The Rhinoplasty is the surgical procedure, in which the aesthetic anatomic alterations of the nose are corrected, dealing with all the structures, skin, fat, bones and cartilage.
This procedure is indicated to patients that, by genetics, trauma or age changes, show alteration on the nose form, with or without functional alterations of the nasal respiratory function.
The Rhinoplasty can be made with to different approaches: 1: Open, with a scar through the columella, almost imperceptible, 2. Close, with an inner scar through the mucous membrane, but with a smaller direct access to all the tissues.
This procedure is indicated to patients that, by genetic or by age, show excess or flab in the skin of the eyelids, ears, and inflammation and swelling bags. Is important to know that this, is not a surgery that can treat wrinkles or frown lines as “Crows feet”, for these a non surgical procedure is needed, these can be the application of Botox and/or facial fillings as fat or hyaluronic acid.
The upper Blepharoplasty is made, usually, though an incision over the upper eyelid fold, leaving a nearly faint scar. The inferior Blepharoplasty, according need, can be preformed by approaches: 1. Transconjunctival Approach, no external scars, when only the bags must be treated, no the skin; 2. Subciliary Approach, through the inferior side of the eyelashes when skin must be resected, leaves a nearly faint scar.
This procedure lasts for about an hour, if are two eyelids, or two hours if the procedure is going to be preformed in the four eyelids. Is preformed under local anesthesia, with or without sedation, or with general anesthesia, according the situation. Its ambulatory in most cases, unless there is an especial clinic condition on the patient, preview or after the surgery, that indicate a hospitalization.
On the postoperative some swelling and ecchymosis (bruises) will appear around the eyes, the conjunctiva will present redness, a very minor pain, tearing, all of these will last about two weeks.
Within adverse eventualities, we can find hematomas, conjunctivitis, minor limitation to completely closing the eyelids (lagophthalmos), abnormal scars with traction on the eyelids, corneal ulcers, all very unlikely to happen. The anesthetics and surgical risks are similar to those of any other surgical procedure
The recovery involves the use of bandages, artificial tears and antibiotics with anti-inflammatory on eye drops, the patient must sleep semirecumbent, local ice, glasses, the normal activities must be preformed carefully, restraining yourself of big efforts, the patient must attend the doctors appointments as scheduled, and skin cares. The medical leave of absence will depend of the surgery and the job that the patient performs, given the swelling and the bruises, it can go from three to twelve days.
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Medical surgeon graduated from the University College of Nuestra Señora del Rosario. I specialized in Plastic, Aesthetic, Maxillofacial and Hand Surgery at El Bosque University, in Bogotá - Colombia.