens in an actual patient is quite different than what is written in a brochure or on a website.
It is during this period that splints and tapes will be on the nose and it is obvious one has had surgery.
One of the very common postoperative hurdles that patients must get over besides swelling and bruising is nasal congestion.
The mucosal lining inside the nose reacts to the trauma of surgery and manipulation by swelling. But more limited nose procedures, such as tip rhinoplasties, may have very little congestion if any at all. Complete resolution of the congestion and drainage will be seen by three to four weeks after surgery. The fundamental principles include humidification to loosen nasal debris and decongestant medication to help shrink the nasal lining and decrease the production of secretions. While many have an interest in such nasal surgery, there is understandable concern about going through a surgery and, in particular, the recovery from it. If they are merely shaved or rasped at the bridge area, one will have no bruising or swelling under the eyes. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. When you have the size and shape of your nose changed, the angle of the bridge may be changed, increased or decreased, and the nostrils may have been narrowed or the tip reshaped.
Below is a lowdown of everything you need to learn about including before and after pictures to give you some insight into the possibilities achievable as well as a breakdown of the recovery process. Nose plastic surgery may also be required to correct breathing problems associated with structural defects such as deviated septum. It is indeed recommended that you ask for before and after pictures from a surgeon before making the decision to work with them, but that should not replace the need to ensure that the surgeon is fully registered with the relevant board in your country. It is however worth noting at this point that the above average price doesn’t factor in other costs such as anesthesia, operating room facility, post-surgery garments, prescription medications, medical tests and other related costs that you may incur. During this time, your nasal contour will improve gradually until a permanent appearance is finally achieved. Your surgeon will as well explain to you when it is safe to resume work or exercise regime. Patients also tend to develop periorbital bruising (also referred to as panda eyes or raccoon eyes during their nose surgery recovery phase but this usually clears in about 2 weeks. If not, you may then want to ask the facility or surgeon that you are considering if they have any financing arrangements in place. He or she will for example instruct you on the kind of food to eat and avoid – if any – as well as the kind of medications to avoid before and after the procedure.
In addition to giving you appropriate medications, your surgeon will explain to you some of the signs of a problem, and schedule a post-surgery appointment to ensure that everything is going on well. It is therefore likely that you will experience some changes in the appearance of your face after the surgery.
Given the situation at hand, Angelo Cuzalina, MD, his surgeon, had to cut off his nose while he was unconscious; I can only imagine the shock Vishal got when he woke up. Besides the splint and tapes that envelope the nose during the first week after surgery, there are a minimum of several weeks afterwards in which the swelling and bruising are still inescapable from detection. To coverup that he had had nose surgery, the official claimed that he was assaulted and robbed in a car jacking assault.
While many plastic surgery websites state that rhinoplasty recovery is two or three weeks, this refers to the ‘surgical recovery’ process, the shortest end of rhinoplasty recovery.
But refinement and achieving one’s desired nose shape and form is achieved in the time frame of months not weeks.
This means that don’t plan on a critical social engagement for at least three months after surgery. Coupled with improving the breathing through one’s nose, should that also be a problem, provides a functional benefit as well.
Because it is a surgery that affects the most prominent part of one’s face, the recovery period after nasal surgery will always be much longer than most patients anticipate. While many patients want to look critically and note many ‘flaws’ in the result, what is seen now is still not the final result. Something that looked not quite at three months may have completely gone away by six or nine months after the surgery. Even when the rhinoplasty is done only to cosmetic structures of the nose, some temporary nasal congestion can occur. So even when the airway passages are made  wider or more open, the swelling of the lining will temporarily obscure any of those benefits. Even when the airway structures are not changed (septum, turbinates), some congestion may still occur if nasal osteotomies are done as part of the procedure. But in the interim, there are some helpful steps that can make an otherwise uncomfortable phase more tolerable. Because of the  very visible location of the surgery (hard to miss the nose in the center of your face!), everyone is very interested in knowing how ‘bad’ one will look after and for how long.
If  these bones are broken, for the sake of narrowing the upper part of the nose and to close an open roof after a significant hump reduction, there will be bruising under the eyes that is typically thought of after rhinoplasty.
He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This splint will also be a reminder to be very careful not to bump your nose causing accidental trauma to it. Depending upon your condition and what was involved in your specific rhinoplasty, all the splints, packing, nasal picks, and stitches (if not dissolvable) will be removed in 1 to 3 weeks. Some patients have reported swelling that come and sometime get worse in the mornings as they recover from the surgery. And if you don’t like the final look, you can always schedule a secondary nose job, preferably one or more years down the line – in fact most surgeons will not agree to it earlier than that.


