Anatomically, the nose is made up of an inner lining, a middle support layer of bone and cartilage, and an outer covering of skin which matches the face in color and texture. Aesthetically, plastic surgeons describe the nose in terms of units and subunits. These are characteristic areas of expected skin quality, border outline, and 3-dimensional contour which define what a normal appearance is. The nose is divided into the tip, the columella (the post between the nostrils), dorsum (bridge) and bilateral ala (the oblong subunits above each nostril rim), soft triangles, and sidewalls. Defects vary in size, location, shape and depth. They also vary in the affected thickness or anatomic layers injured (cover, lining, or support). But… the ‘normal’ does not change.
- Anesthesia: General or Sedation
- Length of procedure: 1 to 3 hours
- Length of stay: Home same day
- Discomfort: Mild to moderate. If nasal bones are broken as part of the surgery, expect 5 to 10 days of prescription pain medication.
- Anticipate: Swelling for 1 to 6 months and bruising 7 to 10 days
- Recovery: May require a cast/splint for 5 to 7 days
- Final result: 1 to 2 years as the tissues settle and swelling resolves
- Duration of results: Lasting
WHAT TO EXPECT FROM NASAL RECONSTRUCTION:
The approach used for surgery depends on the desired results and the surgeon’s decision on how to perform the procedure. There are many methods to heal or ‘fix’ a wound.
Options for ‘Nasal Reconstruction’ include:
- Simple Closure
- Healing by Secondary Intention
- Skin Grafts:
- Local Flap Reconstruction
- Regional Flap Reconstruction
Dr. Matthew Malamet will discuss the best options based upon your particular situation. Schedule a consultation with Dr. Malamet.