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Cosmetic nose surgery, or rhinoplasty, aims to improve the appearance of the nose and enhance facial harmony. To some, a nose job can also boost self-confidence. Apart from aesthetic effects, a rhinoplasty is sometimes done to improve a breathing problem, correct a birth defect, or fix a broken nose.

Rhinoplasty can change the overall size of the nose, reshape it, or correct a deviated septum. It may involve modifying the upper portion, which is made of bone, the lower portion, which is cartilage, and/ or the skin. Incisions are made from the inside of the nose. Tissues such as bone, cartilage or skin may be removed or remodeled. Tissues or synthetic fillers may be added to augment or reshape the nose. Nose surgery may be done under local anesthesia with sedation or general anesthesia as an outpatient procedure, although some may need to stay overnight in the hospital. After the surgery, the nose is supported by a splint and bandaged.

Nose surgery usually takes one to two hours to perform and it usually costs an average of $4,500.

You will start to see the positive results of your surgery only after 3 months, but the final result is best seen after at least one year.

After Surgery

You may experience pain and some bleeding right after the operation. A gauze dressing may be applied inside the nose to stop the bleeding. You will be advised not to blow your nose, to avoid wearing shirts that go over the head, and to brush your teeth gently. Bathing is recommended while going under the shower must be avoided. One must also try to avoid extreme movements of the facial muscles such as laughing or smiling.

You may also expect congestion and some discomfort in breathing and smelling, because of the nature of the surgery. It is normal for patients to have puffy eyes and bruises around the nose for several days after the surgery. This swelling can be reduced by applying cold compresses and taking pain medicine for a few days. You may also be instructed to sleep with your head elevated on two pillows to help reduce swelling. You must avoid wearing eyeglasses that rest on your nose and doing strenuous activities for several weeks.

It usually takes two weeks before the swelling and the bruises improve.

Risks and Complications

Just like other types of surgery, patients may experience pain, swelling, and bleeding after a rhinoplasty. Infection, skin breakdown, and injury to the nasal septum, producing a hole in the wall between the nostril are also possible. Other possible complications include recurrent nosebleeds, nasal blockage, resulting in difficulty in breathing, and numbness around your nose. Scarring and dissatisfaction with the results are also possible for some patients.

If you want to get a nose job, look for board-certified surgeons specializing in plastic surgery or otolaryngology to perform it. Discuss with him your expectations, risks and possible complications.

Patients who experience serious complications such as fever, moderate bleeding, and infection must seek immediate medical attention.

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