The patient is either given general or local anesthesia.
The nose is augmented or reduced by the procedures described above.
Stitches are taken and in some patients, the inside of the nose is packed with wick of gauze. A plaster is given on the outside of the nose.
The patient can move around in 8 hours and can be discharged on the same day or next day morning. For initial 48 hours movement is to be restricted inside the house from bedroom to toilet and dining room. It is not necessary to lie down in bed all the time. The patient can sit, watch TV, read, listen to music if it is comfortable. It is necessary to put 2 pillows of reasonable size to keep head elevated while lying down.
The dressing is changed after 48 hours. The gauze wick is removed at that time. The stitches are absorbable type and do not require removal. The dressing is removed after 7 days. The plaster is to be kept for 10 to 14 days.
The nose and the part around it looks swollen. In some patients even eyes look swollen. This is routine and the swelling increases up to 48 hours. The swelling then goes down over a period of 2 weeks about 80% of it has gone. The remaining some, about 10% of the original, goes down by 6 weeks and finally it completely disappears around 4 to 6 months. The last part of the swelling is confined to the tip of the nose. Hence, though the changes in the shape of the nose are evident to some extent on operation table, the final result can be seen only after the swelling goes away which in some cases may mean 4 to 6 months..
Red or purple or black discoloration inside the eyes or around the nose is routine and occurs because of collection of blood pigments under the skin. It disappears on its own in 3 weeks.