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Nose Surgery Rhinoplasty

Information in spanish

Nose Surgery - Rhinoplasty

Why did you decide to change your nose? - Cosmetic change nose Testimonies nose surgery

Nose surgery is one of the most commonly performed facial surgery procedures. 

Surgery of the nose may correct some structural abnormalities, as well as improve breathing function and facial harmony.  During the consultation, the otolaryngologist and facial plastic surgeon, Dr. Espinosa, carefully evaluates every area and take photos from different angles of your face. Then he recommends a course of action for reshaping your nose.

Since the shape of the nose of every person’s face is unique, Dr. Espinosa designs a different procedure according to nose shape and profile, dimensions of the face and bone structure.  Rhinoplasty procedure may involve the surgical refining of nasal bone and cartilage, bridge, tip and/or nostril area.  Likewise, nose surgery is often performed to correct a hump or bump.  During a Rhinoplasty procedure nearly all incisions are made from within the nasal passage or nostril area and the surgical scars are hidden from view.

As well, thanks to a surgery technique employed by Dr. Espinosa, no packing is required inside the nose  This procedure takes between one to two hours to complete.  You will need a complete week to rest and recover from surgery.

The nose is the most prominent feature on our face and the center of attention. If certain characteristics of the nose make it less attractive, we our great eyes or beautiful lips can easily be ignored.

This dissatisfaction with minor imperfections makes people tend to be inhibited and less socially at ease

Everyone has things about themselves they would like to change. Even the most beautiful people wish something about them were different. These kinds of minor imperfections, such as nose size or a nasal deviation can be treated with nose surgery.

Patient testimony
Very good attention on the part of the personnel (doctors, nurses, secretaries etc.) likewise the results of the surgery were very good and satisfactory.

What can I expect from surgery?

The decision to have Rhinoplasty is a personal choice that may increase your confidence and may balance the proportions of your face. Minimal changes can result in significant improvements to the overall face. Rhinoplasty is the most common plastic surgery procedure. Hundreds of patients have Rhinoplasty surgery every year.

What can nose surgery accomplish?

Rhinoplasty surgery is performed to create an evenly proportioned nose, shape, and profile, as well as to improve the function of the nose. Otolaryngologist may recommend a Rhinoplasty even when the patient´s consultation has required for aesthetic reasons. Rhinoplasty surgery is performed to create an evenly proportioned nose, shape, and profile, as well as to improve the function of the nose. The Otolaryngologist may recommend a Rhinoplasty even when the patient´s consultation has required for aesthetic reasons. (this is unclear….not sure what it mean??) Nose surgery is also performed for patients who have nasal obstructions or septal deviations.

These kinds of problems predispose the patient to sinusitis, rhinitis, and other symptoms such as facial pain, bleeding, headaches and noisy night breathing. Untreated symptoms may result in heart and lung diseases. Rhinoplasty can improve structure, functionand the aesthetic appearance of nose. During the procedure, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose. Dr. Espinosa aims to maintain his patients’ natural facial characteristics and features thus ensuring a natural post-operative appearance. Through computer imaging, Dr. Espinosa helps you to have a clearer understanding of what the final results can be. Results will begin to appear gradually during the days immediately following your surgery. Remember, it may take several months, or even two years, to see the final results of your surgery.

How long does it take to recover from Rhinoplasty?

Healing after Rhinoplasty depends upon each patient. Most Rhinoplasty patients are up and about within two days of surgery. However, patients can usually return to their normal activities within a week. Sports are not allowed until at least two months after surgery.

How much does a Rhinoplasty cost?

Prices can vary depending on each case. As a patient, you must remember that the surgeon’s experience is just as important as the final cost of the entire procedure. The primary objective of the medical profession is to render service to humanity. Dr. Espinosa provides the best quality of medical service with a skilled and experienced team, allowing for the complete exercise of his surgical practice.

Frequently Asked Questions - Rhinoplasty

Is nasal packing needed after surgery?

Dr. Espinosa performs a combination of techniques in which nasal packing is rarely required. Patients usually describe the way they feel as similar to having a cold, rather than experiencing specific pain.

Can you make my nose look like the one in this photo

Photos may be useful for your surgeon to understand what you want and what you do not. However, it is impossible for your surgeon to create someone else´s nose on your face. The primary objective of Rhinoplasty is to improve your own nose, and not to change your face by the face of another person.

For Dr. Espinosa facial harmony is the goal. A balance between nose and other facial features is the most important thing. Through digital photography and computer imaging, Dr. Espinosa will carefully plan with you the appropriate techniques to perform, maintaining your natural facial characteristics.

My nose is too big. Can you make it smaller?

Yes. Depending on each individual case, Dr. Espinosa analyzes all the possibilities for surgery. In Rhinoplasty, the structure, function, and aesthetic appearance of the nose must be considered, as well as the natural facial characteristics of the patient. Over the years, the tip of the nose falls down a little bit as time passes. Through Rhinoplasty you may recover the original form of the nose similar to when you were younger, so you may look younger.

How do you remove the bump in my nose?

A bump or hump is an alteration on the nasal bridge. It can be reduced by separating the skin of the nose from the supporting bone, and using an instrument to scrape away the excess of nasal bone or cartilage. The skin easily redrapes and adheres to the new shape of the nose.

My nose is too short. Can you make it longer?

