Rhinoplasty is the procedure that allows to change the appearance of the nose. In presence of even functional defects (bad breath and / or turbinate hypertrophy) a rhinoseptoplasty and possible diathermocoagulation of turbinate can be carried out.
The nose is a very important part in the face of a patient as it is located in the middle of the face and protruding from it, attracting a lot of attention. In addition to that, the nose, while being relatively small, is composed of several parts (root, dorsum and tip) that must be in harmony with each other and with the rest of the face.
In order to ensure a natural and balanced result is very important to assess the patient with all the components of the nasal pyramid: to do that the dr. Macrino uses the latest technology digital tools to show the patient what really can be achieved in the operating room.
It is important to know that after a rhinoplasty patients will notice substantial differences in their face: the features and the expression turn more genle to the point to leed some women to minimize their essential daily make-up routine.
SURGICAL TECHNIQUES
On a technical level, based on the needs of the case, Dr. Macrino will opt for “closed” rhinoplasty, that will take to alter the structure of bones and cartilage of the nose (without having to expose them) through two incisions hidden inside the nostrils, or the “open” technique.
In some cases it may be necessary to fix just the TIP of the nose (PARTIAL Rhinoplasty), but it is important to know that these cases are very rare because, as mentioned earlier, it is rare that the modification of only one side of the nose leads to a perfectly harmonious result.
Rhinoplasty, as well as the rhinoseptoplasty, is performed under general anesthesia, has a duration ranging from 60 to 90 minutes, usually in outpatient surgery. Changes to the nose tip only, however, are performed under local anesthesia with sedation.
RECOVERY
The postoperative course of rhinoplasty has significantly lightened in recent years: the dreaded swabs that were held for 7-10 days, today are removed 48 hours after rhinoplasty and after 6 days for rhinoseptoplasty. Bruising may develop (more or less significant depending on the predisposition of each patient) in the area of the eyes and cheekbones that tend to disappear completely within five days.
The return to social life after a rhinoplasty is at the discretion of the patient: in 48 hours after procedure patients are fully capable of doing just about everything, except of course for jobs that require physical exertion and exercise. The only obstacle can be represented by the small pyramidal splint which is applied on the nose to allow the optimal solidification of bones in the new position, which, as the same nose, cannot be hidden in any way.
Intense physical activity can be resumed after 4 weeks and the use of glasses should be suspended for at least two months.
Although the perception of improvement in the appearance of the nasal pyramid isimmediate after removal of the splint, the final result in aesthetic terms and regarding the total resolution of the edema of tissues is appreciable after about 1 year from the procedure, especially in the district of the tip; while in the open technique, this period can be up to 2 years. The internal and external scars generally improve over time and stabilize in about 6 months.