Our Summary

This research paper is essentially a guide for plastic surgeons on how to successfully perform a specific type of nose job, known as an open rhinoplasty. This procedure is one of the most common and difficult plastic surgeries. In 2016 alone, more than 223,000 were carried out. The paper looks at the best ways to perform this operation, including how to plan the surgery, how to carry out the surgery itself, and how to manage the patient’s recovery. It also discusses how to make improvements to the base of the nostrils. The authors stress the importance of careful preparation, accurate execution of the operation, and thorough analysis of the results to ensure patient satisfaction.

FAQs

  1. What is the focus of this research paper about rhinoplasty?
  2. What aspects of an open rhinoplasty does the paper discuss?
  3. What are the key elements emphasized by the authors for successful rhinoplasty surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rhinoplasty is to carefully follow all pre-operative instructions provided by the surgeon, such as avoiding certain medications or foods before the surgery. This can help ensure a successful outcome and reduce the risk of complications during and after the procedure. It is also important for patients to have realistic expectations about the results of the surgery and to communicate openly with their surgeon about their goals and concerns. Additionally, following post-operative care instructions, such as keeping the surgical site clean and avoiding strenuous activities, can help promote a smooth recovery process.

Suitable For

Patients who are typically recommended for rhinoplasty include those who are unhappy with the size or shape of their nose, have breathing difficulties due to nasal obstruction, have suffered nasal trauma, or have congenital deformities. Additionally, patients who have realistic expectations, good overall health, and a stable emotional state are also considered good candidates for rhinoplasty. It is important for patients to have a thorough consultation with a plastic surgeon to discuss their goals, expectations, and any potential risks or complications associated with the procedure.

Timeline

Before rhinoplasty:

  1. Consultation: The patient meets with the plastic surgeon to discuss their goals, expectations, and concerns about the surgery. The surgeon evaluates the patient’s nose structure and overall facial features to determine if they are a good candidate for rhinoplasty.

  2. Pre-operative assessment: The patient undergoes a physical examination, medical history review, and possibly additional tests to ensure they are healthy enough for surgery. The surgeon may also take photographs and use computer imaging to show the patient potential results.

  3. Surgical planning: The surgeon creates a customized surgical plan based on the patient’s goals and anatomy. This includes determining the extent of the changes needed, the techniques to be used, and any potential risks or complications.

After rhinoplasty:

  1. Recovery: The patient experiences swelling, bruising, and discomfort in the days following surgery. They will need to rest, follow post-operative care instructions, and attend follow-up appointments with the surgeon.

  2. Results: Over the following weeks and months, the swelling gradually subsides, allowing the patient to see the final results of their rhinoplasty. It can take up to a year for the nose to fully heal and for the final outcome to be apparent.

  3. Follow-up care: The surgeon monitors the patient’s progress, provides guidance on caring for the nose, and addresses any concerns or complications that may arise. Regular follow-up appointments are essential to ensure the patient’s satisfaction with the results.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with rhinoplasty?

  2. How many rhinoplasty procedures have you performed and what is your success rate?

  3. Can you show me before and after photos of patients who have undergone rhinoplasty with you?

  4. What specific techniques do you use for open rhinoplasty and why do you prefer this approach?

  5. How long will the recovery process take and what can I expect in terms of swelling and bruising?

  6. Will I need to wear a splint or bandages after the surgery and for how long?

  7. What type of anesthesia will be used during the procedure and what are the potential side effects?

  8. How can I best prepare for the surgery in terms of lifestyle changes, medications, and post-operative care?

  9. Are there any restrictions or limitations on activities I should be aware of after the surgery?

  10. What kind of results can I realistically expect from the rhinoplasty and how long will it take for the final results to be visible?

Reference

Authors: Rohrich RJ, Afrooz PN. Journal: Plast Reconstr Surg. 2019 Jul;144(1):102e-117e. doi: 10.1097/PRS.0000000000005778. PMID: 31246835