Before scheduling rhinoplasty, you must meet with your surgeon to discuss important factors that determine whether the surgery is likely to work well for you. This meeting generally includes:
- Your medical history. The most important question your doctor will ask you is about your motivation for surgery and your goals. Your doctor will also ask questions about your medical history — including a history of nasal obstruction, surgeries and any medications you take. If you have a bleeding disorder, such as hemophilia, you may not be a candidate for rhinoplasty.
- A physical examination. Your doctor conducts a complete physical examination, including any laboratory tests, such as blood tests. He or she also inspects your skin and the inside and outside of your nose. The physical exam helps your doctor determine what changes need to be made and how your physical features — for example, the thickness of your skin or the strength of the cartilage at the end of your nose — may affect your results. The physical exam is also critical for determining the impact of rhinoplasty on your breathing.
Sometimes your surgeon may speak with you about performing a surgery to augment your chin. This is because a small chin will create the illusion of a larger nose. It's not required to have chin surgery in those circumstances, but it may better balance the facial profile.
- Photographs. Someone from your doctor's office may take photographs of your nose from different angles. Your surgeon may use computer software to manipulate the photos to show you what kind of result is possible. Your doctor uses these photos for before-and-after assessments, reference during surgery and long-term reviews. Most importantly, the photos permit a specific discussion about the goals of surgery.
- A discussion of your expectations. You and your doctor should talk about your motivations and expectations. He or she explains what rhinoplasty can and can't do for you and what your results might be. It's normal for people to feel a little self-conscious discussing their appearance, but it's very important that you're open with your surgeon about your desires and goals for surgery.
Before rhinoplasty, you may also need to:
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- Avoid certain medications. Avoid medications containing aspirin or ibuprofen (Advil, Motrin IB, others) for two weeks before and after surgery. These medications may increase bleeding. Take only those medications approved or prescribed by your surgeon.
- If you smoke, stop smoking. Smoking slows the healing process after surgery and may make you more likely to get an infection.
- Make arrangements for the day of the surgery. For the first few days after anesthesia, you may have lapses of memory, slowed reaction time and impaired judgment. Therefore, please arrange for someone to drive you home if you're having an outpatient procedure. Also, arrange for a family member or friend to stay with you a night or two to help with personal care tasks as your recover from surgery.
- Nose surgery. American Society of Plastic Surgeons. http://www.plasticsurgery.org/cosmetic-procedures/nose-surgery-.html. Accessed May 16, 2013.
- Nose surgery. American Academy of Otolaryngology. http://www.entnet.org/HealthInformation/noseSurgery.cfm. Accessed May 18, 2013.
- Bagheri SC. Primary cosmetic rhinoplasty. Oral and Maxillofacial Surgery Clinics of North America. 2012;24:39.
- Septoplasty and turbinate surgery. American Rhinologic Society. http://care.american-rhinologic.org/septoplasty_turbinates. Accessed May 15, 2013.
- Flint PW, et al. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05283-2..X0001-8--TOP&isbn=978-0-323-05283-2&uniqId=230100505-57. Accessed May 17, 2013.
- Q & A: Stop smoking. American Society of Anesthesiologists. http://www.lifelinetomodernmedicine.com/Anesthesia-Topics/QA-Stop-Smoking.aspx. Accessed May 17, 2013.
- Barbara Woodward Lips Patient Education Center. Surgery on the nose. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Hamilton GS (expert opinion). Mayo Clinic, Rochester, Minn. May 30, 2013.