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Nose Jobs and Congestion

Those who have a nose job for a deviated septum look forward to being able to breathe easily for perhaps the first time in their life. Others who are having cosmetic work done are simply looking forward to breathing nicely through a beautiful new nose. One side effect of a nose job that many simply aren’t aware of before the surgery is the amount of time that you won’t be able to breathe easily.

Surgical Packing

Immediately following the nose job, the surgeon will use packing or specialized gauze to fill in the nasal cavities. This is to preserve the newly created shape of the nose and support it in the first days of healing. An unfortunate side effect of the nasal packing is that you simply can’t breathe through your nose so long as there are rolls of gauze in the way. Some surgeons remove the gauze in the day after surgery, while others wait a few days to ensure the nose is healing well.

Nose Job Swelling and Congestion

After the surgeon has removed the packing, it may feel natural to try and take a deep breath – after all, your nose isn’t blocked artificially any longer. Unfortunately, rather than a clear breath, you’ll likely discover how congested your nose. The swelling that you see on the outside of your nose following surgery is actually mirrored on the inside of your nose, filling most of the space normally available for breathing.

For up to two or three weeks following surgery, you’ll continue to be congested. The swelling must go down gradually, but as it does your breathing should improve steadily as well. Breathing concerns and congestion should be discussed with your surgeon at all follow-up appointments as only he will be able to determine if the healing process is progressing correctly in your individual case.


Rhinoplasty and Exercise

Rhinoplasty, or a nose job, is the ideal way to restructure the most prominent element of your face if it has been making you uncomfortable or causing medical issues. A deviated septum that often goes along with a broken or bumpy nose can cause medical issues as well as aesthetic ones. One area to consider before a rhinoplasty, however is the amount of time that you’ll need to fully recover.

While a small area of your face, a rhinoplasty procedure is a full surgery. The procedure will leave you uncomfortable, and you’ll have plenty of requirements and recommendations from the plastic surgery following the operation. One of these requirements will be the amount of exercise you can, or rather can’t, do following surgery. You’ll be almost completely out of commission for two weeks following surgery and you’ll have additional requirements and limitations for up to six weeks.

For those who enjoy a healthy work-out routine, taking six weeks of can be troublesome, but it will simply represent a balance in priorities during this time. In the first weeks after surgery, you’ll feel the effects of the surgery strongly. If you’re taking the pain medication the surgeon prescribes, it would not be safe to do more than shuffle around your home. After two weeks, the surgeon will likely lift some of his ban on exercise and you’ll be able to get moving again, although without any great intensitiy.

It’s possible walk briskly or even do some yoga or pilates a few weeks out from surgery. Your body will likely feel fine at this point, but your healing nose is still fragile and it may be susceptible to nose bleeds if you push yourself too hard. Save any hard workouts and heavy breathing for at least six weeks following surgery. Any contact sports or dangerous activities that may put the new shape of your nose at risk should be put off for at least six weeks if not indefinitely.

Understanding Nose Job Concerns

Those considering rhinoplasty may have concerns about the surgery and what the process entails. Having concerns about rhinoplasty is only natural, of course, as making even a small change to your nose can change the way your face appears for the rest of your life. Patients should discuss any concerns they may have with the procedure with their  surgeon, of course, and do what they can to understand the procedure prior to their initial consultation so that they are aware of the best questions to ask during the meeting.

Scarring from Nose Jobs

Facial scarring is never appealing, but fortunately, there is little chance of significant scarring from a nose job procedure. The incisions for rhinoplasty procedures are very small and often made inside the nose itself. Incisions made outside of the nose are tiny and located in natural creases of the nose so that they are all but invisible when they heal and form tiny scars. As the scars fade over time, they will be almost completely invisible.

Healing from Nose Jobs

The healing process from a nose job isn’t as painful or as long as many may think. The most discomfort from a nose job occurs when the packing gauze is in place. Once the packing is removed, the nose moves infrequently and with mild pain medication, there is almost no discomfort so long as the head is moved carefully. There will be bruising and swelling following the rhinoplasty procedure, but this can be disguised at least with clever make up tricks.

Revision Rhinoplasty

Since rhinoplasty is much an art as a science, there is always the chance that the nose created during the nose job may not be what the patient hoped for. In this case, the surgeon may return to the nose later in a revision rhinoplasty. Ultimately 15 percent of rhinoplasty patients opt for revision rhinoplasty. To reduce the chances of changes down the road, it is best to work with an experienced and careful surgeon initially.


Teens and Nose Jobs

Nose jobs seem to be increasingly more prevalent with teens than ever, and this is an ongoing source of debate among those who feel teens should not be getting plastic surgery and those who feel that plastic surgery for teens on something as prominent as their nose will give them a boost of self esteem and affect their life in a positive way moving forward.

