The aim of rhinoplasty is to make the nose appear better and function more normally. Areas that can be addressed by surgeons include the patency of the nasal airways, and cosmesis, which may involve making the nose smaller or bigger by either adding or removing cartilage and bone, and suture techniques to define further the shape of the nasal tip. A doctor may recommend this process for people with a broken nose, or bulbous noses.
The operation can be performed ‘closed’ (endonasal) for men and women, such that there are no external scars on the nose, or ‘open’ so that there is a small incision across the base of the nose in the natural folds of skin where they are harder to see. Not all operations can be closed and Mr Banwell, in his clinics, will explain whether you are best suitable for having a closed procedure or whether you require a small incision across the base of your nose, giving good free access to perform the operation.
Mr Banwell recommends a general anaesthetic undertaken by a specialist anaesthetist. The operation is generally performed as day surgery or with an overnight stay.
The operation can be performed as a day patient but most people prefer an overnight stay in hospital. Once you leave hospital, the ward nurse or our office will contact you after the operation to ensure that you have no problems during your convalescence. You should expect swelling and bruising for the first week and possibly have secondary difficulty in breathing through the nose for a few weeks. Packs in the nose are removed the following day.
At day 5 - 7 the sutures and plaster splint on the nose are removed. A small amount of bleeding is common for the first 24 hours and is mopped up by a device like a small pad (bolster) placed under the nostrils. The sensation of the skin of the nose is reduced in the short term but this comes back over a period of months. You should not blow your nose for one week and not undertake any exertional activity for at least three weeks.
There are both general and specific risks and Mr Banwell will talk to you in detail regarding these. General risks include bruising and swelling, bleeding, wound infection, problems with general anaesthetics, abnormal scarring and keloid scarring. Specific risks include unsatisfactory final shape, healing problems, bleeding, external scars, wound or skin break down leading to unpredictable external scarring, contour irregularities, loss of septum leading to the collapse of the bridge line of the nose, septal perforation, actual or perceived ongoing airway obstruction.
Generally we like to see all patients at least twice although a consultation fee will only be charged for the first visit. Mr Banwell will discuss with you exactly what your aims and expectations are regarding possible surgery. He will also talk to you about how realistic these aims are and will discuss his surgical expectations in terms of what may be achievable with surgery. Patients are encouraged to see Mr Banwell as many times as they require prior to surgery so that he can fully understand what you would like to achieve out of the surgery and also so that you are fully informed of what the procedure involves and the potential risks.
Please contact Mr Banwell's office on 01342 330302 or email firstname.lastname@example.org for further information.
Day case or 1 night
PRE ADMISSION TESTS
Keep splint dry for 1 week
SPORT & EXERCISE
4-6 weeks contact sport 12 weeks
TIME OFF WORK