The face is one of the most important attributes of female beauty – a symbol of attractiveness and desire. Many women are not completely happy with the size and shape of their nose and today women who are unhappy with their nose have many options which include Nose Surgery.
Nose surgery is one of the most common of all plastic surgeries yet one of the most complex to perform. It can be performed to meet aesthetic goals by changing the shape of the bridge, the tip or narrow the span of the nostrils or reconstructive purposes, by correcting a birth defect, injury (depending on the extent of surgery) or help relieve some breathing problems.
The nose is the peripheral organ of smell. Nose surgery-Rhinoplasty-Nose Job, is a highly individualised surgery and should be done to sculpt or reshape the nose. Depending on the desired result a nose job can be done for improving the appearance and proportion of your nose enhancing facial harmony and self confidence. .
While the shape of your nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery.

• The width of the nose at the bridge
• The size of the nose
• The shape of the tip that is large, bulbous, drooping or upturned
• The shape of the bridge
• The span of the nostrils that are wide large or upturned
• The angle between the nose and the upper lip
• Birth defects
• Upper respiratory problems
• Change the angle between the nose and upper lip
• Improve self esteem
• Self confidence
• Appearance

The best candidates for Rhinoplasty are those patients who are looking for healthy goals and are looking for improvement not perfection in their appearance. They should be mentally and psychologically stable, preferably do not smoke and have realistic expectations about the procedure and the results. Age may also be a consideration as surgeons may not choose to operate on teenagers until after they’ve completed their growth spurt, around 14-15 for girls and a bit later for boys. Its important to consider any teenagers social and emotional adjustments, and make sure that the surgery is really what they want/need, not what their parents want.
Nose surgery may be used to improve airflow and breathing which can be related to an obstructed airway, correction of a deviated septum (the skin between the nostrils) one of the most common causes of breathing impairment is achieved by adjustment of the nasal structure to produce better alignment.

Pre-visit and during consultations the surgeon will try to evaluate your physical-mental health and any medical conditions. In order to obtain the best results it is important that you are honest with the surgeon, that you advise any previous surgeries, if you are taking any medications, herbal supplements, vitamins or other drugs and if you smoke. Be sure to discuss your expectations and goals. The surgeon is here to guide, advise and explain to you how the surgery will be performed, possible alternatives that may offer better results, the risks and limitations of each as well as details of follow up and after care.

The Procedure

There are 2 types of sculpting techniques, open rhinoplasty and closed rhinoplasty. Open rhinoplasty means some or all of the cuts for nose reshaping are made outside the nose. Closed rhinoplasty means that all the cuts for reshaping are made inside the nose. The surgeon will decide on which method at the patients medical evaluation

During surgery incisions are made either with a closed procedure inside the nose or as an open procedure where an incision is made across the colummella (the narrow strip of tissue that separates the nostril). Through these incisions the soft tissues that cover the nose are raised to allow access to reshape the structure of the nose. The nose is separated from its supporting framework of bone and cartilage and then depending on the required results the surgeon will remove some of the bone to reduce the hump and create a slimmer bridge. If work is to be done on the tip of the nose, the cartilage can be removed and the surgeon will remove small sections of the nose to bring the nostrils closer together. Lastly by trimming the septum or columella (the piece of skin that separate your nostrils) the angle of the nose can be changed. When surgery is complete a splint will be taped to the nose to ensure the bone and cartilage heal in the correct shape.

For the first couple of days the area will be swollen and bruised but this will subside. Your face will feel puffy, your nose may ache and you may have a dull headache. Plan on staying in bed with your head elevated for the first day. Applying cold compresses for the first day will reduce the swelling and make you feel better. Most of the swelling and bruising should disappear within 2 weeks or so. A little bleeding is common during the first few days and you may feel some stuffiness for a few days. Your surgeon will probably ask you not to blow your nose for the first week or so while the tissue heals. If you have nasal packing it will be removed after a few days.
By the end of week one, or occasionally, two weeks, all dressings, splints and stitches should be removed.
Patients with glasses will have to wear contacts or prop them on their forehead or cheeks.
Any strenuous activity should be avoided, (jogging, swimming, bending, sexual relations – any activity that increases blood pressure) for 2-3 weeks. Avoid hitting or rubbing your nose, or getting it sunburned for 8 weeks. Be gentle when washing your face and hair and using cosmetics, make up can be worn after 10 days. Patients may return to sedentary work a week or so following surgery.
There are no visible scars with rhinoplasty except in the case of narrowing of flared nostrils but even in this case the scars will fade and disappear completely in a few months.
In the days following surgery the face may be bruised and swelling may come and go often worsening in the morning, its easy to forget that the appearance will improve. Many patients feel depressed after surgery – its quite normal and understandable, this will pass. Day by day the nose will begin to look better and gradual changes to the swelling, appearance of the nose can be seen as it refines to a more permanent outcome. Within a week or two you’ll no longer look as if you’ve just had surgery. The final results of rhinoplasty may not be apparent for a year or more.
The results are permanent, although as aging continues the tip of the nose becomes thicker and seems to look bigger in proportion to your deflating and sagging cheeks. It is not uncommon to have rhinoplasty two or more times. The nose is the central feature of the face and subject to a lot of scrutiny.
If you are looking for a procedure to improve the proportions of the face then Rhinoplasty is the answer. Most patients are more than happy with the end results.

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