Aquiline and bony nose (presence of hump on the nose) can be a familial feature. That can be due to hereditary factors or due to trauma. A recent injury to a person may have caused the lower part of the it to be severely damaged and flattened, and a hump to form a bruise from the upper part or microscopic growth centers may be the result of a childhood injury. In cases where the nasal hump is due to hereditary factors,  the nose protrusion involves more cartilage than bone. One of the things that can be during rhinoplasty is to remove the nasal hump from the septum.

You should see your specialist 8 to 7 days after rhinoplasty to remove the adhesive suture and nasal splint. Sometimes, six months after reoperation, your doctor will ask you to come to his or her office for a checkup to assess the condition and answer your questions. They see, at first glance, they would be surprised.

Causes of the aquiline  and bony nose

Occasionally, an aquiline’s nasal bone and hump appear much larger than it is. The bulge in the face below the eye is small. Therefore, a small cartilage graft should be to elevate this area and remove the recess. The nasal bone (hump) may be due to a childhood injury and a blow to the lower third of the it, which reduces the septum (called the saddle deformity). In these cases, increasing the septum height or adding a cartilaginous graft to the indented lower part of the nose can correct the shape. That can adjust the aquiline nose and eliminate the nasal hump.

 

It is interesting to know the following tips:

Its appearance is not always due to the presence of extra tissue on the nasal septum. In some cases, the forehead indentation makes the nose appearance look like it has a hump bone. The most pivotal point in the treatment for nasal and forehead indentations is to create a structure in this area that exactly matches the anatomical and nasal characteristics. That can make a beautiful and natural appearance from both the front and side angles. If the surgeon can perform this operation correctly, the patient will achieve the desired results. Rhinoplasty is a common choice for cases where the appearance  is due to thick skin. This method is often available to treat nasal problems due to rosacea. Rosacea is a bacterial agent that causes pores on a person’s skin, resulting in numerous red pimples on the patient’s skin. In these cases, the appropriate treatment method is the use of laser  job. When a person has a broken nose, laser  surgery is not suitable and is not practical. The minimum age at which surgery can be a choice is 15 to 17 years for girls and 17 to 19 years for boys because the nose growth is complete. In general, men have thicker skin so that they shape differently than women after surgery. That is a significant factor that can change the overall age of nasal surgery and deformity.

shape of nose

Diagnosis of crooked, bony, and aquiline noses

A hump or bulge in the nose is usually one of three opposing categories: true, false, or hidden humps. Which of the following categories your humpback falls into determines what your surgeon should do during rhinoplasty surgery. For example, to remove the false hump of the nose, the doctor can correct the tip protrusion. In these cases, there is no need to perform surgery to remove the nasal hump. But to remove the nasal hump, it is necessary for the surgeon to slightly protrude the bony tip of the nose or ‌ Rotate it to correct the shape of the nose.

Real hump of the nose: The tip protrusion length is equal to the distance between the lips and the nose.

False hump nose: The tip protrusion length is less than the distance between the lips and the nose.

Hidden nasal hump: The tip protrusion length is longer than the distance between the lips and the nose.

The severe hump of the nasal bone

The severe hump of the nasal bone

Removing a large, protruding nasal hump can interfere with your breathing to some degree. In the process of cutting and shaving the bulge on the septum, until the aquiline nose looks pleasing, the doctor may remove a part of the nasal airway (inner nasal valve), resulting in a narrower airway. Since the upper lateral cartilage is located just after the highest part of the nasal airway, placing a graft to enlarge the airway at this point seems to be the best possible solution.

Preoperative consultation for aquiline and bony snout nose

During the initial consultation, your doctor will review everything you need to know about the surgery plan. He examines your nose shape, the internal airways of your nose, the flexibility of your cartilage, and the texture of your skin. (Skin that is thick and has a lot of subcutaneous fat usually hides the results of it, so these patients may sometimes be advised not to have the surgery because it may be despite the cost of it. The outcome of the surgery should be completely covered and hidden by the patient’s thick skin. Deciding to become pregnant after or before rhinoplasty can be difficult. In this operation, instead of one person, two patients should be considered, and the risks of this method are more than when the patient is not pregnant or breastfeeding. Therefore, in this case, you should consult with your doctor in a consultation.

