Nasal Surgery is the most frequent procedure of aesthetic surgery. This operation needs an accurate analysis of the nasal anatomy and the relationship between the internal structures in order to modify the nose according the patient face, never taking as a model “magazine noses” or “jet set nasal shapes”. Differences between male and female must be preserved to obtain a natural result.
Like any other surgical procedure, the patient looking for Nasal Surgery must be examined by the doctor and should have pre-surgical blood test before schedule the operation . The surgery is done under general anaesthesia and in some few cases under local anaesthesia with sedation, always under the anaesthesiologist care . The procedure lasts 2 or 3 hours and the patient returns home after the surgery .
Surgical preparation with the anaesthesiologist
In general terms, the surgery is done without external scars. Through the nostrils, the surgeon modifies the cartilages that support the nose, sculpturing them in order to obtain a finer nasal tip.
Internal approach Cartilage modification
With special chisels and a hammer the dorsum is modified, the hump is removed and the nasal lateral walls are fractured under digital control by the surgeon, to obtain a narrow nasal pyramid.
Chisel in position Controlled nasal fractures
Before fracture After fracture
At the end , the nose is packed with special sponges to arrange the inner nasal lining and control the bleeding. The skin is fixed with surgical tape and an external splint is on top of it to maintain the fractured bones in position and protect the nose in case of any external trauma during the post- operative period.
Nasal packing Skin fixation
Nasal splint Nasal splint in place
The face looks swollen and there are bruises around the eyes and the cheeks. The pain is minimal, but there may some amount of discomfort because of the nasal packing. The patient must stay semi-seated all the time to prevent bleeding and extreme swelling. Nasal packing is left for 24 to 48 hours.
3 days after surgery 10 days after surgery
The nose may remain swollen for 2 to 3 weeks. The nasal splint is left in place for 10 days and the surgical tape is changed weekly by the surgeon , but remains in place for one month.
10 days after surgery 3 weeks after surgery
The patient should avoid sun exposure for 3 or 4 months after surgery to prevent skin pigmentation. Final results are evident after 3 to 6 months.