Like other procedures, nose job is a surgery that carries with it many doubts and even fears. Is it a safe surgery? Is recovery slow? Will the results be satisfactory? These are just some of the recurring questions!
Many people believe, for example, that nose surgery is always a merely cosmetic surgery, in which the patient "chooses the nose shape". you want to have, but that's not true.
André Barbosa, All Clinik plastic surgeon (Barra da Tijuca? RJ) and a member of the Brazilian Society of Plastic Surgery, explains that nose surgery, or rhinoplasty, may be an indication for people who have a specific functional complaint (not breathing well). , for example) and / or patients with aesthetic complaints (who do not like the appearance of the nose and want to modify it to have greater facial harmony).
Luís Felipe Maatz, specialist in General Surgery and Plastic Surgery at the University of São Paulo School of Medicine Hospital das Clínicas (HCFMUSP) and also a member of the Brazilian Society of Plastic Surgery, stresses that aesthetic and functional aspects should be combined: When performing rhinoplasty, should the surgeon always aim to maintain nasal function associated with improved aesthetic aspects?
Myth or Truth: 15 Clarifications on Nose Plastic
If you fit one of the above cases and want to have a rhinoplasty, check out the main myths and truths surrounding this procedure, as well as tips and guidance from experts.
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1. Nose plastic surgery is merely cosmetic surgery.
MYTH: Marcelo Moreira, plastic surgeon, full member of the Brazilian Society of Plastic Surgery (SBCP) and member of the American Society of Plastic Surgery (ASPS), preceptor of the plastic surgery residency residency of the Federal Hospital of State Servers (RJ) and physician of the service of plastic surgery and microsurgery of the National Cancer Institute (INCa-RJ), comments that, today, hardly anyone operates a nose thinking only on the aesthetic issue.
Before surgery, a good physical examination is required and, in most cases, a CT scan is required to see how the internal structures look. Structured rhinoplasty is nothing more than a cosmetic surgery combined with a functional treatment ?, highlights Moreira.
However, plastic surgeon André Barbosa points out that surgery can only be aesthetic if the patient has no symptoms or complaints about the nose, such as deviated septum. "If there is no functional problem, surgery is aesthetic," he says.
2. The nose job is a risky surgery.
MYTH: Maatz points out that it is not considered a risky surgery, as long as it is performed by the specialist surgeon in hospitals or clinics with adequate structures and the patient is in good health (including normal preoperative examinations). "It's a short surgery (about 2 hours) and hospital discharge usually occurs on the same day or the day after the procedure," he says.
Barbosa stresses that, like all surgery, the nose job should be done with a prepared team, in a well-equipped hospital, and with all preoperative examinations performed. "If" everything is ok ", the surgery is very quiet, with the risks inherent in every surgical procedure," he explains.
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3. Nose plastic can cause breathing problems
TRUTH: Marcelo Moreira points out that, if done poorly, surgery may cause external valve collapse, septal deviations that will lead the patient to breathing difficulty.
Maatz points out that some reasons why nasal plastic surgery may not have a satisfactory response are: patients with unfavorable anatomical features; no previous diagnosis of respiratory problems; poor technical execution of the procedure; unexpected postoperative patient response (particularly excessive fibrosis production).
But, it is worth mentioning: if performed correctly and with skilled staff, rhinoplasty is unlikely to cause respiratory problems.
4. Nose plastic can correct breathing problems
TRUTH: Barbosa comments that they can be corrected, for example, deviated septum, adenoid problems, etc.
Maatz explains that by surgically correcting deviated septum or nasal concha hypertrophy, two of the most common functional problems, there is increased airflow through the nostrils and, consequently, improved breathing pattern of the nose. "This way, patients can experience the feeling that their nose is no longer clogged and that they are breathing better," he says.
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5. Recovery from nose job is very complex
MYTH: Maatz explains that recovery from nasal plastic surgery is usually smooth and relatively quick. • There is a need for external dressing for about a week, as well as oral and nasal medications. The patient may return to his usual activities after a relatively short period. The average is 7 to 14 days for return to work and one month for physical activity ?, says.
Barbosa comments that the patient may have edema, hematoma, but this subsides in one or two weeks.
6. After surgery, the person breathes with difficulty
RELATIVELY TRUTH: Maatz points out that in the first days after surgery, due to swelling secondary to surgery, there may be difficulty breathing through the nose, which usually improves with the use of medications prescribed by the surgeon.
Marcelo Moreira comments that the patient may have a little difficulty. "But nowadays there are special dressings where the patient can breathe through him," he says.
Barbosa also points out that what happens often is the patient complain when the surgeon uses nasal packing in the immediate postoperative period and the patient has to breathe through the mouth. “But there are more modern plug-ins today that leave a bit of air in the air. But even with conventional tamponade, this discomfort is small and fast, since the surgeon removes this tampon as soon as possible, on average 12 hours ?, explains.
