The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can change bone, cartilage, skin or all three. Talk with a surgeon who is an expert on the field about whether rhinoplasty is appropriate for you and what it can result in.When you are planning rhinoplasty, your surgeon should be a surgeon who will consider your other facial features, the skin on your nose and what you would like to change. If you think you are a candidate for surgery, your surgeon will develop a customized plan for you. Sometimes part or all of a rhinoplasty is covered by insurance.
Rhinoplasty is surgery that changes the shape of the nose. The motivation for rhinoplasty may be to change the appearance of the nose, improve breathing or both.There are different kinds of tampons used in a rhinoplasty operation. The previously used compression bandage compressed in the nose prevented the patient from breathing after the operation and caused bleeding and pain. Such cases led the patients to avoid rhinoplasty operations.Rhinoplasty can be done in a hospital, an office of a doctor, or an outpatient surgical facility. Your doctor will use local or general anesthesia.
After the surgery you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the splints placed inside your nose during surgery.
In most cases, the internal dressings remain in place for one to seven days after surgery. Your doctor also tapes a splint to your nose for protection and support. It’s usually in place for about one week.
Rhinoplasty Without Tampons
In rhinoplasty without tampons; a special tool called intranasal perforator is used. No nasal tampon is used. Since the nose of the person is not blocked, he can breathe through the nose easily. There is no need to do an additional cleaning inside the nose. The dissolvable stitches are placed in the nose with this tool. The stitches do not need to be removed after the operation; they dissolve by themselves about 10 days later.
It must be recognized that haematoma of the nasal septum, which consists in the collection of blood inside the septum between its two walls of mucous, can have very serious consequences, including severely damage to the external shape of the nose.
The nose was hence packed with tampons that were removed after 4–5 days or even longer by some surgeons. The tampon dries out during this period and its removal can be painful. It can be stated that today tampons are only necessary in very particular cases.The septum can in fact be held in place without using tampons but rather internal sutures that are eliminated by themselves with no disturbance for the patient. The turbinates are also treated when necessary by means of radio frequencies or other “soft” techniques that avoid bleeding and therefore do not require tampons.
As a result of these techniques, nasal tampons are used today in less of 5% of rhinoplasties* and are in fact employed only in cases involving major reconstruction of the nasal septum.