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Rhinoplasty (Nose Reshaping) PRE-OPERATIVE Assessment - Important to clearly state the areas of concern. Breathing - If you have difficulty breathing from either nostril, this should be corrected at the operation. Hayfever - This may be troublesome after operation. Bleeding problems Any history of abnormal bleeding or easy bruising is important. Smoking - Essential to stop at least 3 weeks before surgery and until wounds are fully healed or at least 2 weeks after. Drugs - Avoid aspirin/ibuprofen type analgesics for 2 weeks pre-op. Skin Type - Note that thick skin/sebaceous especially at tip will limit refinement. OPERATION Anaesthetic - General anaesthetic, occasionally local with sedation. Scars - Inside nostrils, occasionally small scar under tip of nose (columella) Sutures - Dissolving usually take 2 weeks. Dressings - Micropore tape alone or with a nasal splint (POP). Nasal packs for 24 hours Hospital stay - Usually overnight or day case. POST-OPERATIVE Dressings - Remain intact for 7 to 10 days. Sleeping - Use 2 - 3 pillows for 2 weeks post -op. Avoid bending over. Exercise - Avoid vigorous exercise for 2 weeks. No contact sports for 6 weeks. Pain killers - Avoid aspirin / ibuprofen type analgesics for 2 weeks post-op Blowing nose - Must NOT blow nose for 2 weeks post-op. Sniffing is permitted. POTENTIAL PROBLEMS Pain - Mild pain expected, Paracetamol usually sufficient. Avoid Aspirin/Ibuprofen type analgesia which may increase bruising. Bleeding - Minor oozing for first 4 - 5 days is common. Marked bleeding requiring re-admission is rare. Bruising - Common under eyes, lasts for 2 -3 weeks. Numbness - Common at tip. Sensation usually returns to normal but may take 3 - 4 months. Skin healing - Rarely delayed healing of scar in columella. Infection - Occasionally mild infection. Irregularity - Uncommon at bridge or at tip, more likely with thin skin. RHINOPLASTY BEFORE & AFTER PHOTOS
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