Rhinoplasty surgery

Cosmetic nose reshaping is also known as rhinoplasty. The procedure can reduce or increase the size of the nose, narrow the span of the nostrils, change the angle between the nose and upper lip, and/or change the tip or bridge of the nose. It can also correct some breathing problems

Rhinoplasty involves the resculpting of the bone and cartilage. When operating on the nose, the surgeon can either work from within the nose by making an incision inside the nose, or work from the outside by making a small incision across the tissue that separates the nostrils. The latter is known as an “open” procedure

About Rhinoplasty surgery

Although each procedure varies, generally, nasal surgeries follow this process:


Preparing for Your Surgery

Our procedures have been designed to make your surgery as safe, comfortable, and convenient as possible.

Your surgery will be performed at one of the following locations

Blood transfusions

All blood used comes from volunteer donors

Guest Services

  • The Guest Services staff is available to assist you in any way. They serve as advocates for patients and their families; act as friends and guides; provide personal services and direct patients and families to hospital and community resources

  • You can call the Guest Services Hotline, 24 hours a day, 7 days a week

  • After you go home, if you have any questions or concerns about your hospital care, you can call the Hotline at any time

Before Your Surgery

We will call you the evening before surgery, (or the Friday before a Monday surgery), to confirm your arrival time and surgery start time. You may call us after 4 pm. if this is more convenient for you. Please be aware that your surgery start time is subject to change until 4pm the day before surgery

Please follow these eating and drinking instructions before surgery:

  • Clear liquids like water, clear juice, sports drinks, clear tea, and black coffee, may be consumed , until 3 hours before any ambulatory surgeries ,5 hours before any other surgeries

  • Do not drink milk-containing products, alcoholic beverages or drinks with pulp or solids of any kind

  • Nothing to eat or drink after midnight. You can take needed morning medications with sips of water as directed

  • Refrain from smoking after midnight and on the day of your surgery


Check with your doctor about whether you should discontinue taking regularly scheduled medication. If you are advised to continue taking it, you should take it with just a sip of water.

You will receive a personal medication card before your surgery. Please fill out the card and bring it with you the day of surgery.


Regulations do not permit you to drive or take a taxicab

Smart Holding Group will provide free delivery service

Day of Surgery

Personal items

  • Wear loose, comfortable clothing so you can change easily before and after surgery

  • Leave ALL valuables at home and bring only essential items such as glasses, dentures, hearing aids, canes, etc.

  • Please do not wear perfume/cologne, makeup, nail polish, or jewelry (including rings and watches).

What to bring

  • Health insurance card

  • Current photo ID

  • X-rays or other medical documentation requested by your surgeon

  • Personal medication card

Safe surgery guidelines – before surgery

  • The staff will ask you to identify yourself, the procedure and the site of the procedure. This information will be compared with your armband, your surgical consent, and the operating room schedule

  • The staff will inquire again on any allergy information. If ordered by your surgeon, you will receive antibiotics at this time. Please note that throughout your surgical experience, our staff will practice hand hygiene to prevent infection

You will be asked to arrive approximately two hours before your scheduled surgery so you and your care team have adequate time to get you ready for surgery. We will make every effort to begin your surgery at the scheduled time.

If we experience unanticipated delays in caring for other patients, we will keep you informed of our progress. We will estimate the time we anticipate being able to begin your surgery.

Your next stop is pre-op where you’ll be asked to change into a hospital gown in a private area. We’ll check your weight, blood pressure and temperature and make final preparations for surgery. We’ll also review your medications, medical history, and allergies


  • Visitors should be limited to two people at a time

  • Children under the age of 12 are not permitted

  • Food and beverages are not allowed in the pre-op area but may be consumed in the waiting room

  • Cellular devices must be turned off and remain off

  • Perfumes and colognes are strongly discouraged as many patients are allergic to such scents

  • Complimentary WiFi is available

After Surgery

You will be taken to the Phase I Post Anesthesia Care Unit (PACU) immediately after surgery. You will stay there until you are awake, your vital signs are stable, and you have satisfactory pain management

Safe surgery guidelines

  • When the surgery is over, the surgical team verbally reviews information on another checklist. This list includes details of your post-surgical condition and recovery plans. This is done before you leave the operating room

  • When you arrive in the recovery care area, the surgeon and/or the anesthesiologist will talk with the recovery area nursing staff about your procedure and condition, and plans for your recovery

Admitted to the hospital

  • If you are to be admitted to the hospital, you will be transported to the patient care unit when your room is ready

Going home

  • If you are to be discharged home after surgery, you will be taken to the Phase II area where you will change into your own clothes. A family member or friend will then be able to join you and a nurse will provide verbal and written home care instructions

  • We will also give you the contact numbers for any questions or concerns that arise once you are home. We welcome and encourage your questions before you are discharged

  • Once you return home, we recommend that you have someone stay with you, at least for the first night

Rhinoplasty Surgery Postoperative Instructions

Nasal splints

Splints are two pieces of plastic held in place with a stitch inside your nose. Although they are used to provide the best long-term results, they can produce temporary discomfort, and difficulty to breathe through the nose if this happens. These are temporary changes that should resolve once the splints and the stitch are removed, usually a week after surgery

Pain control

You will be prescribed pain medication after nasal surgery. Take as you need for pain control. If you prefer to avoid narcotics, you should feel free to use acetaminophen (Tylenol)

Minimize physical activity for two weeks

Patients can resume normal daytime activities if they have undergone isolated nasal surgery. Walking and spending more time out of bed rather than in bed are helpful to reduce risks of developing pneumonia or blood clots in the legs. However, patients should avoid strenuous activity, it can increase swelling or cause bleeding



It is normal to experience small bleeding for a couple of days after surgery. You may dab your nose gently with tissue, but do not blow your nose. Avoid aspirin, NSAIDs (such as ibuprofen, Advil, Motrin, naproxen, or Aleve), for at least two weeks because they can increase the risk of bleeding after surgery

Nasal saline two sprays each nostril four to five times a day for two weeks Nasal saline washes away all crusts and dried blood to keep the nose clean during the healing process, and accelerates healing by maintaining a moist environment in the nose

You may use nasal topical decongestants (such as Afrin spray) two sprays each nostril twice daily for three days and then as needed to control small bleedings, for a maximum period of time of one or two days. The decongestant decreases the amount of swelling in the nose and can keep the nasal passages open during the healing phase

Possible Complications Associated with Rhinoplasty Surgery

Possible complications associated with Rhinoplasty Surgery may include, but are not limited to, the following

  • Infection, Nosebleed, Anesthesia problems

  • Although not common, sometimes, a second procedure may be required to correct a minor deformity that occurs as a result of the initial rhinoplasty

  • As in any surgery, there is a risk of infection or reaction to the anesthesia. Nosebleeds can also occur after surgery

  • Sometimes, small blood vessels may burst causing tiny red spots on the nose to surface. The spots are usually minor in appearance but can be permanent

  • With the “open” procedure, there is the possibility of scarring on the base of the nose

Do you have any questions ?

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