RHINOPLASTY / NOSE SURGERY
 

The nose is the focal point of your face and considered one, if not the most defining features. A beautiful, balanced nose enhances one's appearance and compliments other facial features as well.
 

Our goal to create a natural beautiful nose that fits your face!

When your nose is out of balance because it is too large, has a bump or is even too small, it likely attracts too much attention. Changes are often so subtle that your true beauty comes out without appearing operated; restoring the nose that you should have been born with. The one you deserve.
Rhinoplasty is one of the most common cosmetic surgery procedure performed on men and women. It is also the most complex operation in cosmetic surgery. Nasal anatomy is very intricate and facial structures vary from person to person. Procedures must be individualized for each and every patient.


The first consultation
In Sensual Body Dream during the first consultation the surgeon analyzes the conditions of the patient which is the best way to correct the defect.
The surgeon will recommend the best solution with respect to the intervention to be made and the best form to perform it. He will also answer all the questions that you have and tell the reasonable expectations that you can have regarding the final result.


Planning your Procedure
Good communication between you and the surgeon is essential. In your initial consultation, your surgeon will ask what you'd like your nose to look like, evaluate the structure of your nose and face, and discuss the possibilities with you. He will also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.

Your surgeon will also explain the techniques and anesthesia he will use, the type of facility where the procedures will be performed.
Be sure to tell your surgeon if you've had any previous nose procedures or an injury to your nose, even if it was many years ago.
You should also inform your surgeon if you have any allergies or breathing difficulties; if you're taking any medications, vitamins, or recreational drugs; and if you smoke.
Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.


Preparing For Your Procedure
Your surgeon will give you specific instructions on how to prepare for your surgery, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications, and washing your face. Carefully following these instructions will help your procedure go more smoothly.


Procedure
For rhinoplasty, our medical team prefers the intranasal or "closed" approach for most of patients.
The nose is altered by use of hidden incisions inside the nostril. There is no chance of any visible scarring since all the incisions are concealed.
As long as an un-operated nose is not severely twisted, equal if not superior results can be obtained without making an open rhinoplasty incision.
In a few instances, we choose to use the "open" or external approach. The main reasons our medical team may choose the open approach for a primary rhinoplasty are for very crooked noses, a nose that requires many grafts (pieces of cartilage to strengthen portions of your nose, to be discussed in more depth in revision rhinoplasty), and noses that are very short and need to be made longer. Of course the choice of incisions is discussed with all patients prior to surgery.
Our medical team uses the open approach for revision rhinoplasty, which requires a broader viewscape for optimal results. When used, the open rhinoplasty incision heals quite well and is usually undetectable or barely visible.
During surgery, the cartilage in the tip of the nose is reshaped. The tip can be rotated upward or downward, as well as brought closer or further from the face. The tip is altered by shaving cartilage yet leaving enough strength to withstand healing and aging changes. Humps in the upper part of the nose can be removed internally as well. A wide nose can be narrowed, to accentuate once overlooked attractive eyes. We may utilize grafts to add to some areas as well as remove tissue from another area, all in efforts to create a balanced, natural, strong look. These grafts are usually taken from the cartilage inside your own nose.


Anesthesia
Rhinoplasty can be performed under local or general anesthesia, depending on the extent of the procedure and on what you and your surgeon prefer.

With local anesthesia, you'll usually be lightly sedated, and your nose and the surrounding area will be numbed; you'll be awake during the Procedures, but relaxed and insensitive to pain. With general anesthesia, you'll sleep through  the operation.


Duration of the operation
Between 1 hour and 2 hours


How long is the patient hospitalized?
The rhinoplasty can be done as an outpatient procedure requiring no hospitalization.


After Your Procedure
After Procedure-particularly during the first twenty-four hours- your face will feel puffy, your nose may ache, and you may have a dull headache. You can control any discomfort with the pain medication prescribed by your surgeon. Plan on staying in bed with your head elevated, except for going to the bathroom, for the first day.

You'll notice that the swelling and bruising around your eyes will increase at first, reaching a peak after two or three days. Applying cold compresses will reduce this swelling and make you feel a bit better. In any case, you'll feel a lot better than you look. Most of the swelling and bruising should disappear within two weeks or so. (Some subtle swelling-unnoticeable to anyone but you and your surgeon-will remain for several months.)

A little bleeding is common during the first few days following procedure, and you may continue to feel some stuffiness for several weeks. Your surgeon will probably ask you not to blow your nose for a week or so, while the tissues heal.

If you have nasal packing, it will be removed after a few days and you'll feel much more comfortable.


Post Op Follow up
In Sensual Body Dream the strictest norms of quality are followed, that go beyond the intervention. For that reason detailed postoperative controls are made, so the patient feels safe and accompanied. During your stay you will have several consultations, to check that the process follows the natural course and to ensure you that can leave Bolivia without any problem once in your country.



Getting Back to Normal
Most rhinoplasty patients are up and about within two days, and able to return to school or sedentary work a week or so following procedures. It will be several weeks, however, before you're entirely up to speed.

Your surgeon will give you more specific guidelines for gradually resuming your normal activities. They're likely to include these suggestions: Avoid strenuous activity (jogging, swimming, bending, sexual relations-any activity that increases your blood pressure) for two weeks. Avoid hitting or rubbing your nose, or getting it sunburned, for eight weeks. Be gentle when washing your face and hair or using cosmetics.

You can wear contact lenses as soon as you feel like it, but glasses are another story. Once the splint is off, they'll have to be taped to your forehead or propped on your cheeks for another six to seven weeks, until your nose is completely healed.


Your New Look
In the days following procedures, when your face is bruised and swollen, it's easy to forget that you will be looking better. In fact, many patients feel depressed for a while after plastic procedures-it's quite normal and understandable.

Rest assured that this stage will pass. Day by day, your nose will begin to look better and your spirits will improve. Within a week or two, you'll no longer look as if you've just had procedures.

Still, healing is a slow and gradual process. Some subtle swelling may be present for months, especially in the tip. The final results of rhinoplasty may not be apparent for a year.

Note: The information offered in this Web site is directed to support and not to replace the relation between you and your doctor.


More information about:
           Ethnic Rhinoplasty & Revision / Secundary  Rhinoplasty
 

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