Rhinoplasty, commonly referred to as a "nose job," is a surgical procedure that alters the shape, size, or function of the nose. It can enhance the facial harmony of an individual, improve breathing, or correct structural defects. In this step-by-step guide, we’ll explore what happens during rhinoplasty surgery.

Step 1: Initial Consultation

The journey begins with an initial consultation with a qualified plastic surgeon. This session typically involves discussing the patient's desires, medical history, and any concerns about the procedure. The surgeon will evaluate the nasal structure and face, taking necessary photographs for planning.

Step 2: Preoperative Preparations

Once a surgical plan is established, the patient will receive instructions on how to prepare for the surgery. This may include guidelines on avoiding certain medications, stopping smoking, and any dietary recommendations to ensure optimal healing and reduce the risk of complications.

Step 3: Anesthesia Administration

On the day of the surgery, the patient is taken to the operating room where anesthesia is administered. Rhinoplasty can be performed under general anesthesia, where the patient is fully asleep, or local anesthesia with sedation, where the patient is awake but relaxed. The choice depends on the complexity of the surgery and the surgeon’s recommendation.

Step 4: Incision Placement

Next, the surgeon makes incisions to access the nasal structures. There are two main approaches:

• Closed Rhinoplasty: All incisions are made inside the nostrils, leaving no visible scars.
• Open Rhinoplasty: An incision is made across the columella (the tissue between the nostrils), allowing more access to the underlying structures.

Step 5: Reshaping the Nose

Once the incisions are made, the surgeon then reshapes the nasal bones and cartilage to achieve the desired aesthetic outcome. This can involve removing, adding, or rearranging parts of the nasal structure. The surgeon may also correct any functional issues, such as a deviated septum, to improve breathing.

Step 6: Closing the Incisions

After reshaping is complete, the surgeon carefully closes the incisions using sutures. In open rhinoplasty, the columella incision is also stitched up, often leaving minimal scarring that fades over time.

Step 7: Postoperative Care

Following the surgery, the patient is moved to a recovery area to begin the initial healing process. They will be monitored for any complications and provided with post-operative instructions, including how to manage pain, swelling, and how to care for the nose. A splint or packing may be placed inside the nose and on the outside to support the new shape.

Step 8: Follow-Up Appointments

Patients will have follow-up appointments with their surgeon to assess healing and remove any packing or sutures if necessary. It is crucial to attend these appointments to ensure proper recovery and address any concerns promptly.

Step 9: Recovery Process

Recovery from rhinoplasty varies by individual but generally includes swelling and bruising that will subside over time. Most people can return to light activities within a week, but strenuous exercise and contact sports should be avoided for several weeks. The final results may take up to a year to fully manifest as swelling continues to diminish.

Conclusion

Rhinoplasty surgery involves careful planning, precise execution, and a supportive recovery process. Understanding each step can help patients feel more comfortable and informed about their decision to undergo this transformative procedure.