Overview of the surgery:
Alar Resection is a cosmetic surgery procedure of the nose that narrows the wide flaring and large opening of the nasal nostrils.
The alar of the nose is reduced and suture in its position, aim is to make the balance of nasal tip and alar of the nose.
Duration of the operation:
The procedure usually takes around 1 hour.
Splint the nasal tip with 3-4 mm thin strips of waterproof tape. Steri-Strips also can be used. Run the strips along each side of the nose and gently wrap them under and around the tip. As all sutures are absorbable, none require removal. Revision surgery should not be considered before at least 6 months have elapsed since the original operation.
Normally, you will feel some pain and discomfort at the nose area during the first days after the operation but it can be alleviated by the medications prescribed. After 2 or 3 days, you will feel no pain but swelling in the nose and eyelid area will persist. Swelling and bruising around the eyes will start to disappear within a week and will completely subside for about 2 weeks. You can go back to work after 1 or 2 weeks, but avoid strenuous activities that can increase pressure to the face, which can prolong swelling and bruising for the next 2 to 3 weeks. After the removal of the bandage and stitches, the patient must take care of her/his nose not to be injured until it is completely healed. The frames of glasses should not be allowed to rest on the bridge of the nose for three weeks. A little bleeding is common during the first few days following surgery; patient may continue to feel some stuffiness for several weeks. Patient must try not to blow nose for a week or so, while the tissues heal.
Possible risks and complications:
Serious complications are rare. The most common complication is patient dissatisfaction. Other complications include: hematoma, airway obstruction, injury to the nose, infection, excessive swelling and bleeding.
Using IV sedation (medicine administered through an IV) and local anesthesia (numbing medication administered in the surgical area)
The patient can be discharge from the hospital on the same day of the surgery.
Preparation before Surgery:
- Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
- Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
- You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
- Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
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