Simulation of nose shape, before and after aquiline and bony hump nose surgery

 

Simulated images of the expected results of rhinoplasty

Simulated images of the expected results of rhinoplasty

After a thorough nasal evaluation, your rhino surgeon will take a complete set of photos of your face. Using these images, he uses computer simulation software to show you the expected results of rhinoplasty. Simulation images are similar to the actual results of the surgery. That gives you a realistic view of the possible outcomes. Then you can find out what to expect from your cosmetic surgery. Of course, your doctor will always warn you that the images obtained are just computer simulations, and the actual results may differ somewhat depending on how the nasal tissues heal.

 

Surgery to remove the bone and hump

Preparations must be before surgery. Doctors usually use sedation injections to reduce the patient’s stress and put him in a relaxed state. (This sedative causes most patients to fall asleep during surgery. An anesthesiologist will inject you with an anesthetic with a painkiller and a mild sedative. Then your doctor will inject a nerve block (a strong painkiller that also injects you in precise, low-dose doses (topically). Then they will inject nerve block into the area of ​​the trigeminal nerve network around the surgery site.

How to do bony nasal surgery

The aquiline nose operation (removal of the nasal hump) is through the nostrils (intranasal technique). The surgeon makes an incision under the nasal septum and inside the nasal airway. By making these incisions, the surgeon can access the tissues or bones that make up the aquiline’s nasal hump. In the plastic surgery, the surgeon tries to operate gently to reduce the amount of bleeding and bruising after rhinoplasty. The surgeon removes enough extra tissue and bone to get the nasal septum in good shape. It is pivotal not to remove too much or too little tissue at this stage.

Finally, the surgical incisions are closed with small sutures. The nasal surgeon then fixes your nose with a light, skin-colored splint. After this time, the anesthetic and sedative effect gradually disappears, and you become fully awake and alert. The operation in a well-equipped clinic under the supervision of a specialist consists of minimal complications.

Chin Surgery (Mentoplasty)

Chin Surgery

In most cases, the patient’s chin is also suffer retracted. It is better to have mentoplasty surgery or implantation of a chin prosthesis to create complete balance in the patient’s face. To do this, the surgeon makes small incisions inside the mouth and inserts silicone prostheses into the chin through them. This operation is relatively simple, and the results have a dramatic and pleasant effect on the patient’s face.

What happens after rhinoplasty?

nose job

One day after surgery, you can leave the clinic. But it usually takes about two weeks for you to recover fully. After surgery, you will have natural mood disorders.3

Bleeding from the nose is quite common in the first days after surgery.

After this surgery, you will experience pain and discomfort.

In most patients, postoperative pain is usually not an acute problem.

It may be sore, and you may have vague headaches.

You may have trouble breathing for several weeks and may have pain or discomfort and feel that your nose is stuffy.

Bruising and swelling of the nose

In the first 24 hours after rhinoplasty, your face will become swollen and bruised. Temporary swelling and bruising around the eyes and nose will be maximal on the second and third day. Swelling and bruising improve within two weeks, but sometimes the inflammation does not go away in a few weeks. If your nasal doctor has manipulated the bone around your eyes and nose, it will be swollen and bruised for a week or two.

Usually, after 2 to 3 weeks, your nose starts to improve, and this process takes up to several months. In the sixth month, your nose will be in its original and permanent position. The final results may not be available for a year.

How long after surgery can you return to work?

Your recovery period and your job are two pivotal factors that determine when you return to work. Your doctor will usually ask you to rest at home for two weeks to relieve swelling and bruising on your face, but sometimes you may have to return to work earlier, depending on the type of job you have.

What does postoperative care for a hunchbacked nose include?

Your  doctor will usually give you some helpful and essential tips and advice. Your doctor will usually explain this information to you before surgery, that you can get complete knowledge about post-rhinoplasty care.

