Rhinoplasty Surgery Recovery New Jersey
Rhinoplasty is performed by facial plastic surgeons, and general plastic surgeons with extensive experience in rhinoplasty. It is a surgery that has dramatically evolved over the decades and certain aspects continue to be a topic of debate at specialty meetings.
Rhinoplasty is typically and traditionally performed under general anesthesia, meaning the patient is asleep the entire time. HOWEVER, it is possible to perform at least a limited rhinoplasty with the patient mildly sedated in a specialized office setting. This is similar to the way some facelifts and blepharoplasties (eyelid surgery) are performed, although it is much less common for rhinoplasty.
Watch as Dr. Z performs an Awake Rhinoplasty on a patient without general anesthesia.
AFTER THE SURGERY
After the surgery is complete, a splint is placed ON the nose for 1 week to protect is and to limit swelling. I personally DO NOT place packing or splints INSIDE the nose in most cases. This significantly reduces the amount of discomfort and improves the patients ability to breath nasal right after surgery. The amount of pain after the surgery varies by patient, but is typically not as bad as most anticipate. Some patients do well with just tylenol, others need a few days of an added opiod. Either way, it is very tolerable and controllable. There is often some swelling under the eyes that mostly resolves in 4 – 8 days. The infamous under eye bruising is also variable, with many patients having none to mild bruising, while some can persist for 5 – 10 days. During the first week, it is normal to get small amounts of bleeding from the nose.
When the splint is taken off on approximately the 7th day, there will still be some swelling of the nose, but the general shape can be appreciated. Patients can typically go in public at this point without others knowing they had surgery. The swelling will drastically subside during the first few weeks with a notable difference on a weekly basis for the first 4 – 6 weeks. Although most patients are satisfied either from the moment the splint comes off, or couple weeks after surgery, the healing process continues for an entire year (sometimes more) with minor improvements in refinement and definition.