Surgery

Patients, who want their noses aesthetically improved, often also have nasal dysfunction. They are just unaware of this fact!

Nasal surgery mainly categorised in three groups:

  • Functional - where the septum is corrected and nasal valves are restored to normal;
  • Reconstructive - where a misshaped nose with severe nasal valve dysfunction is corrected by transposition of cartilage ,                                                                                         or by using a Titanium Breatheplate implant.
  • Cosmetic - where the shape of the nose is changed e.g. a hump is removed/ poly beak is restored to normal/ the tip of the nose is refined, etc.
  • Combination of the above categories.

Preparation For Surgery

No pain pills (especially aspirin/disprins); anti-inflammatory drugs; blood thinning medication (e.g. Warfarin); omegas; medication for acne (e.g. Roaccutaine); no smoking; no spicy foods; for 2 weeks before operation as they can all cause unnecessary bleeding during and after the operation.

Allergies of the nose should preferably be under good control before the operation.

Surgical Procedure

  • Surgery is pain free;
  • It is done under local diffusion infiltration anaesthetic together with conscious sedation with an anaesthetist to guard all the vital parameters;
  • No anxiety!
  • No nasal packing in almost all cases;
  • Minimal swelling and bruising in most cases, faster healing;
  • Discharge on same day as surgery;
  • Nasal strips and splints removed 5-7 days after surgery.

Often patients have stated: Really, it was a pleasant experience and I feel good that I enabled the doctor to do the procedure in this way.

Correctional Surgery

Dr. Van der Merwe, surgeon of the clinic, does 95% of the cases with local anaesthesia and under conscious sedation.

The procedure can also be done under full general anaesthesia if so wished and if health and vital parameters allow (local diffusion anaesthetic is still also used to facilitate operative procedure).

The patient feels no pain during administration of anaesthesia. There is no pain or discomfort during the procedure, which is done under conscious sedation with anaesthetist attending to the vital parameters (blood pressure, pulse rate and oxygenation).

The patient is unaware of the duration of the procedure.

We listen to good music and work in a relaxed atmosphere during the procedure.

Pain-free Introduction Of Local Diffusion Anaesthesia
Pain-free Introduction Of Local Diffusion Anaesthesia.

Swelling and bruising of eyes and face is minimal (extremely important that no aspirin/disprins; blood thinning medication; anti-inflammatory drugs; heavy spices; omegas taken for 2 weeks pre-operation).

Nasal strips and nasal splint (if needed) over nasal bridge for 5-7 days before removal.

No scarring. Healing is complete in one month. Nasal function is usually completely back to normal in 4 months. So also numb feeling of nasal tip.

Nasal shape finally settled, usually, 12-18 months after procedure.

 

Hospitalisation for only 2 more hours after completion of procedure when done under local diffusion anaesthesia and conscious sedation. Discharge without any packing in nose. No sutures to be removed.

Nasal Douching only to be started when instructed by surgeon. You will be instructed in connection with breathing excersises. Peak cap should be worn to avoid direct sunlght on nose.Physical excersises to be restarted only about 4 weeks after surgery.

Allergy medication restarted 10 days post-operative, only if patient has a definite allergic rhinitis (proved by allergy test).

Peri-operative antibiotic is given intravenous during the procedure.

Post Operation

Follow-up consultations:

  • First day post-op - usually telephonic contact;
  • One week post-op - splint is removed. No pain during removal;
  • One month post-op - start nasal douche as directed by Dr van der Merwe;
  • Four months post-op - compare pre-op and post-op functional status and shape of the nose;
  • One year - general examination of the nose

Funding

Improvement/correction of functional aspects of the nose is usually covered by most medical aids .

Please contact your medical aid/funder about reimbursement.

Motivation letters for medical aid/funder can be arranged and rendered by the practice.