Nose surgery is the most frequently performed facial surgery since it is the most notorious organ of the face. Remember that the nose is vital in facial expression, the nose with hump and drooping tip age and those too wide make the face look less stylized. The surgery can be performed on the whole nose or only on the tip, depending on its shape and context within the face, since each person is different and the final goal will always be to seek harmony with the face.
Nasal surgery is performed for several reasons: it can be only for aesthetic dissatisfaction of the patient, as a sequel of a nasal trauma or sequel of a previously performed surgery, in any of these cases it will be taken into account that the surgery includes both aesthetic and functional. In the pre-surgical assessment, it is evaluated if there are alterations of the internal structures such as the septum or septum, turbinates, etc. to be treated in the same surgical time and thus not only beautify the face but also improve breathing and nasal function.
One of the most recognized doctors in Colombia is Dr. Carlos Arango, specialist in Plastic, Aesthetic and Reconstructive Surgery, expert in nose surgery. As a member of the Colombian Society of Plastic Surgery he has 20 years of experience and a great trajectory in his field, that is why he is considered one of the best, providing his patients with totally harmonious and natural results.
It is suitable for patients over 15 years old, in some cases for functional and aesthetic correction, not for everyone the same surgical technique is performed, you should look for harmony to know from the aesthetic point of view what type of nose suits you, also take into account ethnicity and skin type of the patient.
The procedure is based on the modification of the bony and cartilaginous nasal structures, by means of cutting, augmentation or fracture that lead to a modification of the angles and volume of the nose. As a general rule the incisions are made in the internal area of the nose but in cases where it is necessary to reduce the width of the nasal wings, in sequelae of cleft lip and palate or in the correction of facial trauma caused by accidents is done with external incisions (open rhinoplasty) with an excellent result in the scar that in most patients is absolutely imperceptible after a few months.
In most cases the scars are always internal, that is to say that they are not noticeable. In cases where the nostrils are very large, they must be reduced and this does lead to an external scar, which is not very noticeable, and a good healing is always expected after the surgical procedure, but there may be abnormal scars in both the skin and deep tissues. In some cases the scars may be of a different color than the surrounding skin. Additional treatments including surgery may be needed to treat the abnormal scarring and it is clear that there is no responsibility of the surgeon for the quality of the scarring.
It is performed under general anesthesia but in cases where only the nasal tip is approached, local anesthesia plus sedation is used.
Disability time is 3 to 5 days. Activities without effort and inside the house can be performed after 48 hours. To resume activities outside the house it is recommended to wait 7 to 10 days. For intense physical activities it is recommended between 3 weeks and a month.
For foreign patients the surgeon must make recommendations on the recovery time that entail stay within the city since for patient safety is requested that the patient must be at least 3 days before the scheduled date for surgery in order to take prophylaxis or preventive measures with the plastic surgeon and anesthesiologist since the safety protocol indicates that if the patient comes from a trip of 6 or more hours, he/she must wait 72 hours to be operated since staying still for a long time in the plane, affects circulation, and the risk of thromboembolism in the operation is higher, should wait 72 hours to undergo surgery, since staying still in the plane for a long time affects the circulation, and the risk of thromboembolism during the operation is higher. This simple preventive measure greatly reduces the number of complications. This prevention is advisable for those coming from Europe, West Coast of the United States, New York, Canada, Argentina or Chile, those coming from Miami, the wait is reduced to 48 hours. Air travel after your nose surgery or rhinoplasty is advised after 10 days of surgery as it could cause bleeding or barotrauma due to the change in air pressure. Patients with nasal packing will not be able to fly until the nasal packing is removed. It is important that the plastic surgeon issues a medical certification document that will be required by the aeronautical authorities for travelers. The certificate must be issued no later than 10 days before the date of travel.
In most cases, a nasal splint is placed, which will be removed a few days after the procedure; when plugs are placed (which is not always done) they are removed after 48 hours. There will be a slight swelling of the cheekbones and in some cases of the lower eyelids accompanied by bruises that will begin to fade from the fifth day. It is prudent to rest with the head raised during the first days. Do not touch your nose or try to remove the bandages to see the result, this could deteriorate the surgery. The patient should use cold compresses at home during the first three days. Do not wear glasses during the first four postoperative days. Avoid activities that demand physical effort during the first postoperative week. Do not expose yourself to direct sunlight and use sunscreen during the first three postoperative months. You will be able to resume your daily activities 1 to 2 weeks after the procedure. Avoid strenuous physical activity for 2-3 weeks as it may promote bleeding or nasal trauma that may affect the result, contact sports should be avoided in the first 3 months.
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