Bony Nose Rhinoplasty

Most people with bony noses experience breathing problems due to extensive changes in the bone, which can be bothersome. Bony rhinoplasty is the best way to correct these problems, performed by a rhinoplasty surgeon. In most cases, this surgery requires cartilage alteration or grafting in the lower part of the nose, requiring sufficient skill and experience from a cosmetic surgeon; therefore, for a nose job, you should definitely consult a skilled physician to choose the right method for Nose surgery

• Since bony rhinoplasty has both cosmetic and therapeutic aspects, following the surgeon’s recommendations is essential for improving the outcome and increasing the safety of the procedure. The pre-surgical guidelines and prohibitions will vary depending on the individual’s condition and health; therefore, carefully follow the points below:
• Be careful in choosing an experienced and specialized surgeon for bony rhinoplasty.
• Perform all prescribed tests completely and submit the results to the doctor at the appointed time.
• Stop consuming alcoholic beverages and smoking two weeks before surgery.
• Stop taking blood thinners seven to ten days before surgery.
• Take a shower the night before surgery to ensure your nose and face are clean.
• Refrain from eating and drinking for at least eight to ten hours before surgery.
• On the day of surgery, enter the operating room without makeup, cream, or any impurities on your skin.

Following these instructions precisely will help you have a more successful surgery and achieve better results. These instructions are for fleshy nose surgery and bony nose surgery.

To prevent side effects and achieve better results after bony rhinoplasty, observing certain measures is necessary. Post-operative care includes the following:

• One day after bony rhinoplasty, you should rest completely and avoid physical activity.
• Consume cold liquids and follow the recommended diet.
• For two days, use a cold compress every two hours to reduce swelling and bruising.
• Only take medications prescribed by your doctor and avoid self-medicating.
• Refrain from strenuous activities, exercise, and lifting heavy objects for one week, and rest in a semi-sitting position while sleeping.
• Avoid eating hard foods and avoid blowing your nose, showering, and wearing glasses.
• Avoid spicy and salty foods, alcoholic beverages, and smoking.
• Internal dressings usually remain for one week after surgery.
• Avoid strenuous activities and putting pressure on your nose, and eat fruits and vegetables to prevent constipation.
• Avoid excessive laughter and brushing your teeth for a while.
• Use sunscreen with SPF 30 to protect your nasal skin from sunlight.

• Apply the nasal adhesive regularly to reduce swelling and improve the shape of your nose.
• Wear open-front clothing and avoid placing glasses or sunglasses on your nose for four weeks to prevent pressure on the nose.

Following the instructions is very important, and if you do not follow them, the shape of your nose may change and become deviated.

Rhinoplasty for a bony nose is a relatively safe surgery. Apart from the usual side effects that are part of any invasive surgery, this surgery is generally considered safe. Complications from a nose job are low if entrusted to an experienced and skilled surgeon, but if the surgery is not entrusted to someone with sufficient skill and knowledge, it may have serious and irreversible complications. Some of the complications of rhinoplasty are as follows:

• Bleeding
• Swelling
• Bruising
• Pain
• Scarring
• Nasal septal perforation
• Nasal deformity
• Breathing problems
• Numbness in the nasal skin
• Nasal asymmetry
• Loss of sense of smell
• Noisy breathing, especially during sleep
• Snoring

Considering the mentioned complications, it can be concluded that choosing a skilled and experienced surgeon in rhinoplasty is very important, and this issue should be considered before the surgery.

Complete nasal reshaping may take several months, and it can take three months for your breathing to return to normal. You may experience nausea in the first 24 hours after surgery due to anesthetic medications.To reduce the risk of bleeding and swelling, bed rest with your head elevated is recommended. The nose is usually blocked during this time due to swelling or surgical splints; also, minor bleeding and mucus drainage after the removal of dressings is normal.

Rhinoplasty with local anesthesia is a new method that allows some individuals to make their desired changes to cartilaginous noses without the need for general anesthesia. In this method, topical solutions are usually used to numb the nose and surrounding eyes, so that the patient remains conscious.

Although surgery on a bony nose is simpler than surgery on a fleshy nose, you shouldn’t take risks. Consulting a skilled surgeon significantly impacts your health and beauty; therefore, be sure to go to a professional specialist for this procedure and thoroughly research beforehand. Dr. Ghorabi, a rhinoplasty surgeon, and a super subspecialist in plastic, cosmetic, and reconstructive surgery, is one of the prominent specialists. Dr. Ghorabi provides free pre-operative consultations, offering necessary information about the surgery based on your nasal condition and guiding you to achieve the best possible outcome.