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Factors that affect nose surgery length

Iran Health Agency > blog > Factors that affect nose surgery length
How many hours does a rhinoplasty operation take?

The duration of rhinoplasty for a normal nose or a fractioned or even a deviated one varies from person to person. Whether you need a simple rhinoplasty in Iran or a more complex surgery which longs several hours, consulting with doctor will help you get the desired aesthetic outcomes. Factors that affect nose surgery length in […]

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The duration of rhinoplasty for a normal nose or a fractioned or even a deviated one varies from person to person. Whether you need a simple rhinoplasty in Iran or a more complex surgery which longs several hours, consulting with doctor will help you get the desired aesthetic outcomes.

Factors that affect nose surgery length in Iran:

If you wish to have rhinoplasty in Iran, you may wonder how long does a nose surgery take? The following items affect the length of nose surgery:

Anesthesia

Anesthesia for nose surgery is not a factor in the results and safety. The method most specialists prefer is to use Propofol, the great colonoscopy anesthetic, with some other anesthetics, additionally to local anesthesia injected by the surgeon after the Propofol puts you to sleep. This kind of anesthesia is a very low-level one and is different from ones that needed for abdominal, chest or brain surgery. It leads to quick sleep and wake up. Narcotics aren’t necessary and therefore, there’s a little chance of vomiting and nausea.

A longer surgery requires more of the anesthetic and may cause a longer awakening and some confusion for the rest of the day. Everything equals less time under anesthesia, but better.


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Anesthesia

Rhinoplasty method: Closed and open surgery

Whether your doctor chooses open vs closed nose surgery can change the length of procedure. Closed nose job in Iran has several benefits, there is no external scar and all dissolvable sutures will placed to close the hidden, internal incisions. Open nose surgery is a good way to teach and develop surgeons in training does make placement of some cartilage and tissue grafts a bit easier. Performing the external incision and then closing it at the end of the operation should not add more than 20 minutes or so to the surgery.

For some patients the horizontal scar between the nostrils is not pleasant. Other patients who have recovered better, are likely to undergo an incision that is difficult to see. Typically, like the many other features of nose surgery, the surgeon’s skill determines the results, not luck.

Rhinoplasty method: Closed and open surgery

Tissue and cartilage grafting

The nose surgery cases that need cartilage harvest from patient ear or rib take longer. For a few patients, it should be necessary to add additional tissue to reach the optimal result. Many patients that need cartilage grafting have a round, plunging tip, a bridge or a very crooked nose where some cartilage or bone may be missing. Cartilage is often harvested from the nasal septum, particularly if the septum needs correction to help breath improvement and sinus infection prevention. It is readily available within the nasal interior.

Another choice is cartilage from the patient ear. The ear isn’t left deformed, the incisions are on the rear of the ear and particularly where cartilage with a natural curve is needed, the ear may be a good source. Rib cartilage is the last choice for grafting but provides the largest harvestable piece of cartilage.

It will be shaven into thin slices. Larger portions of rib cartilage are used to raise a low bridge. In respect to the scale of how much tissue is needed, grafting adds only minutes to the length of the nose surgery.

Surgeon experience and skill

Closed nose surgery in Iran is an elegant procedure when you step back and realize that a complete operation which may include a nearly total restructure of the nasal architecture and improving the breathing and then stitching the hidden incisions is done completely through the nostrils.

Some younger surgeons who have not been exposed to the closed technique are surprised when they see a highly experienced surgeon perform the operation.


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The surgeons who mastered the closed technique are the outcome of a training program strong on great teachers and a large volume of experience. Mastery is impossible without both.

Open nose surgery is a great teaching tool and also needs great manual dexterity but does make rhinoplasty in Iran and associated operations easier to understand as a trainee. In practice, surgeons beyond formal residency training, who wants to enhance ability to move from the open nose job to the closed procedure will be challenged without having a large number of patients on which to develop the skill and judgement to do so.

Surgeon experience and skill

Degree of surgery complexity

  • Duration of a bony nose surgery varies and depends on changes that are going to be applied to your nose. The presence of a nose hump and having a nose deviation is also important during the operation. Generally, duration of bony nose surgery with less severe problems is less than a fleshy nose surgery. Because bony nose surgery usually does not have the risks of a fleshy nose operation. A bony nose surgery usually lasts about 1 to 1.5 hours.
  • The deviation of septum inside the nose in addition to cosmetic problems can be corrected during Septorhinoplasty. Septorhinoplasty in Iran usually lasts about 2 hours. But nasal deviation alone lasts about 30 to 45 minutes.
  • A broken nose surgery lasts about 15-20 minutes. If only a broken nose needs treatment, 5 to 7 days should pass after the nasal fracture. However, if a rhinoplasty is done at the same time with nose fracture operation, 6 months must have passed since the nose fracture. Aesthetic surgery for a broken nose takes about 2.5 to 3 hours, depending on the size of the nose fracture.
  • Nose surgery to improve respiratory problem that needs to be corrected in nose surgery, the surgery may take longer than a simple rhinoplasty. There are four types of nose surgery which help with respiratory issues: Nasal septoplasty that eliminates septal deviation; Turbinate reduction surgery, which shrinks the bone lining the mucous membrane; and also nasal valve prolapse and polyps removal.

Revision rhinoplasty

In general, corrective nose surgery lasts longer than initial rhinoplasty in Iran because it is more complex. Correcting an error can be much more complicated than making that erorr. It also means that more time will be needed to perform revision rhinoplasty in Iran.

Nose surgery sometimes requires the removal of cartilage from sources other than the nose. Cartilage grafting, whether taken from the ears or the ribs, adds to the time of nose surgery.

Revision rhinoplasty

How long does it take for the rhinoplasty to heal?

The healing period for nose surgery in Iran is one week until your doctor remove the nasal splint. Then it is essential for a month to follow all postoperative care instructions properly. The ultimate outcome of the nose operation also depends on the type of nose and the nasal skin thickness.

In bony noses with thin skin, it takes 6 months to a year for the rhinitis to go away and the result of the surgery to be determined. But this time is longer for fleshy noses with thick skin. Determining the result of a fleshy nose surgery and eliminating the swelling may take at least a year or even more than two years.

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