But one thing is clear: nothing has a greater impact on how a person looks than the size and shape of the nose.
First incisions are made and the bone and cartilage support system of the nose is accessed. He appeared on TV with a bandage on his face alleging that the attack occurred on a highway outside of Cairo. While the obvious signs of bruising (usually under the eyes), most pronounced swelling and severe congestion (if a septorhinoplasty is done) may largely be gone in the first month after surgery, the final result is far from becoming apparent. The skin that overlies the nose is remarkably well vascularized but gets rid of swelling slowly and relies on scar contracture to reveal its new architecture. Recovery from rhinoplasty must be thought of as having both a cosmetic and functional component that occurs in four stages. While the biggest parts of swelling have subsided in the first couple months after surgery, many finer nasal issues such as the size of the tip or shape of the nostrils still needs more time. Conversely, an asymmetry or bump may appear at six months after surgery that was not apparent at three or four months after surgery. When both the internal and external structures of the nose (septorhinoplasty) are manipulated, that temporary congestion can really be significant. As the nasal lining swells the tissue reacts by producing secretions, a normal mucosal tissue response. Using Afrin nasal spray 3 to 4 times per day and taking Sudafed 30mg three times a day provides an immediate and significant decongestant effect. In my Indianapolis plastic surgery practice, I like to make sure that patients know what to expect and why.
The nasal bones are cut low at their base where they join the upper jaw bone up to the inside corner of the eye.
This is one of the major benefits to the tapes and splint that patients wear after surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. By 3 weeks most tissues have accomplished 80% of the healing, so you will not need the splint after that.
If you have realistic expectations and understand that you will see the most change in six weeks, but some of the finer refinements will not be noticed for many months up to one year. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one’s appearance. Given the prevalence of such assaults since the overthrow of President Mubarak, this would normally be a believable story. Whatever pain one will have is during this phase although rhinoplasty is not commonly very painful. If bruising has occurred it will still be present and will take up to the end of stage two to go away completely for most patients.
But during this phase the general change in nose shape should be apparent even if it needs more time for further refinement.
This accounts for that postsurgical drip from the nostrils that many rhinoplasty patients experience for several weeks after surgery. Cutting these bones with a small chisel causes bone bleeding which oozes into the soft tissue planes of the tissues underneath the lower eyelid. Keeping down a large amount of swelling and helping the skin to heal back down are its main objectives. So remember, like many cosmetic procedures, the results of your rhinoplasty will not be completely evident until later.
It is uncomfortable with the splint in place for sure and, when combined with congestion and nasal stuffiness (if septal and turbinate work has been done), is a week one wants to get over quickly. This is not the end of the functional recovery as further improvements in breathing will occur but it is the beginning of the cosmetic recovery. This is the hardest phase as one’s patience is growing thin but just remember how far you have come sicne stage two. Their will always be some blood clots inside the nose and they present a mechanical obstruction to breathing.
Also during your first postoperative visit to your plastic surgeon, those clots that are easily visible and not too painful to remove can be cleared. Because this tissue plane stops where it joins the cheek, a very sharp line of demarcation develops between bruised and non-bruised cheek skin.
When the splint and tapes are removed after the first week, one should anticipate improvement in the shape of the tip already but there will be some significant swelling and shape changes to occur as this goes down. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. The cartilage of your nose has been reshaped; the soft tissues have been separated from the underlying tissues, and the bones have been sculpted and moved. Next certain amounts of underlying bone and cartilage are removed, added to, or rearranged to provide a newly shaped structure.
Given that the official’s Islamic party follows a line that forbids cosmetic surgery, he was expelled from his position.
If nasal osteotomies (breaking the bones) are done, bruising may appear under the eyes but often will not appear for several days. But no matter how it looks, even if it is not what one anticipated, the thought of revisional rhinoplasty will never be entertained at this time. Lastly, even though most plastic surgeons today don’t use nasal packing, often some form or resorbable or dissolveable packing may be used. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery. For example, when the tip of the nose is too large, the surgeon can sculpt the cartilage in this area to reduce it in size. The nose does not get swollen (because of the splint) but the surrounding face might in the cheeks and down to the jowls. In some patients this may take months, but most seen a lot of satisfying improvements by the third week after surgery.
The angle of the nose in relation to the upper lip can be altered for a more youthful look or to correct a distortion. It will improve but even at three weeks after surgery less than 50% of the swelling will be gone.



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