Surgery of the nose

If you are considering rhinoplasty...

Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures and it also represents one of the largest challenges for a plastic surgeon. It requires a specific knowledge on anatomy and physiology of the nose.
The nose is located right in the center of a face and it stands out. Therefore, to have it reshaped will bring a relevant modification in one’s face. So, it very important to find the appropriate balance on your face.
This procedure can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing

The best candidates for rhinoplasty

Rhinoplasty can enhance your appearance and your self-confidence. The best candidates are people who are looking for improvement, not perfection, in the way they look. If you’re physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate.
Age may also be a consideration. Many surgeons prefer not to operate on teenagers until after they’ve completed their growth spurt-around 16 years old. For girls, this period may be anticipated a little.

Planning your surgery

Good communication between you and your physician is essential. In your initial consultation, the surgeon will ask what you'd like your nose to look like, evaluate the structure of your nose and face, and discuss the possibilities with you. He or she will also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.
Be sure to tell your surgeon if you've had any previous nose surgery or an injury to your nose, even if it was many years ago. You should also inform your surgeon if you have any allergies or breathing difficulties; if you're taking any medications, vitamins, or recreational drugs; and if you smoke.
Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.

Types of anesthesia and the surgery
The great majority of this procedure is done under local anesthesia with sedation and your nose and the surrounding area will be numbed. Depending on the extent of the procedure general anesthesia will be performed.
A nasal packing will be inserted and kept during the whole surgery and you will be breathing through your mouth, if you are under local anesthesia.
During the surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape discussed previously. Finally, the skin is redraped over the new framework. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs of soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.

After your surgery

After the surgery your face will feel puffy, you’ll notice that the swelling and bruising around your eyes will increase first. All these facts will worry your family more than you, because it won’t ache. You can control any discomfort with the pain medication prescribed by your surgeon. You may feel some discomfort by breathing through your mouth during the first 24 hours. On the following day you may take the nasal pack by yourself. There will be no problems. When in bed, keep your head elevated with two or three extra pillows and apply compresses with cold physiological solution on your eyes. Follow these instructions for two full days.
By the end of the first week you will return to see your surgeon in order to remove all dressings, splints, and stitches. You can contact lenses as soon as you feel like it, but glasses are another story.

Your new look

In the days following surgery, when your face is bruised and swollen, it’s easy to forget that you will be looking better. Rest assured that this stage will pass. Day by day, your nose will begin to look better and your spirits will improve. In the meantime, you might experience some unexpected reactions from family and friends. They may say they don't see a major difference in your nose. If that happens, try to keep in mind why you decided to have this surgery in the first place. If you've met your goals, then your surgery is a success.

Still, healing is a slow and gradual process. Some subtle swelling may be present for months, especially in the tip. The final results of rhinoplasty may not be apparent for a year or more.

        

        

Addresses and Telephones

São Paulo
47, Amadeu Amaral, Square
Room 93
São Paulo, SP
Phone: +55 11 3285-3432

Guarulhos
252, Salgado Filho, Avenue
Room 109
São Paulo, SP
Phones:
+55 11 2600-9275
+55 11 2600-9290
e-mail: dr.lourenco@uol.com.br

Cell Phone: +55 11 99975-1550

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