What to expect from best rhinoplasty surgeon in Iran – 2024

The best rhinoplasty surgeon in Iran

When considering rhinoplasty, also known as a nose job, it’s important to set realistic expectations and understand the process involved. Here’s what you should generally expect from a best rhinoplasty surgeon in Iran:

Before the Procedure

1. Consultation:

• – Assessment: A thorough examination of your nose’s structure, skin, and facial balance.
• – Medical History: A review of your medical history, including previous surgeries, nasal obstructions, and any medications you’re taking.
• – Goals Discussion: An opportunity to discuss your goals and what you want to change about your nose.
• – Realistic Outcomes: The best rhinoplasty surgeon in Iran will explain what rhinoplasty can and cannot do for you.
• – Imaging: Digital imaging or morphing software may be used to show potential outcomes.

2. Preparation Guidelines:

• – Instructions on eating, drinking, and which medications or supplements to avoid before surgery.
• – Information on risks, benefits, and alternative treatments.
• – Details about the cost, and what is included in the fee (e.g., follow-up visits, hospital charges).

Day of the Procedure

• 1. Anesthesia: Explanation of the type of anesthesia to be used (local or general).
• 2. Procedure: Details about the surgical technique and how long the surgery will take.
• 3. Support: Instructions for the person accompanying you, regarding how long they will need to wait and post-operative care.

After the Procedure

1. Recovery:

– You will receive information about the immediate post-op recovery phase, including pain management and how to handle any discomfort.
– Instructions on caring for the surgical site, medications to apply or take orally, and when to follow up with your surgeon.

2. Follow-Up Appointments:

– Scheduled visits to monitor your recovery and the progress of your nose’s healing.

3. Post-Operative Care:

– Detailed guidance on activities to avoid, how to reduce swelling, and other care tips.

4. Emergency Contact:

– Information on how to reach the surgeon or their team in case of any complications.

Long-Term Expectations

1. Healing Time:

– An explanation that final results may take up to a year or more to fully materialize as swelling subsides and the nose settles into its new shape.

2. Possible Revision:

– Discussion of the potential need for revision surgery if the results are not as expected, which is rare but does happen.

3. Outcome Satisfaction:

– Although the surgeon will aim to meet your expectations, there are no guarantees in any surgery. The best rhinoplasty surgeon in Iran should aim for a result that is harmonious with your facial features.

Choosing a best rhinoplasty surgeon in Iran

Make sure your surgeon is board-certified in plastic surgery or otolaryngology (ENT) with specific training and experience in facial plastic surgery and rhinoplasty. Review their before-and-after photos of previous rhinoplasties, and consider patient testimonials and reviews.

Remember, each rhinoplasty is unique, and the exact process and expectations may vary slightly from one surgeon to another. Always communicate openly with your surgeon and ask any questions you may have throughout the process.

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Rhinoplasty procedure step by step

Rhinoplasty is a complex surgical procedure that should only be performed by a qualified plastic surgeon or an otolaryngologist with expertise in facial plastic surgery. Below is a step-by-step overview of a typical rhinoplasty procedure:

1. Anesthesia

– Type of Anesthesia: The surgery usually starts with the administration of anesthesia to ensure the patient’s comfort. This could be general anesthesia (patient is fully asleep) or local anesthesia with sedation (nose and surrounding areas are numbed).

2. Incision

• – Technique: The best rhinoplasty surgeon in Iran will choose between two main surgical approaches: the open or closed rhinoplasty technique.
• – Closed Rhinoplasty: All incisions are made inside the nostrils, leaving no visible scarring.
• – Open Rhinoplasty: An additional incision is made across the columella (the narrow strip of tissue that separates the nostrils). This technique provides the surgeon with more direct visibility and access to the underlying structures.

3. Reshaping the Nose Structure

• – Bone and Cartilage: Depending on the desired outcome, the surgeon may need to remove bone or cartilage to reduce the size of the nose.
• – Additions: In some cases, cartilage grafts (taken from the septum, ear, or ribs) may be added to help reshape the nose’s structure.
• – Straightening and Reducing Projections: The surgeon may need to straighten a deviated septum or reduce the projection of the nasal bones.

