During rhinoplasty

During the rhinoplasty surgery

What kind of anesthesia is used for rhinoplasty?

Can rhinoplasty be done under local anesthesia or general anesthesia?

Rhinoplasty does not have an ordered series of steps. Each surgery is unique and customized for the specific anatomy and goals of the person having the surgery.

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Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.

Rhinoplasty requires local anesthesia with sedation or general anesthesia, depending on how complex your surgery is and what your surgeon prefers. Discuss with your doctor before surgery which type of anesthesia is most appropriate for you.

Local anesthesia with sedation.This type of anesthesia is usually used in an outpatient setting. It's limited to a specific area of your body. Your doctor injects a pain-numbing medication into your nasal tissues and sedates you with medication injected through an intravenous (IV) line. This makes you groggy but not fully asleep.
General anesthesia.You receive the drug (anesthetic) by inhaling it or through a small tube (IV line) placed in a vein in your hand, neck or chest. General anesthesia affects your entire body and causes you to be unconscious during surgery. General anesthesia requires a breathing tube

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Step 2 – The incision

Rhinoplasty is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.

Through these incisions, the skin that covers the nasal bones and cartilages is gently raised, allowing access to reshape the structure of the nose.

Step 3 – Reshaping the nose structure

An overly large nose may be reduced by removing bone or cartilage. Sometimes surgery of the nose may require the addition of cartilage grafts.

Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Occasionally cartilage from the ear or rarely a section of rib cartilage can be used.

Step 4 – Correcting a deviated septum

If the septum is deviated, it can be straightened and the projections inside the nose reduced to improve breathing.

If patients have had significant trauma to the nose in the past, the nasal bones are sometimes shifted into a more favorable position during surgery.

Step 5 – Closing the incision

Once the underlying structure of the nose is sculpted to the desired shape, incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.

After the surgery, you'll be in a recovery room, where the staff monitors your return to wakefulness. You might leave later that day or, if you have other health issues, you might stay overnight.

During closed rhinoplasty

The closed rhinoplasty surgery in Iran is usually performed under general anesthesia and in some cases under local anesthesia plus sedation. The intervention is made through various incisions made inside the nose. The number and extent of the incisions depend on the magnitude and location of the deformities to be treated.

Closed rhinoplasties are most often done when the surgeon is removing excess soft tissue, reshaping cartilage or bones, removing humps or bumps or doing some types of work on the nasal tip. The closed technique is the method surgeons have used for years.

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About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best plastic Surgeons in Iran. The price of a Rhinoplasty in Iran can vary according to each individual’s case and will be determined based on photos and an in-person assessment with the doctor. So if you are looking for the cost of Rhinoplasty in Iran, you can contact us and get free consultation from Iranian surgery.

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1What can I eat after rhinoplasty?

For the first 24 hours after surgery, you should consume cool, bland food like soda crackers and ginger ale to minimize the side effects of anesthesia. Over the next few days, soft foods such as mashed potatoes, smoothies, oatmeal, soup, and Gatorade are recommended. Hot meals and drinks, as well as spicy foods, should be avoided as they can dilate the blood vessels, thereby increasing swelling and bruising. For the first week, plastic surgeons also recommends avoiding foods that are difficult to chew. By the second week after surgery, you can resume your normal diet.

2 Will I retain my sense of smell after rhinoplasty?

Due to postoperative swelling of the internal nasal tissues, your sense of smell will be temporarily diminished during your recovery from rhinoplasty. After a few weeks, as the swelling subsides, your sense of smell will return to normal.

3Will I retain my sense of taste after rhinoplasty?

As the senses of smell and taste are profoundly interconnected, your ability to taste may also be temporarily altered during your recovery from rhinoplasty. As the swelling subsides, your sense of taste will return to normal.

4Which day after rhinoplasty is the worst?

For most patients, rhinoplasty does not have a particularly painful recovery. Swelling and discomfort tend to peak by day two or three, particularly if you have packing in place, but recovery is usually uphill from there. Packing, if present, is usually removed by the second or third day.

5How do I choose my new nose?

Deciding how your nose should look is the most difficult part of rhinoplasty. First, you should consider what it is that you do not like about your nose. Is it too large? Is it crooked, or does it have a hump? Are your nostrils too large? Do you wish that your nasal tip was more refined? You will have a detailed discussion about this with Dr. Boyd, who will make recommendations based on your anatomy and facial structure as well as your desires. While you may wish to have a certain celebrity’s nose, bear in mind that a nose that flatters one face may not flatter another. Decisions about what your nose should look like after rhinoplasty are unique and personal. plastic surgeon will discuss nasal aesthetics with you, and after a complete nasal examination, he will develop the surgical plan that will best serve your goals. Dr. Boyd encourages you to schedule consultations with multiple surgeons to educate yourself and see what they recommend. However, make sure that the surgeon understands what you want and explains how he/she intends to achieve the result. It is vital that you understand exactly what is being proposed and that it makes sense to you.

6How long do rhinoplasty results last?

The results from rhinoplasty should last a lifetime.

7How old do you have to be to undergo rhinoplasty?

You should be at least in your mid to late teens before undergoing nose surgery. Physical maturity of the nasal tissues and emotional maturity of the individual are both essential for this procedure.

8How do I know if I need rhinoplasty revision?

A second rhinoplasty operation on the same patient is often called a “rhinoplasty revision” or a “secondary rhinoplasty.” Operating on a nose that has already had surgery is a much more complex procedure than an initial rhinoplasty. You might need rhinoplasty revision if your previous results did not turn out well. You should wait at least one year after your initial rhinoplasty before pursuing rhinoplasty revision so that your nose has had time to heal. Remember that your nose will continue to change for about 12 months after rhinoplasty; therefore, what initially may have seemed like disappointing results could very well turn out to be exactly what you desired. (Conversely, an initially excellent result may deteriorate!) Another reason to undergo rhinoplasty revision is if you injure your nose after rhinoplasty. In the case of nasal injury, talk to Dr. Boyd about if and when a secondary rhinoplasty is indicated.

9Will rhinoplasty affect my singing voice?

It is very unlikely that rhinoplasty will affect your singing voice, but there is a small chance of a minor change. For instance, if the structure of your nose is changed, especially if your deviated septum is straightened, it may cause you to lose a bit of the nasal quality of your voice. Some singers consider this a good thing, especially if it means they will now have a more open airway for resonance. Because the nasal cavities resonate with the sound of your voice when you sing, structural changes can cause minor changes to the quality of your sound. But when it comes to rhinoplasty and singing, there should not be any concern that it will dramatically and adversely affect your singing voice.

10Will I be able to breathe better after rhinoplasty?

When combined with septoplasty, rhinoplasty can help you breathe better through your nose. This procedure can straighten a deviated septum to improve the nasal airways. If you have a breathing problem, a septorhinoplasty may be a benefit of your insurance.