Rhinoplasty

Are you unhappy with your nose? From getting rid of a hump you see when you turn sideways to refining the tip to be smaller or dealing with breathing problems, Dr. Grawe is experienced in Rhinoplasty and can help change your nose into something you are proud of!

Most people find that a "nose job" or rhinoplasty doesn’t make them look like a different person. Patients who undergo rhinoplasty say that they feel more confident when their nose fits their face better. Whatever your reasons, you will find that at ROXY Plastic Surgery, you can have the nose you are dreaming about!

Aspire to be…happy when you look in the mirror!

HOW IT WORKS:

Consultation and Planning:
When you come to a consultation at ROXY Plastic Surgery, Dr. Grawe will examine you and determine if you are a good candidate for rhinoplasty. You will discuss how nose surgery works and you will be able to talk about a specific plan for your specific wants and desires.

The Surgery:
Rhinoplasty surgery is an outpatient surgery so you can go home the same day. The surgery takes about 2-3 hours. Most people go all the way to sleep (general anesthesia) but some types of rhinoplasty can be accomplished with twilight sleep (IV sedation). There is usually a small scar on the bottom of your nose and the rest of the surgery is performed inside your nose. You will wake up from surgery with stitches and a dressing in place and will be able to leave to go home about an hour after your procedure is finished.

Most people have some discomfort after surgery which is easily taken care of with pain medicine which will be prescribed for you by Dr. Grawe. You will notice a difference right away… You will have some swelling and possibly bruising for 1-2 weeks after surgery. Most people will need a splint on the outside of your nose and may have splints inside the nose also. Your stitches and splints will be removed in the office. Before you know it, you are on your way to loving your nose and being more confident at work and at home!

Recovery
You will notice a difference immediately after surgery but you will be swollen and the results will improve with time as the swelling goes down. You will need to sleep with your head elevated for the first week.

You should not lift anything heavier than a gallon of milk for at least 2 weeks after surgery. You should walk around immediately after surgery and NOT stay in bed. This is important to prevent blood clots. You should eat a healthy diet and as much protein as possible to promote good healing.

You may drive and return to work when you are no long taking prescription pain medicine. Most people are able to return to a light duty job about 2 weeks after surgery.

Remember that everyone is different. Recovery times and progression is not the same for everyone. The times stated are typical for healthy individuals healing from this surgery. The normal progression of healing may be different for those with health problems, smokers, and those who have unforeseen complications after surgery.

RISKS:
With every surgery there are risks involved including bleeding, infection, blood clots, pain, scarring, delayed healing and need for further surgery. Here are some complications specific to Rhinoplasty:

  • Asymmetry: The human face is normally asymmetric. There can be variation from one side to the other in the results obtained from rhinoplasty. If this occurs, further surgery may be necessary.
  • Septal Perforation: This is a very rare risk of rhinoplasty which means a hole develops in the nasal septum. Additional surgical treatment may be necessary to repair the nasal septum.

Frequently Asked Questions

Do I need someone to stay with me after surgery.?

After any type of anesthesia (general or IV sedation/twilight sleep), it is recommended that someone stay with you for the first 24 hours. You will need a ride home from surgery also. If you do not have someone to stay with you, you may use our Home Care Concierge Service (link to http://www.homecareconcierge.net/). This service can be set up for you during your pre-operative planning visit.

When do I see the doctor for follow-up?

Your first visit will be 5 days after surgery to remove your stitches and outer splint. You will need a ride to this first follow-up visit.

When can I drive?

You can drive about a week after surgery when you are no longer taking pain medicine.

When will the bandages be removed?

The outer splint and stitches will be removed 5 days after surgery. The inner splint is usually removed about 2 weeks after surgery.

Do I need to stop taking any medications prior to surgery?

Two weeks prior to surgery, you will need to stop taking medications that cause bleeding such as Aspirin, Plavix, Coumadin, and Ibuprofen. There is a longer, more detailed list of medications that should be stopped including herbal medications that will be given to you by Dr. Grawe at your pre-op visit.

Do I need to take an antibiotic prior to surgery?

You will be given an IV antibiotic at the time of surgery and will be continued on oral antibiotics for a week after surgery.

What medications do I have to take after surgery?

Dr. Grawe will prescribe you all the medications you need after surgery. This will include an anti-inflammatory medication, pain medication, and antibiotics. Some patients take Colace, a stool softener while they are on pain medication so that they do not get constipated.

My nose is bleeding immediately after surgery. Should I be concerned?

Some bleeding is expected after nasal surgery. You should change the dressing on your upper lip as needed, and anticipate that this will be necessary for 1-2 days after surgery. If you have severe bleeding, lightheadedness, or are worried, you can call the office for immediate help (614)764-7699 at any time.

How long will the swelling last?

The initial swelling lasts about 5-7 days. There will be a little bit of swelling for the next few months. There is a tiny bit of swelling for about a year. This is not noticeable but any revision surgery cannot be done for a year or more due to this tiny bit of swelling.

What can I do to minimize the swelling or bruising?

Soak compresses in ice water, wring them out and place them over your eyes. You can also use frozen peas in plastic baggies over your eyes. Arnica Montana is an herb that decreases facial swelling and bruising and can be started prior to surgery and taken the week after surgery. This can be purchased at the office anytime.

My upper teeth are numb and tingling. Is this normal?

This is normal and usually goes away in 1-2 days.

When can I blow my nose?

You should avoid blowing your nose for the first week after the splint is removed. You should also attempt to sneeze with your mouth open when possible.

When can I take a shower after surgery?

You can take a shower 48 hours after surgery. You may take the bandage on the top of your lip off before showering.

When can I wear facial lotion or make-up?

You can begin to wear make-up and lotions after your first follow-up visit, after the stitches and splints are removed.

When can I wear glasses after surgery?

You can wear reading glasses and sunglasses 2 weeks after surgery.

When can I go swimming?

You may swim in a pool 2 weeks after surgery. You should avoid swimming in a lake for 6 weeks after surgery. You should avoid diving for 3 months after surgery. You should wear a strong sun-block on your nose while it is healing to avoid problems with your scar.