Yes. A facial plastic surgeon can augment or enlarge your nose to make you look better. Rhinoplasty can be done to improve breathing or appearance in a nose that has been damaged by trauma, disease or birth defect. Some surgery procedures are performed to restore both function and appearance. The surgeon may use a graft of cartilage from another part of the body or another surgical material to make your nose look bigger.

How long will I stay in the operating room?

It usually takes from 1-1 ½ hours. When malarplasty is performed in conjunction with other procedures, it may take a little longe.

How noticeable are the scars?

During a Rhinoplasty procedure nearly all surgical incisions are made from within the nasal passage or nostril area, and consequently surgical scars are usually hidden from view. In some cases, an incision is made in the area of skin separating the nostrils. However, it heals very well and is often imperceptible to most people.

Will I be awake during surgery?

In the area of skin separating the nostrils. However, it heals very well and is often imperceptible to most people.

I really want to have a Rhinoplasty, but I am very nervous.

It is normal to feel anxiety about surgery. It can be useful to take advantage of your consultation with Dr. Espinosa to resolve your doubts. You may write a list of questions and listen to your surgeon. You will feel better after discussing your concerns with Dr. Espinosa. Probably, you may want to review before and after photos and testimonials of other patients.

Will I feel pain after surgery?

Rhinoplasty is usually considered a reasonably pain free surgery. Patients describe the way they feel as similar to having a cold, rather than experiencing pain. These symptoms diminish rapidly after the first week.

Dr. Espinosa´s special instructions:

Instructions before surgery:

  • Avoid taking Aspirin (acetyl salicylic acid) or anti-inflammatory medicines.
  • Stop smoking at least one month before your surgery.
  • Inform your surgeon about drug allergies, medical treatments, and current medications.
  • Always have realistic expectations about the results of surgery.

Instructions after surgery:

  • Before you leave the medical center, make sure you have your surgeon’s prescriptions, medical certification, and date of your first post-operative visit to the office.

  • Avoid foods that require prolonged chewing. Otherwise, your diet has no restrictions.

  • After surgery, a nasal cast will remain in place for approximately one week. Do not disturb it and keep it dry. You may take a shower using warm, not hot water; the humidity in the bath may remove the cast from its place. If this occurs, the patient is advised to contact the surgeon as soon as possible. Once the splint is removed, a light tape dressing is placed for approximately 8-15 days.

  • Mucous and some bleeding from the nose after surgery are completely normal. An external nasal tip dressing is placed to absorb oozing. If bleeding does occur, the patient is advised to contact the surgeon immediately.

  • Post-operative swelling, discoloration and ecchymosis in the periocular area are very common until approximately 15 days, and should not be considered a complication. It is necessary to constantly keep ice packs over the nose and periorbital area, especially during the first 48 hours after surgery.

  • During the first days after surgery, it is recommended to sleep in a semi recumbent position. Sleep on your back with an elevation of 30-40 degrees.

  • You may read or watch TV after surgery.

  • You must rest at home at least during the first 3 to 5 days.

  • Although patients report minimal pain, they are discharged with post-operative analgesia. If you have severe pain, inform Dr.Espinosa immediately. Avoid taking aspirin (acetyl salicylic acid).

  • In some cases, it is necessary to use temporary packing in both nasal passages. It will be removed within the following 24-72 hours.

  • During the first days, it is usual for patients to experience some kind of nasal stuffiness. Due to the presence of crusting in the nasal vestibule, the sense of smell and taste may be temporarily reduced. It is important to use a physiologic saline moisturizing spray solution in each nostril, and pass it down your throat, according to the medical prescription.

  • Do not blow your nose. During the first three weeks, the nasal secretions must be swallowed into throat or spit out.

  • In some patients, it is necessary to place a plastic nasal splint just over the nasal dorsum, to protect and promote healing. This will be removed within the following 8 to 15 days.

  • The remaining internal sutures are removed within 5 to 7 days after surgery.

  • Avoid bumping or hitting the nose. It is recommended not to pick up small children.

  • Avoid cleaning the nose and nostrils using cotton-tipped applicators.

  • If you have had a preoperative history of allergic rhinitis, this may be improved by surgery. But remember, rhinitis cannot be completely cured. You must continue your treatment routine of antihistamines.

  • Do not use glasses for the first three months. If it is absolutely needed while the cast is in place, they should be suspended from the forehead with a single piece of tape in the midline. Dr. Espinosa will show you how this is done.

  • Avoid sun exposure as much as possible during the first two months. You must wear sun block and a covering to minimize sun exposure. Excess sun exposure may cause undesirable alterations, such as swelling of the nose and even blistering of the dorsal skin.

  • Sports are restricted for 3 weeks following surgery.

  • The average patient goes back to work or social activities in 8 to 10 days.

  • Avoid changes of temperature, strenuous physical exercise, and hitting.

  • It may take 6 months, and even longer, for the outcome of the surgery to fully refine itself. No surgical procedure should be taken lightly. Rhinoplasty is one of the most complex surgeries. Because Rhinoplasty is not an exact science, the possible need for a secondary revision procedure must be discussed openly. An additional surgery might be recommended to enhance the appearance of your face. Any additional procedures cannot be considered before 6 months after your surgery.

The information provided here is not a substitute for a consultation. Please, do not hesitate to communicate with us if you are concerned about something you consider significant. Remember, success of surgery depends very much upon post-operative care. It is crucial that you follow your surgeon’s instructions.

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