Frequently Asked Questions
How much time will I need to recover from rhinoplasty ?
As rhinoplasty involves very little pain the recovery for most patients is very smooth. There is some generalised discomfort if packs are in place for the first 48-78 hours (in most patients Mr Greensmith does not use packs) and you will not sleep particularly well as a result but once these are removed this settles. Bruising and swelling around the eyes peaks at about 48 hours and then rapidly diminishes and may be gone by 5-7 days with the aid of ice packs,Arnica cream ( a homeopathic medicine to reduce bruising ), and sleeping with the head up slightly. Once the stitches and splint are removed by day 7-10 post surgery most people are able to go back to work without anyone noticing that they have had surgery. At this point there is some residual swelling that will settle over the next 6-18 months ( faster in patients with thin skin, more slowly in patients with thicker skin ),but not enough for other people to notice that you have had surgery.
When can I exercise after my rhinoplasty ?
Around two weeks after rhinoplasty you can start getting back gradually into gentle exercise but you should probably not get back into your normal exercise schedule for a full 3-4 weeks.It is common during exercise for the first 3 months after surgery for your nose to feel more congested. Patients who have had rib grafts should not undertake exercises that increase pain in their donor site/chest area for at least 4-6 weeks post surgery but may walk or jog gently.
When can I blow my nose after rhinoplasty ?
As your nose will feel more congested after a rhinoplasty many patients feel they frequently need to blow their nose. This should be avoided as much as possible for the first 2-3 weeks after surgery . The regular use of salt water nasal spray (FESS spray ) and Nose Oil drops ( sesame seed oil drops) reduces the feeling of congestion and is recommended for up to 3 months after rhinoplasty.
How long does it take to see my final result ?
Once the splint is off and your new nose is revealed you will be very pleased with the new shape. However it is important to remember that the nose will only be at 80-90% of its final result and the remainder of the evolution to its final shape relies on some time for some residual swelling to reduce over the following 6-18 months (less time in thinner skin, more time in thicker/oily skin). Mr Greensmith may recommend the use of light tape on the bridge of the nose for a further 3-5 days followed by application of anti-inflammatory gel ( e.g. Nurofen or Voltaren gel ) to the bridge to prevent re-formation of any bony hump on the bridge area which can occur as part of a healing response to surgery.
Will people notice that I have had my nose done ?
While you may feel slightly self-conscious because your nose has changed after rhinoplasty and feels a little swollen,stiff and more firm than normal, most people will not notice that you have had surgery. In general about one year is needed for your nose to assume its final shape but in patients with thick/oily skin it may take longer.
When can I fly on a commercial flight after surgery?
It is preferable to wait 48-72 hours before travelling in a plane after rhinoplasty surgery. Most patients coming from interstate and overseas arrange to stay 10 days in Melbourne after surgery .
Are finance or payment plans available to pay for surgery ?
Mr Greensmith does not endorse the use of finance companies for patients to fund their surgery. Rhinoplasty surgery may be a significant investment in the short term but a small one over the long term. It is best done when a patient can comfortably pay for the surgery rather than add financial stress to the anxiety of the recovery period. Patients are welcome to source help from finance companies at their own discretion. Our office does not offer payment plans.
What are the chances of needing another operation /some sort of revision ?
The revision rate in the hands of an experienced rhinoplasty surgeon should be very low. In Mr Greensmith’s experience this is currently around 2-3 % over the last 10 years.However as these same patients get older and their noses grow and age over time this rate may climb a little to around 5-10% in the 20-30 years after rhinoplasty. This means there will be a very small chance that minor revision or “touch up ” is required in the years after a rhinoplasty. All experienced rhinoplasty surgeons have the need to perform this small number of revisions on a few patients as over the years with a nose ageing and growing, internal scar tissue can shift structures or bumps can reform on the bridge however the chances are remote. Most experienced surgeons spend a lot of their time performing revisonal surgery on patients that have had rhinoplasties performed elsewhere by other surgeons.
If I need a small revision how much will it cost ?
If you are previous patient of Mr Greensmith his policy is to try to minimise any costs involved in performing revisional surgery. This is certainly easier to achieve if you are insured and generally in this scenario you would only pay any excess for the hospital. If you are uninsured and a minor revision is required then we will work to advocate as much as possible for you to reduce hospital and anaesthetic costs but in any case minor revisions involve costs that are a fraction of what you will pay for your original surgery.
If I think I need a revision how soon after surgery can I have it done ?
As most minor asymmetries are simply due to asymmetrical swelling in the first 6-12 months after surgery , Mr Greensmith will virtually never revise a nose in the first 12 months after surgery and by waiting this time most minor asymmetries settle without surgery. It is important to remember that subtle asymmetries even persisting at 12 months after rhinoplasty may be so subtle that Mr Greensmith cannot guarantee they can be corrected and should be accepted as part of slight natural asymmetries present in all our faces – the perfectly symmetrical nose does not exist !
Will my nose be weaker after a rhinoplasty ?
This is a common misconception – a good modern rhinoplasty should leave the patient breathing the same or better and with good structural integrity, possibly even stronger than before . Patients will often notice their noses feel stiffer and firmer than before because Mr Greensmith does not want to weaken the nose by refining it. A smaller, more refined,attractive nose should be structurally intact to avoid the potential for warping over time. Patients often are fearful that their nose may “collapse” after surgery, having seen such things occur in media horror stories. This would only occur with excessively aggressive surgery or multiple surgeries removing too much weakening of the nasal structure. If a patient is requesting their nose to be made too small or narrow, Mr Greensmith will not agree to perform such surgery if structural integrity or function will be compromised.
If I wear glasses when can I use them after surgery ?
If you can use contact lenses as an alternative while you have the splint on then that is a good option but if not there is no problem to rest you glasses on top of the splint on your nose. Once the splint is off you can use reading glasses or sunglasses straight away but since there is a little bit of swelling in the skin at this early stage the glasses may leave a small depression /hollow in the skin if worn for prolonged periods. However this will not be a permanent problem and will not occur so much as the swelling settles in the following 6 weeks or so.
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