Teenage Nose Jobs

Most surgeons will not perform rhinoplasty, or a nose job, on patients younger than fifteen. Some prefer to wait even later. This is for several reasons, but primarily because the nose has not yet finished growing for those younger than fifteen or sixteen years of age. Even with the nose grown fully, the teenage patients may not be sound emotionally to undergo such a difficult surgery.

Of course, patients who understand the limitations and recovery that will come with the procedure are able to benefit from the surgery at a very complex time in their life. The teen years are formative, and those who have unattractive features can struggle not just with their peer group, but with the own identify and self-worth. Often making a small change to the appearance of the nose can make a difference in how not only the teen looks, but in how he or she feels and acts.

Balancing Teen Nose Jobs

Ultimately it boils down to the preferences of the teen and the parents arranging the surgery. If the parents, surgeon and the teen are all comfortable with the surgery and the rationale behind it, once the child is of an age when the nose is fully formed, there is no reason to not proceed with the rhinoplasty if it can make a difference in the life of the child, especially in the long term.

Broken Nose and Rhinoplasty

While nobody likes to experience a broken nose, for some it is a stroke of good luck – especially if they were considering a rhinoplasty procedure. For the majority of rhinoplasty procedures, the nose must be broken and then reset to give the nose its new contour. In some cases, a broken nose from a car accident, a sports injury or just an accident at home is a good starting point for discussion rhinoplasty.

Moving Quickly

If you’re considering rhinoplasty after experiencing a broken nose, the doctor will likely encourage you to move quickly. The broken nose will need to be set correctly and any changes made before it has a chance to set properly. If the nose begins to heal before the surgery date, it will have to be broken again. This can complicate a procedure, but in others it may be necessary or even beneficial if the break caused a deviated septum or an unattractive appearance.

The Rhinoplasty Procedure

One the patient arrives for surgery, a general anesthesia is used and the surgery begins. The doctor is able to reset the nose correctly and make small changes to the shape of the bridge or the tip of the nose as necessary to give the patient a more attractive appearance. Then the nose is carefully protected with packing and a split before the patient is released. In a normal hospital, the patient’s nose would simply be set as best it could be, protected and the patient released.

Following a broken nose, the patient’s insurance helps pay the cost of the procedure under regular coverage. While cosmetic surgery is not normally covered on medical insurance, a portion of the cost of the rhinoplasty may be covered thanks to the necessary setting of the bones following the break as well.

The Rhinoplasty Healing Process

Healing from rhinoplasty is easy, but also can be long. The rhinoplasty recovery process starts almost immediately after surgery.

Following Rhinoplasty

For the rhinoplasty procedure, the patient was almost certainly under the effects of general anesthesia. This means that the first hours following surgery will be under observation in the hospital or surgery center. The patient may be shaky or nauseous as the anesthesia works its way out of the body.

The nose may start to throb during this time, and the surgeon will prescribe pain medication to ease the discomfort. Most pain will be acute on the first days following surgery, but easily managed with medication. In the weeks following surgery, the pain will fade quickly as the body heals.

At Home

Once the patient is home from the surgery, he or she will be groggy from the procedure and encouraged to rest. The nose will be filled with packing to help maintain the new shape, but it will be swollen as well from the procedure and this will cause additional discomfort. Patients should sleep in a reclining position to help the body drain away fluids and improve the recovery process.

Over the weeks following surgery, rest is critical to helping patients heal properly. After the first few days, the packing will be removed and a splint put into place to maintain the shape of the nose. That split will be in place for some time after surgery to help protect the nose and encourage healing.

After two weeks, the nose will be on its way to permanent healing. All pain will be gone although bruising and swelling may persist past that time as the body continues to heal itself. Using clever make-up techniques, most patients return to most mild, normal activities after two to three weeks of recovery.

Make Up Tips After Rhinoplasty

 Rhinoplasty has amazing results by making subtle changes to the nose, but there are lingering consequences to the surgery that present some headaches to the rhinoplasty patient. After a rhinoplasty procedure, the nose can be swollen and bruised for months. In fact, it can take up to an entire year for the nose to be totally free of all swelling.

It’s not only the nose that suffers from the swelling after surgery, however. The areas around the nose, including the delicate skin around the eyes also appears to be bruised for many weeks, perhaps months. All told, the final result of rhinoplasty surgery is impressive, but handling the side effects in the meantime requires clever tricks with make up.

The right make up after rhinoplasty is the sort that flatters your face, offers a great deal of concealment and helps to make the bruising disappear. Most often bruising appears in tones of yellow, so combat that with a pink based base and concealer. You may discover that using two different tones of concealer and base help to hide the bruising more adequately than a single shade. Blend the two colors carefully to cover the red and yellow tones.

