Nose’s Surgery: a Determinant Change
 Rhynoplasty is one of the most requested procedures on plastic surgery. The nose can be modified surgically for aesthetic, structural o functional motives. When nose is reduced or transformed, imperfections can be corrected and breathing improved. Doctor, Otorhyno and facial surgeon, Dr. Jorge Alberto Espinosa Reyes, evaluates the characteristics of the patient and, through a photographic analysis by computer, which let specify what kind of procedures can be done to achieve a facial harmonic set. Rhynoplasty is designed, based on the osseous structure and general appearance of each patient.
 In the surgery of nose, it is possible to define the nasal top, diminish the width of nasal wings, raise the nose, and correct the nasal bone, cornets or deformations as humps and protuberances by means of internal incisions, that doesn’t leave exposed scars. Dr. Jorge Alberto Espinosa Reyes use high technology instruments on surgery that improve results and healing. The techniques that are used now at days, allow a faster recovery and a better handling of possible inconveniences. Rhynoplasty is an ambulatory procedure, which can last between one and two hours approximately. The patient might recover between three and eight days in average. Dr. Jorge Alberto Espinosa Reyes practice the most advanced techniques in Rhynoplasty; so it’s unnecessary the use of nasal stoppers.
NOSE’S SURGERY: A DETERMINANT CHANGE
A lot of people have a harmonious face, expressive look, attractive smile. Nevertheless, sights use to focus on tiny imperfections. No matter if the nose is too big, too small or it looks crooked.
 It’s nobody secret that a pleasant face opens a lot of doors and nose is the central element. For this reason, minimal alterations in its structure can affect this general perception and decrease the leading role that have a beautiful eyes, a beautiful lips or the facial contour. It can even debilitate auto esteem. The face is the only body part that is permanently exposed and so often, people stare in excess on those points where confidence sits down less. This way and without realizing, many people assume attitudes of insecurity that interfere in theirs daily performance and make any imperfection more evident.
¿What obtains the surgery?
The surgery of Nose, even when changes are minimal, can definitely improve facial appearance and increase auto esteem. Thousands of people are operated of nose each year. So Rhynoplasty (nose’s surgery) has become one of the surgical procedures most successful and more frequently done.
Surgery of Nose or Rhynoplasty’s Options
 Nose can be modified through a surgery by aesthetic, structural or functional motives. The Otorhynolaringologist many times tend to find functional problems that justify the surgery, even when the person consults by aesthetic reasons. When a patient feels the nose covered; it’s possible that nasal bone may be detoured, cornets too big or there is weakness on nose walls. This nasal obstruction is related to lack of concentration in the work or study, difficulty to sleep in the nights, fatigue and decrease of energy levels due to a sleep not so restoring.
In addition, this condition might predispose the beginning of illness like sinusitis, rinitis and nasal bleeding. Sometimes, if the respiratory problem doesn’t get better in the appropriate time, they can produce cardiac or pulmonary problems that damage the quality of life on a significant way.
 A surgery of nose can be the solution to all those problems. Actually, the rhynoplasty procedures are slightly traumatic thanks to the use of instruments of high technology that allow to accomplish very precise alterations, with highly satisfactory and natural results. During the procedures, the nose skeleton is engraved carefully to let the skin get fitted in a harmonious way. A few days after the surgical procedure, the results can be seen and the patient can prove the changes on face appearance. These changes will be reaffirmed and would be more evident in the next two years, approximately.
Frequent Questions
 ¿Would it be left stoppers after the surgery?
Thanks to the most advanced surgical procedures used by Dr. Jorge Alberto Espinosa Reyes, the nasal stoppers are unnecessary in most cases. Patients who are remitted to a surgery of nose, they often wake up breathing normally, without pain and just with a light discomfort, similar to those produced by a cold. |
¿It can be accomplished, that a person looks like somebody else in a picture?
Pictures of other people, (for instance, those from show business magazines), could be a good point of reference to determine what a patient would like or not. Moreover, it’s possible to re-create the nose of other person in the patient face.
 The aim of surgery is to improve the patient’s nose, but not to change their face for the face of other person. During the medical appointment are taking pictures that are analyzed later between doctor and patient through a special computer software that studies facial structure and define the ideal kind of changes that allow reach a harmonious, natural and realist result, according to particular characteristics of the person.
¿A really big nose can get better?
Yes. Attending to specific needs of each case and after a photographic analysis, the possibilities are studied to improve or reduce nose’s size by surgery. Any possible modification must contemplate the structure and form of the face in general. |
Along years pass by, the top of nose tends to incline down, so can be seen longer or bigger. A surgical procedure as rhynoplasty can recover the form that the nose had in the youth and to do that patient seems younger.
¿How can someone get rid off the mountain or “hump in the bridge of nose?
These types of facial alterations use to be removed through very precise instruments that shape the excess of bone and cartilage. Skin just fits to the new osseous structure a more natural appearance is achieved this way, in conformity with the facial structure.
¿Is it possible to improve a very small nose?
Yes. A nose can be too small for different reasons, like: for traumatism as a result of a stroke, for an accident or for disease. Recent Technologies allow us to enlarge the nose in a precise and natural way. In some occasions, the cartilage of the nasal bone is used as graft. In the same way, can be used Cartilage from other body parts like ears or ribs. Now at days, other available materials are used too, with wonderful results.
¿My nose seems to be so wide to me, can it be more narrow?
Yes. A lot of factors can make a nose seems too broad, as the space between the nasal bones, nose cartilages or the thickness of the nasal skin. After a careful analysis of nose; it’s possible to realize several procedures in order to reduce the nasal width until get the wanted result.
¿Am I going to have scars?