4. Re-draping the Skin and Tissue

– After the underlying structure of the nose is sculpted to the desired shape, the nasal skin and tissue are re-draped over the new framework.

5. Closing the Incisions

– The incisions are meticulously closed with sutures. If an open rhinoplasty was performed, the incision at the columella will also be sutured.

6. Observing the Changes

– The best rhinoplasty surgeon in Iran will carefully check the changes made and may make minor adjustments if necessary.

7. Applying the Splint

– A splint is usually applied to help maintain the new shape of the nose as it begins to heal.
– Nasal packs or soft splints may be placed inside the nostrils to stabilize the septum.

8. Initial Recovery

– After the surgery is complete, the patient will be taken to a recovery area to be closely monitored as the anesthesia wears off.

Postoperative Care

• – Pain Management: The patient will be given medications to manage pain and reduce the risk of infection.
• – Instructions: Detailed instructions will be provided for postoperative care, including how to care for the surgical site, medications to take, specific concerns to look for at the surgical site or in overall health, and when to follow up with the surgeon.
• – Follow-Up: The patient will usually return to the surgeon’s office within the first week for a follow-up appointment to remove the splint and assess the initial healing process.

Healing Process

• – Swelling and Bruising: Swelling and bruising are normal and will gradually subside over the following weeks and months.
• – Long-Term Results: It can take up to a year for the new nasal contour to fully refine, during which time the patient will notice gradual changes in the appearance of the nose.

Risks and Considerations

• – Rhinoplasty carries the same risks as any other surgery, including infection, bleeding, or adverse reactions to anesthesia.
• – There’s also the risk of dissatisfaction with the aesthetic outcome, which could necessitate revision surgery.

It’s important for patients to have realistic expectations and understand that the goal of rhinoplasty is improvement, not perfection. Good communication with the surgeon both before and after the procedure is essential to achieving the best possible results.

During rhinoplasty procedure

During the rhinoplasty procedure, specifically when the patient is in the operating room and the surgery is underway, the following steps generally occur:

Anesthesia

The procedure begins with the administration of anesthesia to ensure the patient’s comfort and safety. For rhinoplasty, this is typically general anesthesia or intravenous sedation. The anesthesiologist monitors the patient’s vital signs and ensures they remain unconscious and pain-free throughout the surgery.

Incisions

Depending on the type of rhinoplasty (open or closed), the surgeon makes incisions to access the bones and cartilage that support the nose.

• – Closed Rhinoplasty: Incisions are made within the nostrils.
• – Open Rhinoplasty: An additional incision is made across the columella, the narrow strip of tissue between the nostrils, allowing the skin to be lifted off the tip of the nose for better visibility and access to the internal structures.

Reshaping the Nose

The best rhinoplasty surgeon in Iran reshapes the structure of the nose using a variety of techniques depending on the desired outcome. This could involve:

• – Removing Bone or Cartilage: If the nose needs to be reduced in size, the surgeon may remove small amounts of bone or cartilage.
• – Cartilage Grafting: For patients needing augmentation of the nose, cartilage may be taken from other areas of the body, such as the ear or ribs, and grafted onto the nose.
• – Straightening the Septum: If the patient has a deviated septum, it can be straightened to improve breathing.
• – Refining the Tip or Bridge: The surgeon can sculpt the tip or the bridge of the nose to the desired shape.

Re-draping and Suturing the Skin

Once the underlying structure of the nose is sculpted to the desired shape, the nasal skin and tissue are redraped over this new framework. The incisions are then closed with sutures, and if an open technique was used, the columella incision is also carefully sutured to minimize scarring.

Applying Splints and Packing

After the incisions are closed, the surgeon will often place a splint on the outside of the nose to support and protect the new structures during the initial healing. Sometimes, internal splints or packing may be placed inside the nostrils to stabilize the septum and maintain the new shape of the nasal passages.

