Rhinoplasty, or as it’s more commonly known a nose job, is the most common type of plastic surgery performed in Israel, and when discussing plastic surgery, this is generally what is being referred to.
Candidates for rhinoplasty are men and women who are not happy with the shape of their nose, which can be for a number of reasons: it’s too long, too prominent, or too wide, features a bump, or crooked. Many patients originally seek treatment to improve their respiratory capabilities hindered by a deviated septum. Since they will already be operating on their nose, it is a good chance to fix any other nose-related problems. Candidates must be at least 16 years old, which the age the nose reaches 90% of its development capacity.
After choosing a plastic surgeon, it is recommended to schedule a number of appointments prior to surgery. These appointments are important for both the patient and the surgeon. The patient will be able to understand what he is about to undergo and the surgeon will be better able to understand the patient’s expectations of the surgery and make sure they are realistic.
During the first appointment, after a check-up of the patent’s nose, the surgeon will explain the surgical procedure in detail, anesthesia and possible complications. The candidate will be sent for blood tests and nose x-rays (4 different angles). Additionally, the surgeon will perform an overall check-up.
During the second appointment will take an additional x-ray of the nose. If needed, the patient will be sent for further testing. The patient should be aware that smoking, certain medications and malnutrition can cause complications and therefore it is important to stop two weeks before surgery.
After rhinoplasty surgery there is the option to ‘fix-up’ which can be performed 6 months after surgery. This is generally done in 10% of cases.
Rhinoplasty is done under local or general anesthesia. The patient will be hooked to an EKG machine, a sphygmomanometer and a device for monitoring blood oxygen pressure. Additionally, the patient will be hooked to an IV through which he will be administered antibiotics and other pain reliever substances. Anesthesia is administered via the local injection of nasal anesthetics, which shrink the blood vessels to prevent bleeding. Additionally, gauze soaked in anesthetics for the mucosa is put into the nose.
Most nose jobs are performed by creating incisions in the nose, removing the lower cartilage, breaking the bone and grinding the bony protrusion. In some cases, it is necessary to shorten the nose, change the nostril shape/size, fix the septum or add cartilage implants.
Sometimes it is necessary to perform the procedure with an open nose, which is done by cutting the column of the nose and the nostrils. If this is done, the procedure takes a little longer than usual and there may some small scarring.
After the operation, threads (tampons) are inserted into the nose which are taken out a day or two afterwards. Any pain can be treated with pain relievers. Some hemorrhaging around the eyes is also normal. It should disappear within two to three weeks after surgery. Any swelling usually goes down after three weeks, though slight swelling might last for a few months.