Rhinoseptoplasty may be indicated in patients who have already completed their growth, usually between the ages of 15 and 18. However, if only functional surgery is decided, it can be at any age.
This nose job may involve repair of the nasal turbinates ,theseptum and morphological appearance . Its duration will depend on the complexity of the alterations to be corrected, it can be between one to three hours.
Turbinectomy corrects the nasal turbinates and in the vast majority of patients who undergo surgery for nasal obstruction, three types of resections are performed. The technique depends on the degree of hypertrophy of the turbinates.
One is to cut the turbinatesdefinitively , in case they are very large. It is an infrequent procedure, due to the fact that a longitudinal wound is left along the entire turbinate. There may be bleeding episodes, which are sometimes quite severe.
The second technique is a resection called submucosa . It is like a turbinate liposuction.
The most frequent surgery is by radiofrequency. Needles are used that are positioned inside the turbinate and heated with a pedal. This allows the turbinate to gradually shrink. Dr.Cabezas points out that “the advantage of this is that you have no injuries, therefore, the risk of bleeding is almost zero. It has the disadvantage that these patients have to be in healing much longer, because you generate much more scab and that period lasts approximately 8 to 12 weeks ”.
In septoplasty a small incision is made in the anterior part of the septum, detaching the mucosa, which is the one that covers, and is exposed.
The nasal septum is mainly made up of bones: the ethmoid, vomer and the rest is cartilage.
If the cartilage is deviated, the cartilage becomes dry or weakened. If it is the bone, the ridge is removed using a chisel, which is painless.
The how will be the nose after surgery is a major concern in patients. There is a fairly high percentage of people who have functional pathology and require an aesthetic touch-up.
The doctor does not indicate cosmetic surgery , it is the patient who decides to undergo this intervention. It is a joint decision between the specialist and the patient, says Dr.Cabezas.
Once the decision is made, the surgeon performs a computational analysis of the nose where its deformities are exposed and repairs are simulated.
The rhinoseptoplasty does not hurt , says the ENT, “it draws my attention because from the bone point of view it is sometimes traumatic and one has to put a chisel to be able to fracture the bones. However, it is not a painful surgery ”.
After surgery, patients must stay overnight in the clinic .
When they return home, they are left with silicone tubes for 5 to 7 days, which stabilizes the septum, and a plastic patch that lasts for a week. This is then removed and a cloth is placed over the back of the nose to decrease edema.
ubsequently, massages – which are done periodically – and cures should be performed.
The final result is 6 months after surgery.