Rhinoplasty

Rhinoplasty reshapes the nose to create a more balanced face. The procedure can also correct damage from injuries and breathing abnormalities from deformed internal structures of the nose. Dr. Varasteh Kia can change the size and shape of your nose, creating symmetry by removing any nasal imperfections, such as bumps or other abnormalities. With advancements in technology, rhinoplasty procedures are now more accurate and successful than ever. Dr. Varasteh Kia will work with you to create a treatment plan specifically tailored to your needs.

During rhinoplasty, the surgeon makes incisions to access the bones and cartilage that support the nose. The incisions are usually made inside the nose so that they are invisible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another part of the body or using a synthetic filler). After the surgeon has rearranged and reshaped the bone and cartilage, the skin and tissue is redraped over the structure of the nose. A splint is placed outside the nose to support the new shape of the nose as it heals.

After Nose Surgery (Rhinoplasty)
  1. Sometimes nausea occurs once or twice after surgery that is normal, do not worry.
  2. Drinking liquids is recommended after consciousness.
  3. Consume foods like soup, pineapple juice, orange juice, celery juice, and vitamin C until 48 hours after surgery. After that a normal diet is recommended.
  4. Avoid eating and chewing hard foods as long as you feel pain in your jaw and face.
  5. You can consume semisolid foods such as toast, crackers, jelly, and ice cream after initial recovery.
  6. After a while you’ll be ready to eat solid foods.
  7. Avoid taking medications that prevent blood clotting such as aspirin and warfarin. You should only take prescribed medications.
  8. Avoid fatty meals because they are difficult to digest. Consumption of fatty foods increases your nausea.
  9. If you have a stuffy nose for a while (before removing splint and tampon) you should breathe through your mouth. It can lead to dry lips so do not forget to moisturize and lubricate your lips. You can use lip lubricant and moisturizing ointments.
  10. Hold your nose and try to avoid pressure on the muscles when you are coughing and sneezing.
  11. When you rest pillows with the height of about 30-45 degrees above the horizon are recommended in the first few days after surgery to prevent face swelling.
  12. Avoid long-term side-sleeping in the first two weeks then follow your physician’s instructions.
  13. You do not need to sleep all the time. You can walk in home 24 hours after surgery.
  14. Serums flow from the nose is normal in the first days after surgery.
  15. It is better to apply a piece of sterile gauze with hypoallergenic adhesive in front of your nose in the first few days after surgery.
  16. Call your doctor or nurse in case of severe bleeding (abnormal) due to trauma or unusual movement.
  17. Sometimes hematoma around or inside the eyes or bruising around them observed which improve after a few days.
  18. Using the cold compress for 48 hours after surgery will help to improve the hematoma and bruising.
  19. You can use warm compress if the bruising under the eyes remains after 48 hours. Do not put the compress on the nose.
  20. You should coordinate with your nurse or physician’s assistant to bring out the tampon if you have one of them in your nose. It is usually removed 1 or 2 days after surgery.
  21. You should make an appointment with your doctor to bring out the splint if you have one of them for blade correction. Note that the splint is different from the tampon.
  22. Applying antibiotic ointment to the intranasal is required in a certain period. You should do it seriously. You can use ear cleaner to apply ointment.
  23. You should wash intranasal with physiologic serum 3-4 times a day after removing the tampon. You can use a 10-cc syringe without needle to inject serum into the nostrils. Washing once a day would be enough after third week.
  24. Avoid blow your nose up to a month and severe blowing up to 4 months.
  25. You would not be in appropriate physical and mental condition in the first 2 weeks after surgery so you should not drive, not operate with the machines and not take important decisions at this time.
  26. Do not take any medication without checking with your doctor.
  27. Do not drink alcohol. Alcohol with anesthetic drugs that are still in your body can cause inappropriate reactions.
  28. Ask someone to stay with you during the first week.
  29. Your splint (the mold is placed on the nose) is usually removed on the fifth or seventh day. Please check your appointment with the clerk.
  30. You can bathe before your appointment.
  31. Bandage and hypoallergenic adhesive are used on your nose for proper formation and swelling prevention for 3-4 weeks
  32. The number of stitches is reduced gradually from the second week.
  33. Avoid doing fast movements, lifting heavy objects, bending more than usual, and pressure on your face (prostration). You should bend your knees to take objects from the ground.
  34. Consult your doctor to start the exercise.
  35. You should get your prescription at the discharge time or get it from the clerk in the office earlier. It usually includes antibiotic pill, painkiller pill, antihistamine pill, antibiotic ointment (can be used on wounds and stitches), washing serum (to wash intranasal), normal saline or sodium chloride, phenylephrine drops (to stop excessive bleeding or secretion which is appointed by physician), and other drugs. These are prescribed by your doctor and recommended only for you.
  36. You should wash your head from back while bathing. Do not put too much pressure on it.
  37. It is better to consult your doctor for taking other drugs that were used before surgery.
  38. Correct use of medication and follow-up recommendations are necessary for appropriate care of the wounds.
  39. It is better to follow breathing physiotherapy (deep breathing), cough, and sputum removing in the first 5 days.
  40. Smoking slows the wounds and swelling healing and causes damage to the body.
  41. You should use the sunscreens with SPF 35 or higher when you are exposed to the sun.
  42. Do not forget using a sun hat to prevent the sun exposure on your face.
  43. Your nose should not be subjected to trauma in the first 4-6 weeks if the surgeon has operated nasal bone to shape it.
  44. It is better to use lenses during the first 6 weeks if you wear eyeglasses. Also you can paste the glasses to the forehead with adhesive tape to prevent pressure on your nose or keep your eyeglasses in the back of the head via strap. After this time, consult your doctor for eyeglasses reusing.
  45. The tip of your nose is a little higher than usual after surgery. It will return to the normal position after a while, do not worry.
  46. Your nose will swell alternatively. It sometimes will continue up to 6 months or more.
  47. You can makeup after reducing the face swelling.
  48. Ask your questions from the surgeon. It will be helpful for your improvement.
  49. Have patience and do not hurry to reach the final result. All problems will be solved with time.
  50. Each person has a specific anatomy and physiology. You can realize your situation sooner than everyone.
  51. Full recovery takes time.
  52. Do not forget to follow after surgery instructions.
  53. You can contact your doctor or his assistants to ask your questions.
  54. You should come to the office for the nose adhesive tape replacement. It will be done with the doctor’s direction.