They will make several incisions in your nose, and in some cases, make a small incision in the septum and between its nostrils. The doctor uses splints and glue to reduce swelling and protect the nose.

Important and essential points after rhinoplasty

  • Get enough rest.
  • The sooner you start walking, the lower the swelling and the lower the risk of blood clots.
  • Eat a balanced diet. Decreased activity levels can cause constipation, so try to include more fiber, raw fruits, and vegetables in your diet and increase your fluid intake.
  • Take the medication prescribed by your doctor on time. Do not take aspirin or other aspirin-containing without your doctor’s permission.
  • Avoid smoking for at least two weeks as smoking delays the healing process and increases the risk of complications.

 

How long after surgery can you start your daily activities?

Showering: You can shower after discharge from the hospital, but be careful not to get your glue and splint wet. Get help from a family member to wash your hair because you have to tilt your head back to prevent the glue and nasal splint from getting wet. You can easily take a shower after your doctor removes your nasal splint.

Body position when sleeping: To sleep comfortably, place two or three pillows under your head so that your head is above body level.

Dress: Try to choose clothes that are easy to change, and avoid wearing tight-fitting, closed-front clothing as removing them can put pressure on your nose stitches.

Driving: Your doctor will usually ask you to stop driving for two weeks after surgery. On the other hand, for rhinoplasty, the specialist must break your nasal bone at several points. That will cause the eye to swell and swell, and it may interfere with your vision, so you should wait until the eye swelling disappears.

Exercise: Avoid doing exercises that put a lot of pressure on you and raise your blood pressure for three to four weeks. Avoid doing activities that involve a lot of physical contact for at least two months.

Nasal cleansing: You should refrain from cleaning your nose and fin for at least a week after surgery.

Be away from children: Be very careful when playing with children as their sudden movements may hit your nose and cause more problems.

Wearing glasses: There are no restrictions on using glasses and placing them on the nasal plaster during recovery. After your doctor removes your nasal cast, you should refrain from placing any sunglasses, both medical and sunglasses, directly on your nose for six weeks after surgery, as the weight of the glasses, can cause the bone in the nose to move as it heals. If the doctor has not manipulated your nasal bone during surgery, you can wear glasses at any time. If you have to wear glasses to have a clear view, you should attach them to your forehead so that their weight is not at the nasal septum. If possible, you can use eye lenses instead of glasses during this period.

Wearing contact lenses: You can use your contact lenses at any time after the surgery. But keep in mind that some patients develop swelling in and around the eyes after rhinoplasty. That makes it difficult for them to wear contact lenses. If you get uncomfortable using the lens, take it out of, and put it back on your eye.

 

Frequently Asked Questions

Can rhinoplasty correct aquiline noses?

Rhinoplasty techniques have undergone tremendous advances in recent years. The specialists can correct many nasal abnormalities with rhinoplasty. One of the most common nasal cosmetic procedures is the aquiline nose correction.

How long after aquiline nose correction surgery can I exercise?

The recovery period for this type of cosmetic procedure will usually be a little longer. That requires repair of the nasal bone. It is better to refrain from any exercise for at least a month. After a month, you can start light pieces of training. It is best to avoid strenuous activities for about three months after surgery.

Can I smoke after rhinoplasty?

It is best to quit smoking two weeks after surgery. Smoking will delay the recovery process after surgery. Besides, smoking can exacerbate postoperative side effects, increase swelling, infection, and bruise on the nose.

Is chin surgery necessary after aquiline nose surgery?

In many cases, to maintain the balance between facial expressions, it is better to have chin surgery. But in general, there is no need and the final decision is up to you. It is best to consult your doctor and check the postoperative simulation images to make the best decision in this regard.

How long after rhinoplasty can I drive?

Swelling and bruising around the nose and eyes are the most common side effects of rhinoplasty. That usually lasts up to two weeks. It is best to avoid driving during this time. The best way to reduce these side effects is to rest.

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