Surgery on the nose may be done for functional, reconstructive or aesthetic reasons. Functional Rhinoplasty is aimed at improving the physiology of the nose by modifying its malpositioned anatomical structures to relieve a nasal obstruction. Reconstructive Rhinoplasty is aimed at correcting congenital or traumatic malformation of the nose. Aesthetic Rhinoplasty is aimed at modifying the shape of the nose in order to make it more pleasing. Plastic surgeons have the expertise to deal with all these aspects of nasal surgery.
Problems such as a large hump or an overly broad or round tip can be corrected. Most incisions are made inside the nose, although sometimes carefully placed external incisions are needed to correct some problems. Surgery in performed under a general anaesthetic and last approximately 2.5 hours.
Patients can expect moderate pain or discomfort following surgery and pain medication will be given to address this. As well, patients will be instructed to sleep with their head elevated and to apply icepacks on a regular basis for the first week post-op. It is not uncommon to have difficulty breathing through the nose during this period as, most often, nasal support splints are placed inside each nostril during surgery and remain in place for 7 days post-op.
The majority of bruising settles within 1 – 2 weeks, but patients can experience residual swelling for several months. For this reason, it is difficult to assess the final result from rhinoplasty until 6 – 9 months post-op. It is not uncommon to require small revisions or "touch-ups" with this type of surgery.
Patients are to book long term follow-up with Dr. Smith at 4 months post op and will likely see him again at 9 – 12 months post-op.