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RHINOPLASTY


RHINOPLASTY

Introduction
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Conventional rhinoplasty is a nose reshaping surgery that addresses both functional and aesthetic concerns of the nose. Common nasal functional problems include breathing problem due to structural abnormality of the nose. Aesthetic issues usually associated with undesirable shape and size of the nose. Rhinoplasty varies in complexity from simple procedures such as a dorsal hump reduction to complex procedures such as reshaping of the entire nose or secondary rhinoplasty (second time rhinoplasty). The exact techniques required for each patient varies, depends on the objective of the operation and condition of the original nose. The use of silicone implant is uncommon, unlike those in Asian rhinoplasty. However the use of cartilage grafts is not uncommon in conventional rhinoplasty.

Objectives
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• To create a aesthetically desirable nose
• To manage structural abnormalities of the nose that cause functional problems of the nose

Preoperative Preparation
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• Treat and stabilize all existing medical conditions, if any.
• Stop smoking at least one week before surgery
• Stop the following one week before surgery:
  - All supplements that contain vitamin E, ginseng, ginko, garlic, fish oil and other ingredients that encourage bleeding during surgery
  - Medicine that exacerbate bleeding during operation such as aspirin, NSAIDs and warfarin. You may need to consult the physician who prescribed the medicine before stopping them.
• Don’t wear jewelry on the day of surgery

Surgery
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Duration: 2-4 hours depending on the complexity of the surgery
Anaesthesia: Local anaesthesia with sedation or general anaesthesia
Overnight Stay: May be required, depends on the complexity and duration of the rhinoplasty
Recovery Time: 2-3 weeks
Technique: Rhinoplasty is performed by either closed or opened method:

1. Closed method: Incision is made inside the nostril. After surgery the surgical scar is confined inside the nostrils.

2. Open method:  Incision is made in both nostrils as well as the skin column situated between the nostrils (columella). The nose is opened and exposed for the operation. This method is usually used when more complex form of rhinoplasty is performed.

Rhinoplasty may require the use of cartilage graft harvested from other part of the body (e.g. the nasal septum, ear or rib) to support the nasal framework. Sometimes osteotomy (cutting of bony framework) may be required as well.

Recovery
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• Swelling is expected 1-2 weeks after closed rhinoplasty; and 2-3 weeks for open rhinoplasty
• A splint or plaster is placed on the nose for support and to prevent displacement of the implant. Sometimes nasal pack may be used as well
• Gentle cold compression to minimize swelling and bruises
• Do not pick the nostrils with finger
• Use cotton tip and sterile water or saline for cleaning the nostrils three times a day
• Apply antibiotic ointment on the wound three times a day
• Finish the oral antibiotics prescribed
• Elevate the head and avoid sleeping on side of the head
• Avoid wearing eye glasses for 2 weeks
• Avoid heavy exercise for 2 weeks
• Removal of sutures, if needed, is done one week after surgery.


 
 
 
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Pantai Hospital Ampang
Jalan Perubatan 1, Pandan Indah, 55100
  Kuala Lumpur, Malaysia
+603-42892828
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