Fig .: Front view of nose with hump and drooping tip. Showing final result after dorsal removal, lateral fracture and end treatment with partial removal of alar cartilage. Profile view showing elevation of nasal tip and better harmony with face. Bottom view showing square and asymmetric tip; And final result after rhinoplasty with scarring in the columella (indicated in these cases or in secondary surgeries).
In other cases, the scars are internal.

Technical name: Rhinoplasty.
Part of the body: nose.
Objectives: To sharpen and define the nasal tip (treating the alveolar cartilage), to lower and to sharpen the nasal dorsum (with the raspagem or the fracture of the nasal bone). In some cases cartilage grafts are placed for better nose definition or tip elevation.
Recommended age: from 15 years old.
Anesthesia: We opted for general anesthesia for greater tranquility and safety.
Duration of surgery: on average 1 hour.
Hospital stay: from 12 to 24 hours.
Scar: no visible external scar, except for the surgery in which the tip is
(Imperceptible scar in the region of the columella, between the nostrils) and when the nostrils are reduced
(In the fold of the nasal wing).

Laboratory exams (Complete blood count, Coagulogram, Blood glucose, optional anti-HIV, Urine examination, E.C.G. and chest X-ray PA for over 40 years) and Medical photography. Assessment by Otorhinolaryngologist, in cases of nasal obstruction and allergic rhinitis. Do not use Acetyl Salicylic Acid (ASA, Aspirin) or anticoagulant medications, as well as Ginko biloba, for 15 days before and 7 days after surgery.

Day 1: Rest in bed with headrest raised to 30 degrees. Get up just to go to the bathroom, slowly. Normally we do not put nasal tamponade (only in cases of major nasal bleeding is placed, and kept for 24 hours). Avoid lowering your head or making sudden movements to avoid nasal bleeding. Light diet at the end of the day. Medications taken at the hospital: Antibiotic (Kefara 1g EV of 12 / 12h), Anti-inflammatory (Profenid 01 amp EV of 12 / 12h), Analgesic (Tramal 01 amp EV if you have pain). Other usual medications for vomiting, stomach, antihypertensive.
2nd. Day: an on-site cleaning is done. Medications taken at home (WITH MEDICAL RECIPE): Antibiotic (Cefadroxil 500mg VO of 12 / 12h box with 8 comp.), Antinflammatory (Biprofenid 01 comp. VO every 12 hours), Analgesic (Dipirone or Tylex 30mg VO if pain ) And the usual ones. Drip saline several times a day into the nostrils, to wash and avoid blowing hard.
7th day: the plaster bandage is removed.

Recovery time: 7 to 14 days. The final aesthetic result can be delayed by edema up to one year.

Care at Rhinoplasty

Cleaning the nose with Physiological Serum, dripping into the nostrils several times a day, cleaning the face and nose with astringent solution, in case of acne, use Gluconolactone at 5% at night.
Sleep from dorsal decubitus (belly up), and exercises only after 1 month.
Do not pick up sun for at least 2 months. Photoprotector 30 FPS daily.
Edema: decreases 50% with 1 month and 100% with 1 year.
Return for one month, two, four, and six month reviews. Final return for photography and possible retouching with one year.