Rhynoplasty is a surgery done inside the nose, therefore scars doesn’t stay exposed. In some cases an external incision is done in order to reduce the width of the nasal wings. Nevertheless, these incisions are minimal and use to be imperceptible to others’ eyes.
¿Would I be awake during the surgery?
This surgical procedure apply the latest technologies of anesthesia as the intravenous sedation, that depending on the procedure allows the patient to be awake along surgery; without pain and absolutely calmly. Nevertheless, some patients choose to accomplish this procedure with general anesthesia. Both anesthesia types are equally safe and in both cases nothing is perceived during intervention. The patient wakes up as soon as the operation is finished, feeling well and without pain.
¿Is there any pain after the surgery?
No. Usually, the nose of surgery doesn’t produce any pain. The patient feels the nose covered like if having a cold, but this get better two or three days after surgery.
I would like to be operated of my nose, but I’m so nervous. How can I overcome this?
It’s normal to feel a bit of anxiety before a surgery. One of the ways to release it is to use the consult with Dr. Jorge Alberto Espinosa Reyes, to dissolve the worries and uneasiness. The patient can elaborate a list of questions and listen to the doctor. Certainly patient will feel calmer after discussing all worries and determine an optimal plan of treatment. Looking at before and after surgery’s pictures of other patients, can help too; as also their testimonies. Even, if the patient wishes it, can get in touch with other person who has already passed through this procedure, listen to his/her experience and feel calmer.
¿How much time takes the recovery?
The recovery from a surgery of nose is fast and generally takes from three to five days to get back to the daily routine. Sports and exercise must hold on a little longer.
¿How much cost the surgery of nose?
The costs of a surgery of nose change according to the case. In the decision to a surgery be realized, it must weigh more the fact of entrusting the personal integrity to a professional of the health than the costs. Any surgical intervention, for minim that is, must count on the best possible conditions in order not to put in risk the health of the patient and to reach the wished results. Dr. Jorge Alberto Espinosa Reyes has a highly professional team with a great experience that aids him in all his procedures.
Dr. Espinosa suggests:
Before surgery:
1. Don’t take medicines that contain salicylic acid (Aspirin) and derivatives.
2. Not to have smoked at least a month before the surgery.
3. To report of possible allergies to medicine.
4. To keep realistic expectations with regard to the results of the surgery.
After surgery :
1. Check on exit that the formula, dissability order and date of medical control order has been delivered.
2. The feeding after first day can be normal.
3. After surgery, for a space of eight days patient will remain with a nasal immobilization that must take care to the maximum, not to wet and not to withdraw. Don’t bath with very hot water; because steam can detach the bandage. In case, it happens, patient has to go to doctor’s office to reinforce it. On having withdrawn it; it would be left a lighter bandage for an average time from eight to fifteen days more.
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4. There would be secretion of transparent mucus with blood from nose after surgery. THIS IS NORMAL. For this reason, it has been left gauze under the nose that can be changed, if it’s necessary. Nevertheless, if there’s a free bleeding, let us know immediately.
5. Any reddish coloration of the white part of the eyes or of the eyelids is only the normal process of inflammation and is going to improve during the period of recovery. In some occasions it could there be inflammation and hematomes around eyes that will disappear in a space of fifteen days. It’s advisable to place a surgical glove with ice cubes inside; wrapped in a clean towel over the eyes and chicks permanently over the first 48 hours.
6. During the first two days sleeps a bit seated, don’t sleep face down.
7. You can use your eyes to read or match tv as frequently as you wish.
8. It must be kept total repose at home, during first three to five days.
9. Despite of minimum pain, among the formulated medicines, there is an analgesic; take it according the written indications. If it’s noticed a severe or persistent pain, communicate with us immediately. Avoid ingest of aspirin or medicines that contains acetylsalicylic acid.
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10. In some cases, it’s placed a nasal tampon. This would be removed in a space of 24 to 72 hours.
11. During first days nose can be covered frequently and smell and taste could be altered. This is due to the appearance of crusts and remains of bled; for this it is very important to realize a constant irrigation in nostrils with physiological serum, apply it in each nostril and leave it pass down to throat according the indications given in the formula.
12. Avoid blowing one’s nose. The accumulated secretions will have to be led to the throat and swallowed or to be expelled by the mouth.
13. In some patients are placed a few plastic sheets inside nose in order to immobilize the nasal bone and support the appropriate healing. Those would be moved back from 8 to 15 days after surgery.
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14. In some cases there would be left suture stitches, that will be removed from 5 to 7 days alter surgery.
15. To avoid any blow in the nose, don’t carry little kids or pets after surgery.
16. Don’t try to clean your nostrils with applicators.
17. If you suffer of any allergic associate process, remember that this could get better with surgery, but doesn’t disappear totally; therefore its treatment must be continued.
18. Don’t use glasses along the first three months. In case of being absolutely necessary; they should be used hung of the forehead with adhesive tape according as the doctor taught.
19. To avoid undesirable changes of the appearance of your nose by inflammation, don’t expose to sun directly during first two months. Use solar protector over nose back all this time. In outdoors, you should use protection of an umbrella or a hat.
20. Don’t practice sports or exercise, at least for about three weeks after surgery
21. In general, if you’re not going to be exposed to drastic changes of temperature, physical effort or risks of blows at face: you can come back to your normal activities in a space from 5 to 8 days.
22. The definitive appearance of your nose, would be established up to six months after procedure. The nasal cosmetic surgery is a highly specialized and very demanding procedure, and therefore, no procedure for small that seems is easy. It’s possible that patient requires another surgical procedure to achieve a very close result to the wished one, before surgery. This one could be accomplished only after six months elapsed after first procedure.
23. The previous ones were general indications; don’t hesitate to call us if you need any explanation. Remember that the success of surgery depends fundamentally on the care after procedure.
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