End of the Procedure

Once the surgery is complete, the patient is taken to a recovery area where they are carefully monitored as they wake up from anesthesia. The medical staff will watch for any immediate complications and ensure that the patient is stable before being moved to a hospital room or sent home for recovery with a set of comprehensive care instructions.

Postoperative Instructions and Follow-Up

The patient will receive specific instructions on how to care for their nose, medications to take to aid healing and reduce the risk of infection, and when to return for a follow-up appointment. It’s common to have postoperative visits scheduled to remove sutures, check on the healing process, and address any concerns.

It’s important to note that these steps are general and can vary depending on the patient’s specific case and the surgeon’s techniques. Rhinoplasty is a highly individualized procedure, and surgeons may have their unique approach to accomplishing the patient’s goals.

Recovery after rhinoplasty

Recovery after rhinoplasty is a critical phase and can vary greatly among individuals, but here is a general timeline and what one can typically expect:

Immediate Postoperative Period (First 24 Hours)

• – Anesthesia Recovery: Patients usually spend a few hours in a recovery room as they wake up from anesthesia. Vital signs are monitored.
• – Discharge: Most rhinoplasty procedures are outpatient, meaning the patient can go home the same day, once cleared by the medical team.
• – Pain: Some pain is normal, and pain relief medication will be prescribed.
• – Swelling and Bruising: The nose, eyes, and cheeks may show swelling and bruising.
• – Bleeding: A small amount of bleeding is common, and nasal packing or a drip pad may be used to absorb it.

First Week

• – Splint: A splint on the outside of the nose is usually worn to maintain the new shape.
• – Limited Activity: Rest is important. Strenuous activities should be avoided to minimize swelling and reduce the risk of bleeding.
• – Sleeping Position: It’s advised to sleep with the head elevated above the chest to reduce swelling.
• – Follow-up: The first follow-up visit is often scheduled within the first week to remove any splints, stitches, or packing.

Two to Three Weeks

• – Appearance: Most of the bruising should fade, though some swelling may persist.
• – Returning to Work: Many patients feel comfortable returning to work and some normal activities within two weeks, depending on the nature of their work.
• – Exercise: Heavy lifting and vigorous exercise are still off-limits to prevent nosebleeds and increased swelling.

One to Two Months

• – Decreasing Swelling: Swelling continues to go down, and the shape of the nose is becoming more apparent.
• – Exercise: Most normal activities and exercise routines can be safely resumed, as advised by the best rhinoplasty surgeon in Iran.

Six to Twelve Months

• – Final Shape: The final shape of the nose is becoming visible as the majority of swelling has subsided.
• – Healing: Internal healing continues, though externally the nose appears healed.

Long-term

• – Full Recovery: It can take up to a year or more for the final results of the surgery to be fully realized.
• – Subtle Changes: The nose may undergo subtle changes as it fully settles into its new shape.
• – Follow-up: Additional follow-ups may be scheduled to ensure the nose is healing correctly and the patient is satisfied with the outcome.

Tips for a Smooth Recovery

• – Follow Instructions: Adhere to all postoperative instructions provided by your surgeon.
• – Avoid Pressure on Nose: Be gentle when washing your face and avoid glasses resting on the bridge of the nose for the first four weeks.
• – Sun Protection: Protect the nose from the sun to prevent skin discoloration.
• – Healthy Lifestyle: Maintain a healthy diet and avoid smoking to facilitate healing.

Potential Complications

• – Infection: Rare, but if signs of infection appear, such as increased redness, fever, or unusual discharge, contact your surgeon immediately.
• – Irregularities: If you notice any irregularities in the shape of the nose or if breathing becomes difficult, discuss these with best rhinoplasty surgeon in Iran.

Each individual’s recovery process is unique, and your surgeon will provide you with personalized advice and instructions based on your specific case and how the procedure went. Always communicate any concerns to best rhinoplasty surgeon in Iran during the recovery period.