Dust the face carefully with powder to set the foundation layers and proceed with eye make up as usual. Be sure to avoid using any eye liner or mascara on the bottom lashes, however, as they may emphasize the swelling of the tissue there. Light, natural colors with a bit of sparkle will help to distract the eye.

A dot of highlighter on the inside of the eye and on the outer corners will minimize the darkness under the eyes as well. A final recommendation for any make up purchased to use after rhinoplasty: Be sure that the make up you’re using is for sensitive skin and avoid using any makeup over open sores or healing incision sites.

How Long Does Rhinoplasty Recovery Take?

Rhinoplasty is a bit of a tricky recovery process – not painful, fortunately, but drawn-out thanks to the nature of the area you’re treating.

Immediately after surgery, the surgeon will use nasal packing, usually gauze, to shape the nose from the inside. The packing will hold the new shape of the nose in place and stabilize the septum. The surgeon may also put a splint over the nose to hold it in place as well. The packing will stay in place for a few days while there is discharge from the surgery.

During the first week, dull aching is common in the nose and behind the eyes. The packing may be uncomfortable as well. The doctor will instruct you not to blow your nose once the packing is out for a few weeks at least.

During these first few days, the swelling and bruising of the nose and the surrounding eye tissue will become more pronounced. This is often unexpected and can affect how the new nose appears, making patients concerned about final appearances. Cold gel packs and compresses will help to soothe this swelling and bruising, but patients should expect to see some swelling for many months after surgery.

As the swelling gradually disappears, the recovery process will seem to slow down. The bones will be healed in a few weeks and the bruising will disappear along the same time frame. But swelling may remain for up to a year, primarily in the tip of the nose.

Most patients return to work after a week of recovery using makeup to hide the bruising and swelling that may still be present. Continued applications of the make-up around the eyes and nose will ease the transition back to the workplace and make it easier to let the rest of the swelling fade over time.

Rhinoplasty: 3 Things Patients Should Know

Rhinoplasty is one of the nation’s most popular plastic surgery procedures with good reason. The procedure can help to redefine a face nicely and sculpt a face almost instantly by giving the nose a new shape. When considering rhinoplasty, there are certain elements that the patients should absolutely be aware of.

Healing Takes a Long Time

Unlike other procedures where skin is cut and then heals, a rhinoplasty procedure involves the cutting of skin, the trimming of cartilage and even the breaking of bones. This means that the recovery process is considerably longer than you might expect. While you’re able to return to work a week or so after the rhinoplasty procedure, there may be significant bruising and swelling for weeks or months following the surgery. In some cases, the bruising and some swelling may last up to six months before the face is healed completely.

Revision Rhinoplasty May be Necessary

85 percent of patients who have recently had a nose job are satisfied and happy with the results. There are fifteen people in one hundred, however, who opt to have a revision rhinoplasty procedure down the road. This number should indicate that the creation of a new nose is just as much art as skill, and finding the right surgeon initially is critically important to the overall success of your surgery.

Nasal Packing Presents the Biggest Problems

Surprisingly it is not the broken bones or the incisions in the nose that cause the most discomfort for patients. Instead it is the nasal packing that is so uncomfortable for those who have had a rhinoplasty procedure. The nasal packing is present to help stabilize the nose, and can be left in place for several long days. Fortunately, when it is removed, the nose is well on its way to healing.


Risks of Rhinoplasty

Rhinoplasty is one of the most common forms of cosmetic surgery performed today, and the procedure is among the safest in terms of side effects and risks. This is especially true as rhinoplasty patients have very little in terms of an incision or tissue removal – the site of the surgery is small, but there are still some risks to be aware of.

Identifying Risks with Rhinoplasty

The first visit with the surgeon will give the patient time to go over the possibilities from the procedure. The surgeon and the patient will outline the medical history of the patient to determine if any specific risks are possibilities outside of those that are considerations for all patients. The surgeon will also encourage the patient to stop smoking and to cease certain medications that can increase the chances of a side effect during the surgery.

The Side-Effects of Rhinoplasty

Once the actual surgery is performed, the real risks of the surgery will become more evident. Among these risks, the patient must expect the possibility of infection, bleeding from the nostrils or under the skin, numbness, pain and the possibility of unattractive scarring. Additional concerns include the amount of swelling that can be present following a rhinoplasty procedure and the possibility of a revision rhinoplasty.

Rhinoplasty is as much an art as it is a medical surgery. From an artistic point of view, surgeons work hard to create a nose that is appealing, even and ideal for the face. Revision rhinoplasty can correct remaining concerns from both these aesthetics and the medical necessities as well including deviated septum and unusual or unattractive scarring. Caring for the body and nose specifically before and after the surgery can make a substantial difference in how dramatically the body scars.