The patient must be psychologically stable and realistic with surgery expectations; this intervention seeks to improve the appearance and self-esteem. Usually, rhinoplasty is performed when the patient has reached adolescence between 14-15 years.
In the first consultation we assess overall physical and mental health, external and internal nasal structure, changes to be made, history of allergies, rhinitis, sneezing, and evaluation of respiratory function. We indicate laboratory studies, preoperative cardiovascular assessment, and the elimination of certain drugs, such as aspirin 15 days before, some vitamins, alcohol and tobacco.
Rhinoplasty is performed under local anesthesia assisted by sedation, or general anesthesia and the patient is hospitalized for a day.
During surgery the skin of the nose is separated from its supporting bone and cartilage that is sculpted into the desired shape and finally we place the skin over the new structure. This procedure can be performed from inside the nose via small incisions inside the nostrils or open rhinoplasty through an incision in the columella, in more complex cases. Finally a splint is placed over the nose to keep the new shape and nose plugs in both nostrils to prevent bleeding and stabilize the nasal septum. The splint will be removed in 7-10 days and nasal packing in about 1-3 days. Inflammation in the middle third of the face occurs: eyelids, cheeks, upper lip and partially in the forehead, which is temporary. You should keep your head elevated for a week, avoid physical exertion, blowing your nose, sneezing, and avoid doing any activity that may lead to increased head pressure for several weeks, and not expose to direct sunlight for 8 weeks. You can start your work or school life from 7-10 days postoperatively.
The aesthetic results are shown as the inflammation decreases, leaving a small swelling in the nasal tip for several months. The final result is obtained in about a year.