Tips for surgery

Aesthetic surgeries of the nose and ears
9 years of experience

Behavioral instructions before surgery

  • You must prepare for the surgery both mentally and physically. Eat a healthy diet, exercise moderately. On the day of the surgery, you should not have any cold symptoms, fever, or menstruation.
  • Smoking, in addition to other harmful effects, causes abnormalities in wound healing. In particular, smoking lowers the resistance of the nose, throat and lungs to bacterial infections and increases the risk of surgery. It is advisable to give up tobacco products at least two months before a planned surgery.
  • At least 24 hours must have passed since the last alcohol consumption on the morning of the surgery. Alcohol can be dangerous when combined with the medications being administered.
  • During general anesthesia, the stomach must be empty. It is forbidden to eat for at least six hours and drink for at least four hours before the operation. Chewing gum causes the stomach to fill with secretions and is therefore forbidden for at least two hours before the operation.
  • Wash your hair the night before surgery. Do not use hair dye, hairspray, or any other after-care products. Do not use makeup, perfume, or facial creams on the day of surgery. It must be 2-3 weeks since your facial skin was cleansed by a beautician.
  • To make it easier to get dressed after surgery, the clothes you wear to the hospital should be buttoned in the front and not pulled over your head. When you go home, appropriate clothing (hood, hat, scarf) and sunglasses will help to hide the facial bandages, possible bruising and swelling.
  • Bring personal hygiene items, considering that you will have to spend one night in the hospital.
  • Before surgery, remove your watch, rings, bracelets, earrings, and necklaces. Put them in your bag to prevent them from getting lost.
  • To get home, prefer to travel with the help of a trusted car owner, relative or friend instead of taking a taxi. If you are unable to spend the night after surgery in Tallinn, you must inform your treating physician so that we can organize your post-surgery monitoring differently than usual.
  • Inform your doctor immediately if you cannot attend the surgery due to health or other reasons.

Behavioral instructions after surgery

  • On the day of surgery, bed rest is required; sitting and emergency trips to the toilet, kitchen, or bathroom are not prohibited.
  • Nutrition after surgery is part of the recovery process. For the first 12 hours, eating should be limited, preferring lighter foods. Excessive post-operative nutrition can create tension in the surgical wound area, increase the risk of bleeding, and thus slow down the healing process. You should drink plenty of water, 1.5-2 liters per day.
  • Depending on the nature of the surgery, a splint may be required to immobilize the nose after the surgery. It is taped to the face. The splint is usually worn for 10 days. Removing the splint on your own is prohibited. If the tape securing the splint comes loose, you will need to cut off the loose tape at home and replace it with a new one.
  • The removal of stitches after nose surgery is done according to the nature of the surgery and the individual healing process. The usual time frame for removing external stitches is 7-10 days after the procedure. For internal stitches, a special dissolvable thread is used, which is absorbed by the body spontaneously within 2-3 weeks.
  • You should not blow your nose for 7 days after the surgery.
  • Crusts and thick secretions should not be removed with your fingers or by sniffing. This can lead to complications. To remove crusts, the nose should be rinsed with physiological solution or a saline solution intended for this purpose. Saline sprays available from pharmacies, such as Quixx, are also suitable.
  • If you wear glasses, they should not be placed on your nose for a few weeks. After removing the nasal mask, secure the glasses to your forehead with a patch. Contact lenses can be worn from the 10th day after surgery.
  • Alcohol and tobacco products are prohibited for 14 days because they inhibit wound healing. 
  • Alcohol is prohibited for at least 2 weeks after surgery, as it can cause bleeding, slow wound healing, and increase the risk of complications. In addition, alcohol can interfere with the effectiveness of post-operative medications.
  • Smoking is prohibited for at least 2-3 weeks after surgery. Smoking significantly slows down the healing process, impairs blood supply, and increases the risk of infection. Sunbathing, saunas, and nasal colds can cause complications and are therefore not recommended. The risk period lasts about half a year. The first month is especially crucial.
  • For two months, you should avoid contact sports, ball games, and other hobbies that pose a risk of trauma to the nose.

Reoperations

Rhinoplasty The final result depends not only on the surgical technique but also on the healing process. The final scar formation may take more than a year, and during this time aesthetic defects may appear that, upon the joint decision of the doctor and the patient, require a repeat operation. The need for some amount of repeat surgery is approximately 10-15% rhinoplasty patients.

Reasons:

  • Residual defects
  • Unwanted shape changes, such as a too-straight tip of the nose, unevenness on the bridge of the nose
  • Changes due to the scarring process
  • Curvatures, asymmetry
  • Nasal breathing obstruction
  • Previously planned surgery in two stages

In most cases, the volume of revision surgeries is small and limited to the repair of isolated defects. In more severe cases, however, the revision rhinoplasty may be significantly larger than the previous surgery. For a successful revision surgery, it may be necessary to transplant cartilage material to the nose. In this case, the donor site is either the auricular cartilage or the costal cartilage.

If you are not satisfied with the result of a previously performed rhinoplasty, please Book an appointmentso that we can find a solution to your problem together.