Some discomfort can be expected after any surgery. Although pain after rhinoplasty usually isnt too bad all patients are provided with prescriptions for pain medication. Patients sometimes use the prescription medication two to three days after their rhinoplasty surgery and then switch to paracetamol. Some patients use only paracetamol after surgery. It is rare for patients to report unmanageable pain after their rhinoplasty surgery. Numbness or discomfort behind the two front teeth is common and temporary.
Many people have heard horror stories of family or friend's nasal surgery and the strip gauze packing that had to be removed afterward. Mr Jassar doesn't use this type of packing. In most cases no packing is required. Very occasionally overnight soft sponge packs are required or sometimes thin plastic or silicone sheet may be placed along the septum to further optimize healing. Even with this in place, your nose will not be totally blocked and you will usually still be able to get some airflow through your nose. The splints are removed in the outpatient clinic after surgery.
The outside of your nose will be taped with paper tape followed by a plastic cast. This cast, which is a Rhinoplasty cast and dressing molded to your nose at the end of your surgery, acts as a "helmet" during your first week of surgery, helping to maintain your nasal bones in their new position. If controlled bone fractures are not done during your surgery you may only need a tape dressing to help with reducing your external nasal skin swelling.
You will also have a gauze "mustache" dressing under your nose for the first few days after surgery. This acts to catch any bloody nasal drainage that you may have after your nasal surgery. You can change the gauze dressing periodically as needed during your initial recovery period.
The incisions used during rhinoplasty depends on the rhinoplasty approach used. If an endonasal, or closed approach, is used the incisions are hidden on the inside of the nose. If an open, or external approach, is used a small additional incision on the columella (bridge of skin between the nostrils) is added.
The majority of rhinoplasty surgery is done using general anaesthesia. I find that general anaesthesia provides the safest and most controlled situation for my patients by ensuring that they are comfortably asleep for the entire operation while at the same time protecting their airway. Anaesthesia fees are the same no matter the type of anaesthetic used and the greater level of control with general anaesthesia allows for reduced swings in blood pressure and concomitant bleeding, bruising and swelling.
Patients often express concern that they will look drastically different after surgery. In actuality, we find that when patients do head back to work and their daily activities their friends and acquaintances often will say positive things such as "You look different" "Have you changed your hairstyle?" or "Your eyes look great". It is surprising how often they wont realise that it is your nose that has changed.
Aerobic activities should be avoided for at least 3-4 weeks following surgery. Any activity that leads to an elevation in your blood pressure will increase the amount of time it takes for postoperative swelling to resolve. This also increases your chances of excess scar formation under the nasal skin. You will also likely notice an increased aching or throbbing to your nose. After about 3-4 weeks of recovery you can start to ease back into exercising. It is recommended that you start off slowly at first and then build up. Your body will let you know if you're over-doing it. If controlled bone fractures were done during your surgery, activities that could lead to hitting your nose should be avoided for at least 6 weeks after surgery. It takes this long for the nasal bones to fully seal back together.
Rhinoplasty costs vary depending on several factors: how much work needs to be done; is this a revision procedure; do any additional grafts need to be harvested (ear, rib); is there a functional (breathing) component that can be covered by insurance?
The complexity of the procedure is also reflected in the total surgery time which is what the anaesthesia and operating room fees are based on. Obviously, it is quite difficult to give a precise surgery cost without an examination. After your consultation with Mr Jassar you will receive a price quote for surgery from the hospital (This will include the hospital fees and anaesthesia fees and all follow up visits). If you would like a preliminary estimate before you visit us in person please contact the hospital on the contact number provided.
There are no limits to wearing glasses on top of your cast during your first week of recovery. Once the cast is removed you should avoid wearing glasses (including sunglasses) directly on your nose for a total of 6 weeks after surgery. This is to avoid having the weight of your glasses shift your healing nasal bones. If controlled bone fractures aren't performed during your surgery, you can wear glasses at any time. Obviously the lighter the glasses the better.
No, there is no absolute limit to the number of revision rhinoplasty procedures you can undergo. However, often there are diminishing returns as scar tissue develops after each procedure. Only by examining you in person can Mr Jassar fully assess your revision surgery options.
In the early days some blockage is expected because of bruising and swelling. With either cosmetic or functional rhinoplasty your breathing should not worsen once the nose heals although there is a small risk of this. Mr Jassar uses a structure-based rhinoplasty technique to help maintain or improve your breathing.
Most patients take one week off work after rhinoplasty but occasionally other patients prefer up to two weeks. The external cast on the nose is usually removed 7-10 days after surgery. Any external sutures are also trimmed at that time. Once the cast is removed any residual bruising and swelling can be camouflaged with make-up. Patients who are more concerned with privacy tend to prefer around two weeks off work after their rhinoplasty surgery.
All operations have a risk and side effect profile. The side effects of rhinoplasty include bruising, swelling, some dicomfort and blockage, and numbness of the skin of the nose. The duration and extent of these will depend on a range of factors specific to your case.
Risks associated with any surgery include bleeding and infection. These risks tend to be low in rhinoplasty. There are other procedure specific risks that depend on what needs to be done and on other factors such as whether you have had surgery before and these wil be discussed with you at your consultation.