Even when contour of bone is required, frequently the changes can be accomplished by filing or rasping the bone with the need for fracture. While often the operation will require removal of bone or cartilage, there are other occasions where the nose needs augmentation, or filling in. If this is the case, synthetic fillers or the patient's own cartilage may be used. This will be discussed on an individual basis. After completion of the operation, a small plastic splint is placed over the nose, which remains in place for about a week.
Many patients express concern about having packs or gauze in the nose after surgery.
Our technique avoids this need. After removal of the splint, there may be some swelling, bruising and stuffiness, but by the end of three weeks most patients find that a large part of the swelling has resolved. Patients must understand that although most of the swelling resolves quickly, some will last for several months after the operation. In general, the appearance of the nose continues to improve for as long as a year after the operation. Do not be overly concerned if the nose looks unsatisfactory when the splint is first removed.