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a small scar in the columella , which is the part in the middle just above the upper lip in addition to the inside incisions .
The advantage of open Rhinoplasty / Septorhinoplasty is a more visible anatomy with accurate placement of cartilage grafts when needed , and in the previously operated noses . The open Rhinoplasty was popularised in the 1990s by Gunter and Sheen , two American plastic surgeons . I started the first 6 years of my career performing closed Rhinoplasties and over the last 14 years performing the open technique .
Non-surgical rhinoplasty is another option that must be taken into consideration especially for the less severely affected patients who also wish to see what their nose may look like following the changes agreed on or does not wish for surgery . The use of hyaluronic acid absorbable fillers has increased significantly in the last 5-7 years in treating noses . However , it is important to realise that the nose is high risk area for complications with fillers and the pre-treatment discussion must be carried by a skilled practitioner and the discussion must clearly highlight the benefits as much as the limitations in addition to potential risks and complications . The same discussion must be had when contemplating the surgical option . It is imperative to mention that like in any surgery there are potential risks and complications associated with Rhinoplasty / Septorhinoplasty surgery ; however , the aim is to keep these to a minimum . used the tip swelling and firmness of the tip cartilage may last for up to 12-18 months .
Any activities should be avoided which risk the nose being knocked or injured for six weeks post operatively and a period of recuperation is also required for approximately 2-3 weeks , depending on the extent of your operation , this will be discussed during the pre-surgery consultations . You must be careful when wearing glasses and a mask following your surgery , this can be discussed during the consultations .
Although you will see immediate results following the surgery , the swelling will continue to improve over time and the results will improve over the next 12-18 months following the surgery .
WHAT TO EXPECT
A Rhinoplasty / Septorhinoplasty is normally carried out under general anaesthetic and usually requires an overnight stay in hospital .
You can expect some pain , swelling and bruising around your eyes for an approximately 3 weeks , and for the first couple of days some minimal bleeding too . A splint is worn to protect the nose for the first 5-7 days after the surgery . Swelling and numbness may be encountered for several months . When an open technique is
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