The success of revision rhinoplasty surgery preparation will not just rely on the surgeon’s skills. Patient cooperation will also play a critical role on the final results and ultimately the satisfaction rate, according to the California Surgical Institute website.
The list below explains the “basics” of revision rhinoplasty surgery preparation. It is important to note that some patients may need to follow a set of highly specific instructions due to their unique anatomy or individual problem. For this reason, the safest route is to stick to the recommendations of one’s surgeon.
Minor contour irregularities and persistent fullness or swelling of the supratip (right above the tip) are best addressed after the skin has redraped completely to the new contour, which happens after 9-12 months. This “guideline” applies specifically to patients with markedly thick nasal skin, which is susceptible to prolonged swelling.
Waiting also allows the patients to be more objective on the results of their surgery and to ponder deeper on their cosmetic goals.
The idea is to have the most accurate assessment of the nose to achieve the most satisfying results possible. Nonetheless, certain deformities are best treated as soon as possible because of the zero possibility of improvement even after the passage of time.
- Achieve optimal health
Any medical condition that can interfere with healing must be controlled well in advance of the surgery. Healthy lifestyle and/or medications can help patients achieve their optimal health so they can handle the surgery.
- Avoid risk factors linked to increased bleeding, infection, and poor healing
Aspirin and other drugs and supplements with blood thinning properties must be discontinued 2-3 weeks before surgery and at least week afterward.
Tobacco and smoking cessation products (gum and patch) are also best avoided several weeks or even months ahead of the surgery because they are known to significantly increase the risk of skin necrosis and poor healing.
Doctors generally have preoperative information packet that explains what medications, supplements, drinks, and foods to avoid or at least limit their consumption. Furthermore, prudent patients should never hide or omit information regarding their drug use (including recreational drugs) to prevent complications and less than optimal results.
- Lab screening
In the ideal scenario, lab screening, which is primarily blood work, is performed not later than 10 days prior to surgery to ensure that the patient is healthy enough for rhinoplasty and the ensuing recovery.