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7. The nose job is very painful
MYTH: Maatz explains that patients usually feel, in the early days, only mild to moderate pain, requiring only simple and anti-inflammatory painkillers for their control.
Moreira adds that even in patients where nasal fractures are required, pain is very rare postoperatively.
8.? Just by looking? you can identify who did the nose job
MYTH: On the contrary, as André Barbosa points out: the ideal is to obtain a natural result in harmony with the face.
Marcelo Moreira comments that this idea was? True? 30 years ago, when rhinoplasty was "kind of standardized." "Nowadays, each surgery is suitable for a patient, that is, each nose is operated so that the end result is as harmonious as possible with that face," he explains.
9. There is no "ideal nose", but rather, "the most suitable for each face".
TRUTH: Plastic surgeon Maiéve Corralo, a full member of the Brazilian Society of Plastic Surgery (SBCP), the Brazilian Association of Craniomaxillofacial Surgery (ABCCMF) and the American Society of Plastic Surgery (ASPS), director of the ELEV (RJ) clinic, explains that a face Is handsome related to the good proportion of the face? • The size of the nose should be equal to the size of the forehead and chin. So a very small nose could easily be perceived as? Plastic ?? So should we always respect the proportions?
André Barbosa reinforces that it is necessary to respect the patient's biotype, can't you? the same nose for all patients.
10. Plastic nose surgery can be performed at any age.
MYTH: Maiéve points out that the ideal age for nose operation is 18 years for women and 21 years for men.
Barbosa points out that it is correct to perform surgery after the nasal structures are more defined, from 16-18 years.
11. The tip of the nose loses sensation after the procedure.
TRUTH. Barbosa explains that a loss of sensation usually occurs, but it is temporary (comes back in a few months after the surgical trauma).
12. The nose job can be done more than once
TRUTH: Maiéve explains that when the first surgery does not provide the expected result, a second procedure can be performed after 6 to 12 months. "But a second or third procedure is always more complicated," says the plastic surgeon.
Barbosa reinforces that the ideal is that the plastic be performed only once, obtaining the desired result.
"Patients who have some reparative condition in the nose, such as cleft patients, usually have more than one surgery, for retouching and aiming better aesthetic result," adds Barbosa.
13. In nose job, the patient chooses the shape of the nose they wish to have
MYTH: Maiéve explains that the patient cannot "want someone else's nose" because the anatomy and proportions of the face must be respected.? The most common desires are to thin the back and the tip, to narrow the gib, to narrow the nostrils, to rectify the back with the tip? And we can also treat the functional part at the same time ?, he says.
Barbosa points out what the patient can and should do is talk a lot with his surgeon before surgery to expose his realistic expectations. "But the ideal is to make a nose according to the patient's features," he explains.
14. Patient is discharged on same day of surgery
RELATIVELY TRUTH: Barbosa explains that some surgeons release the patient at the end of the day, others prefer the patient to stay overnight and be discharged the next day.
15. The result of the nose job can be seen as early as the first month.
MYTH: Barbosa explains that in the first month, the person already notices difference? “But there is always some edema, which is slowly coming out. Same end result is between 3 to 6 months. Ideal 6 months?
For Maiéve, rhinoplasty is the surgical procedure that most demands patience. "The results start to be noticed in the third month and change up to a year or more," he says.
Tips to prepare for nose job
Are you thinking about having a nose job ?! Check out the tips below to prepare for surgery in the best way, without creating any illusions or exaggerated fears.
Think first about your goals with surgery: Luís Felipe Maatz explains that rhinoplasty is indicated for patients seeking to improve nose shape, nasal respiratory function or both.
Have real expectations: no use wanting to choose? The type of nose you want to have based on how other people look. What you can and should do, according to André Barbosa, is talk a lot with your surgeon before surgery to expose your expectations. But always being aware that the ideal is to have a nose that is in harmony with your features.
Choose a competent professional that you sympathize with: It is essential that you feel comfortable with the chosen professional to raise your expectations, ask questions and feel safe about the surgery.
Don't panic thinking postoperatively: Share with the professional all your doubts and afflictions. But be aware that recovery from nasal plastic surgery is usually smooth and relatively quick. Maatz recalls that the postoperative period includes the use of external bandages for about a week, as well as the use of oral and nasal medications.
Prepare correctly for surgery: Maiéve explains that before any procedure, the person should avoid anti-inflammatory drugs, aspirin and ginko biloba, and take care not to be cold or with nasal discharge. You should also flush your nostrils one week before surgery (which helps prevent contamination).
It is worth remembering that before the nose job, the complete preoperative will be performed (with the exams requested by the surgeon), which also includes the release of the cardiologist (regarding the surgical risk).
Now you know that nose job can be performed for aesthetic, functional, or both reasons. Like all surgery, it is essential that it be performed by a competent professional, with a trained staff, in a well-equipped hospital and with all preoperative examinations performed.
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