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FAQS on Rhinoplasty

Rhinoplasty, commonly known as a nose job, is one of the most popular cosmetic surgeries available. The plastic surgeons at our clinic in Bangkok have performed hundreds of rhinoplasty surgeries, helping patients change the way their nose looks.

Rhinoplasty, or cosmetic nasal surgery, is a plastic surgery procedure that improves the shape and size of the nose. The procedure can remove a hump, change the shape of the nasal tip, and straighten the nose. Occasionally, the size and shape of the nostrils can be changed. The goal of rhinoplasty is often to achieve better harmony between the nose and the other facial features and, often times; even the slightest
alteration can greatly improve a patient’s appearance. If the patient has breathing difficulty, the surgeon may perform septal and turbinate surgery at the same time.

Healthy teenagers and adults who wish to have an improvement in their nasal appearance are good candidates for the rhinoplasty procedure.

The surgeon will perform the rhinoplasty procedure beginning at age fourteen in female teenagers and fifteen in male teenagers.

The surgeon will personally meet with you during the consultation. He will examine and evaluate you. He will then show you before and after pictures and then explain the surgical procedure from beginning to end. This explanation will include what surgical technique he will use, where the surgery will be performed, what type of anesthesia, and a step-by-step explanation of what the recovery will be like. You will then meet with the patient care coordinator, who will explain the scheduling details and the cost.

The surgeon will perform the rhinoplasty procedure in his clinic. When performing rhinoplasty, what type of anesthesia is used? The surgeon can perform the rhinoplasty procedure with local anesthesia

The rhinoplasty procedure can be performed via one of two approaches. They are the open (also called external) and the closed (also called endonasal) approach. These are simply approaches, which mean the way in which the surgeon will have access to the internal structures of the nose. Once the surgeon has access to the internal structures, he will work on the bridge of the nose. He will make the bridge straight, if needed, and then narrow the bridge if needed. He will then proceed to change the shape if the tip if needed. At the end of the procedure, the surgeon will place a splint to help the nose heals in the proper shape.

The surgeon will take about one to two hours to perform the rhinoplasty procedure. Revision rhinoplasty may take longer.

The surgeon will perform the rhinoplasty procedure using either the open or closed approach. If the open approach is used, a small incision in the columella is made. This incision heals very well and will not be noticeable once it is fully healed. The closed approach is performed with incisions inside the nose. The surgeon will discuss with you what the best approach is for you.

Most patients that undergo the rhinoplasty procedure experience a mild pressure above the nose for about two hours after the procedure. From thereon after, the patients do not experience any pain.

The recovery for rhinoplasty is rather mild. The patient is allowed to return home after the procedure. The post-operative period is painless, although pain medication is usually given in case the patient has some discomfort. The surgeon will see the patient in his office the morning after surgery. Most patients that have the rhinoplasty procedure with the surgeon do not have “black and blues” over their eyes. They may have some swelling, which usually resolves in five days. The patient returns to the office on the fifth post-operative day. At that point the splint is removed and the patient will get a first glimpse of what the nose will look like. Seventy percent of the swelling resolves in the first three weeks and the remaining thirty percent takes months. The final result is at one year.

Patients are generally able to return to work about one week after the rhinoplasty Procedure.

The surgeon asks that his patients resume exercise three weeks after having the Procedure.

If the rhinoplasty was performed via an open approach, the stitches will be removed on fifth post-operative day.

As with all types of surgery, there are potential risks or complications associated with rhinoplasty surgery and these may include bleeding, infection, and cosmetic imperfection.