1101 MADISON ST #1280 SEATTLE, WASHINGTON 98104 | (206) 624-6200
The Facial Plastic Surgery Center
Dr William Portuese - Board Certified Facial Plastic Surgeon

Are you put to sleep for a nose job?

Depending on the degree of the treatment and the patient’s request, rhinoplasty can be done under local or general anesthesia. It is carried out in a hospital, an outpatient surgery facility, or a surgeon’s office. A brief hospital stay may be necessary for complicated treatments. A typical procedure lasts between an hour and two. longer may be needed.

The nose and the area around it are numbed by local anesthesia. During the procedure, you will likely be minimally sedated yet conscious (relaxed and not feeling pain). You can experience general anesthesia to sleep through the procedure.

Typically, an internal nasal cut (incision) is used for the procedure. In rare instances, the cut is made from the outside, at the nose’s base. If you need revision surgery or to perform work on the tip of your nose, this kind of cut is frequently employed. The incision may go all the way around the nostrils if the nose needs to be made smaller. To shatter and restructure the bone, small incisions may be made on the inside of the nose.

On the outside of the nose, a splint (made of metal or plastic) may be applied. When the surgery is over, this aids in maintaining the bone’s new shape. The nostrils may also be covered with nasal packs or soft plastic splints. This aids in maintaining the stability of the septum, which separates the air passageways.

The purpose of the procedure 
one of the most popular plastic surgery treatments is rhinoplasty. It may be utilized for

Shrink the nose’s size. 
Modify the nasal bridge’s or tip’s form. 
Narrow the nostril openings. 
Angle the top lip and nose differently. 
The treatment of a congenital abnormality or injuryassists in easing nasal breathing issues. 
When a nose operation is performed for cosmetic purposes, it is regarded as elective. In these situations, the goal is to alter the nose’s form to one that the person considers more appealing. In many cases, aesthetic nose surgery is done after the nasal bone has fully developed. For girls, this is about the age of 14 or 15, and for guys, it’s a little later.

Anesthesia risks and surgical risks in general include:

Medication reactions and respiratory issues 
Infection, bruising, or bleeding 
among the risks of this operation are:

Loss of the nose’s support 
Nose contour abnormalities 
breathing through the nose is becoming more difficult
It requires more surgery. 
Small red spots on the skin’s surface following surgery may be caused by tiny blood vessels that have ruptured. It is usually small but nonetheless persistent. If the rhinoplasty is carried out from inside the nose, there are no obvious scars. Small scars that are rarely visible may be present at the base of the nose if the surgery narrows the flaring nostrils.

Rarely, a slight abnormality requires a second procedure to be corrected.

The Procedure Before your operation, your surgeon can give you instructions to follow. You might have to

Stop taking any blood thinners. You will receive a list of these medications from your surgeon. 
Have some standard tests performed by your normal doctor to see whether it is safe for you to have surgery. 
To promote healing, stop smoking at least two to three weeks before and after surgery.
Make plans to have a ride home after surgery. 
Following the operation you will often leave the hospital on the same day as your operation.

Your nose and face will be sore and swollen just after surgery. Headaches frequently occur.

After the nasal packing, if any, has been removed, which typically takes 3 to 5 days, you will feel better.

For a period of one to two weeks, the splint and cast may be worn.

Outlook (Prognosis) (Prognosis)
Although it takes a year for complete recovery, most edema will have subsided by then.

Healing happens gradually and slowly. For several months, the tip of the nose could be swollen and numb, but these symptoms will eventually go away. The final outcomes could not be available for up to a year.

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Washington Ambulatory Surgery Center Association Washington State Medical Association American Academy of Facial Plastic and Reconstructive Surgery Real Self