The Shaping Massage
Our experience indicates that even a relatively large surplus of skin remaining after the bone and cartilage reduction can be successfully managed at virtually any age within 3 months following the surgery. For massaging, we recommend using cream to prevent trauma to the nose skin.
The frequency of massages should correspond to the healing process, i.e. 10 to 30 times per day (to be specified by the surgeon). The final result can be evaluated only after 6–12 months.
“Be careful of opinions offered by your girl-friends or your partner who previously disagreed with the surgery. Critics like these will always find something about your new nose to criticize and upset you," warns Dr. Jan Valka, an well-experienced plastic surgeon specializing in rhinoplasty.
|The pressure massage to be applied in if the nose deviates from the central axis.|
|The rotational movement at the root of the nose to prevent the skin from adhering to the ground-off bone.|
|Lifting the tip of the nose to prevent the “parrot beak”.|
|Shaping the tip and the wings of the nose.|
|Plaster fixation for more extensive nose-tip swelling.|
|Plaster fixation in case a nose-length reduction is necessary.|
1. During the first two days following the surgery you should rest and relax. Do not lean forward, do not lift heavy things, do not elevate your blood pressure by drinking strong coffee or getting angry.
2. If you need pain-management drugs, avoid using any medicine containing acetylsalicylic acid (aspirin) – Acylpyrin, Aspirin, Alnagon, Superpyrin, Aspro, Godasal. Also avoid using Brufen, Ibuprofen or Ibalgin. You can take Wobenzym or Flogenzym, no sooner than two days after the surgery if you wish. We recommend instead using medicine containing paracetamol (Paralen, Panadol, Coldrex etc.), which present no bleeding risks before or after the surgery.
3. Unless otherwise specified by the surgeon, you can remove the tamponade as soon as the evening of the next day. If any bleeding should occur, create a swab from cotton wool and ointment and insert it into the bleeding nostril.
4. After removing the tamponade, you should apply disinfectant drops (O-septonex, Nasivin or Sanorin) to your nostrils 4 to 5 times a day. For the night, or also for the day, rub in a disinfectant ointment (O-septonex unq, O-framykoin unq) inside the nostrils – you can apply it also on the external suture wounds. The internal stitches should fall out on their own within 10 to 12 days. You can carefully clean the nostrils using a small brush.
5. Keep checking the direction of the plaster plate; the string should be always tied tight. Should the plaster become loose, you can secure it with tape. Never remove the plaster before by the surgeon tells you to!
6. You can start blowing your nose very carefully on the fourth day following the surgery. You may see a small amount of blood mixed in when you blow.