The nose is the center of the face, a part of us that is simply impossible to hide. An unattractive nose basically captures all the attention from even the most attractive face. Each year thousands of people undergo cosmetic nose surgeries. An unattractive nose could be due to hereditary factors, an injury or simply aging factors. The nose could be wide from either the bony part (where we rest our glasses), or the caliginous part where we  (hold to blow our nose). It may also be too drooping or have a hump that is mostly prominent from the profile view. The nasal septum (divider between the two sides of the nose) may be deviated causing the nose to look crooked and impairing breathing as well. A nose surgery can correct all that making the nose both attractive and properly functional.
 

Are You a Good Candidate for a Nose Surgery?

You may feel uncomfortable about how your nose looks from the front view or from the profile view or both. The bony part of your nose may be too wide, or you may have a hump (mostly noticeable from the profile), you may have a wide tip (the lower end of the cartilaginous part) or a droopy long nose. Your septum may be deviated. Your nostrils may be too wide or your nasal tip is too close to your face, missing the proper tip support to give you the attractive elevated nasal tip. The nose surgery can be performed starting age 18.

Preparing for Your Surgery

Before your surgery, Dr. Metwally will perform a complete evaluation with you. Factors like your facial proportion, skin type, bone, cartilage, inner lining or ethnic appearance are all discussed during the evaluation. It is very important to understand that the same procedure, done in the exact same way on 2 different noses may give very different results according to the factors mentioned above. Dr. Metwally will explain these factors to you thoroughly, understand your desired goals and explain the expected to and from our center the day of the surgery. You will need to arrange for someone to drive you to and from our center the day of the surgery. You should wear loose fitting clothes and bear in mind that your outfit may get soiled. Do not wear jewelry, contact lenses, or bring valuables to the operating room. Remove all body jewelry from pierced body parts.
 

During Your Surgery

Two main incision techniques are used in the nose surgery. One is called a “Closed Rhinoplasty”, and the other is called an “Open Rhinoplasty”. In the "Closed Rhinoplasty", all incisions made are on the inside of the nose. In the "Open Rhinoplasty", a small part of the incision approximately 3 mm is made across the columella (the long part between the 2 nostrils). If you wish to have your nostrils smaller you will have a tiny incision 2-3 mm on the outer side of each nostril hidden in the crease between the outer side of the nostril and the cheek. Dr. Metwally will choose the technique that best suits the level of correction you desire in your nose. After the incision is made, all the remodeling of the bone or cartilage is done and a few sutures are made. In most of the cases where remodeling of the bone is made you will have a cast on your nose for approximately 7 days.
 

After Your Surgery

After your surgery you will find that you have some bruising and swelling around your eyes, this is normal, and subsides from 7 to 10 days. Very little discomfort may be present for the first 2 days, Dr. Metwally will prescribe to you an antibiotic to prevent infection and a pain killer to minimize the discomfort. Some discoloration may be present this can be covered by concealer and subsides within 10 days. Most people are ready to return to work after 8 to 10 days from the surgery. You can shower normally from the second day while watching out not to wet your nose. You can wet your nose once the cast is removed. You can wear your glasses on top of the cast and after the cast is removed, but be careful not to hit your nasal bone during the first month of the surgery. You should refrain from vigorous exercise and horse-back riding for 1 month after the surgery.
 

Seeing Your Result

How soon the result starts to show often varies from one person to the other depending on many factors. Some people heal faster than others for reasons like age, skin color and skin type. Other factors are related to the level of correction made in the surgery like the amount of bone and cartilage removed and remodeled, and the surgeon’s skills. According to Dr. Metwally’s observation of his own patients, they all start seeing results as early as the 7th day of the surgery (upon cast removal) and the final result usually takes 8 to 12 weeks. After that very minor changes in the appearance of your nose will occur until 6 months of the surgery have passed when complete healing is reached. The tiny scar in the columella starts fading 7 days after the surgery and is hardly ever visible after 4 to 8 weeks.