Rhinoplasty
The usual procedure for nasal surgery is for some bone to be cut away from the bridge of the nose (to treat a bump), then the bones to be put back together through a fracture or perforation on one of the upper sides of the nose (for a finer bridge). The protruding part of the bridge is reduced as required, a small part of the septum removed (to raise the tip of the nose) and a part of the nasal cartilage removed (for a finer tip). The operation is very difficult and is carried out under general anaesthetic, so that there is no chance of the patient’s movements disrupting the procedure. To protect the fragile end result, a plaster cast is applied to the nose following the operation. Despite the plaster, it is very important to remain as still as possible in the first eight days following the operation, to avoid chewing vigorously, to avoid laughing, not to pull faces and not to take hot showers. There should be no movement in the area around the nose and the plaster. During this period you should sleep on your back with your upper body raised.
On the first or second day after the operation, the tamponade is removed and the interior of the nose cleaned with Bepanthen nasal salve and Q-tip three times a day. In order to avoid infection, a seven-day course of antibiotics is prescribed and must be taken according to instructions. After six to eight days the plaster is changed—this is your first opportunity to see your new nose, the end result will however be even better, since there will still be some swelling at this time. The doctor will show you how to treat your nose after the second cast is removed (eight days later) with an imbricated dressing (with leukosilk one cm from the pharmacy) at night (for a further four weeks). Throughout this period you must treat your new nose as you would a piece of fine porcelain. In particular, you must avoid all physical exertion, and saunas and solariums for four months, no sunbathing and refrain from martial arts (see sport section). You may not wear glasses for a period of two months. Your nose only regains its preoperative stability after six months.
Haematomas can persist for three to four weeks, for the same period of time you should withdraw from social activities.
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