Cosmetic & Plastic Surgery for men

Nose Surgery

General

Nose Reshaping or Rhinoplasty, is the cosmetic surgery of the nose designed to both enhance your appearance as well as in most cases improve your breathing. Rhinoplasty can reduce or increase the size of your nose, straighten the nose, correct the profile, change the shape of the tip of your nose, narrow the nostrils, or change the angle between your nose and the upper lip. Attention to detail,  according to Dr. Gaitanis, is essential, as a few millimetres change can greatly improve the appearance of the nose.

Indications

• Most types of nose asymmetry or imperfections.
• Large, prominent noses with obvious “bump”,  especially in profile view.

Nose reshaping can enhance your appearance and your self-esteem.

The best candidates for rhinoplasty are patients who are after improvement; in the way they look whilst having realistic expectations.

The cosmetic plastic surgeon that performs rhinoplasty has to meet aesthetic goals as well as the patient’s specific expectations.

Rhinoplasty can be performed as soon as skeletal growth is complete, about 15-16 years old for girls and 16-17 years old for boys.

Follow up

First review when the splint is removed and then one month later.

The schedule of follow up visits is personalized according with the progress of your healing.

Risks

There is always a possibility of complications with every cosmetic plastic surgery procedure. When your rhinoplasty is performed by a fully trained plastic surgeon, complications are infrequent and usually minor. Needless to stress the importance of the pre-operative consultation directly with your surgeon as well as closely following your surgeons’ instructions, both before and after surgery. You should check that your surgeon is not only fully registered with the General Medical Council, but that he is Specialist registered as a plastic Surgeon. GMC tel; 0207 9153630

Results

Rhinoplasty and aesthetic surgery to the nose have been carried out successfully for many years. In Britain it is the most sought after cosmetic plastic surgery procedure amongst men and women.

The vast majority of patients undergoing rhinoplasty gain a feeling of increased self-confidence, improvement in body image, and enter their postoperative phase of life with both personality and appearance, greatly enhanced.

The Procedure

Rhinoplasty surgery can usually be completed in less than two hours, depending on the amount of work you are having done.

The skin of the nose is separated from its supporting framework of bone and cartilage under general anaesthesia.

The separation can be achieved either through internal incisions (closed technique most frequent), therefore leaving no external scarring, or partly external incision across the collumela (skin bridge in between the nostrils) in more complicated cases. Sometimes external incisions are used to narrow the nostrils in which case the scars are small and inconspicuously placed.

The framework of the nose is then sculpted to the desired shape and size.

Finally the skin is reshaped over the new framework.

At the end of the surgery two nasal packs are placed inside the nostrils to stabilize the septum and a splint is applied to help the nose maintain its new shape.

After Surgery

• NO ASPIRIN should be taken for 7 days following surgery.
• NO ALCOHOL should be taken 48 hours following surgery.
• Continue taking ARNICA as instructed for a further 7 days.
• Take any prescribed medication as instructed.
• Elevate your head when resting or sleeping i.e. with two pillows.
• Do not sunbathe or use a sun bed for approximately one month following surgery.
• Apply ice compresses intermittently for 48 hours.
• Open the mouth when sneezing. Do not blow your nose for two weeks.
• Wash your face gently with cool water only for the first 24hours, keeping the dressing dry.
• Eat cool, soft foods only for the first 24 hours after surgery.
• Expect some swelling, the majority of swelling will subside after six weeks but your final result will not be apparent for up to one year.

Recovery – Post-Opertaive Care

Patients are discharged the following morning unless treated as day cases.

The nasal packs are removed before the patients are ready to return home.

Minimal to moderate swelling and bruising are to be expected for the next few weeks. You will notice that the swelling and bruising around your eyes will increase at first, reaching a peak after two to three days.

Cold compresses will help you during that period.

Any discomfort present can be controlled with ordinary painkillers.

Bed rest with head elevation is advised for the first day.
You will be up and about after 24-48hours and you will need a week off work.

The splint is removed after 7 days and there are no sutures to be removed because all sutures are absorbable.
You should restrain from strenuous activity (jogging, exercises, any activity that increases your blood pressure) for 3 weeks.

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