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Commonly referred to as a Rhinoplasty, it is the medical term for reshaping of the nose or corrective surgery of the nose. It is one of the most common facial plastic surgeries (Facelift) procedures performed. Nose surgery can be performed to change the consequence of genetics, birth defect or nasal injury. It can be performed to enhance the appearance and/or to improve nasal breathing.
Surgery can be performed to correct nasal humps, the curvature of nose-bridge, nose tip irregularities, and asymmetry in the nostrils. The nasal appearance can be altered in various ways using intra-nasal chisels. Nose surgery procedures generally fall under three types: open rhinoplasty, closed rhinoplasty, and tip rhinoplasty. Rhinoplasty is normally performed under general anesthesia and will not leave any visible scars on the nose.
Nose surgery is an individualized surgery. Before the surgery, you will need to discuss important factors with your surgeon to determine if it is suitable for you. Your surgeon will review your medical history, including your previous surgeries, medical conditions, and any medications you are taking. You will need to have a complete physical examination, such as blood tests. Your surgeon will also consider your other facial features, the skin on your nose, and what you would like to change or correct. Then, your surgeon will develop a customized plan for you. Two weeks before and after surgery, avoid any medications that contain aspirin or ibuprofen, such as Advil and Motrin IB because these medications can increase bleeding. You will need to also stop taking herbal remedies and over-the-counter supplements. If you are an active smoker, stop smoking because smoking can slow your healing process and increase the risk of getting an infection.
During the actual surgery, you will be given either local anesthesia or general anesthesia. The type of anesthesia depends on how complex the surgery is and what the surgeon would prefer to use. Then, the surgery will start by making incisions inside your nose or at the base of your nose between your nostrils. Your surgeon will reshape the inner bone and cartilage underneath your skin to make a more pleasing appearance.
There are several ways to change the shape of your nasal bones or cartilage, depending on your nose’s structure and how much needs to be removed or added. If only small changes are required, your surgeon may use cartilage taken from deeper inside your nose or your ear. However, for a much larger change, your surgeon may use cartilage from your rib, implants, or bone from other parts of your body. When the changes are finished, your surgeon will place the nose’s skin and tissue back. The incisions will be closed by stitches.
If everything goes well, you can go back to your hotel on the same day once the effects of anesthesia wear off. However, you will need to stay in a recovery room for a few hours so the staff can monitor you. Some people may need to stay in hospital overnight. After you are discharged from the hospital, you will need to stay in Bulgaria for at least 10 to 14 days for initial recovery, follow-up checkups, and for the stitches to be removed.
The recovery period for nose surgery can be different from person to person. In general, 2 to 3 weeks is needed until you can get back to your full normal routine and 3 to 6 weeks until you can do any strenuous activity. However, you should be able to go back to work within a week, except if your job requires strenuous physical activity. You will feel gradually better each day in the first week. You will experience swelling, which can take six months to subside. The only people who will notice the swelling is you and your surgeon. Your final nose shape will be apparent after it is completely healed.
After the surgery, you may need to wear a nasal splint for the first week. The splint is used to protect and support your nose. Your nose may be congested due to swelling or from the nasal splint. You need to rest in bed with your head raised higher than your chest to reduce bleeding and swelling. For a few days after the surgery, you may also experience slight bleeding and drainage of mucus. Your surgeon may place a “drip pad” under your nose to absorb drainage.
Your surgeon may ask you to avoid strenuous activity, take baths instead of showers, avoid blowing your nose, eat high-fiber foods to avoid constipation, not to do any facial expressions (smiling or laughing), not wearing pull clothing and wear button-downs instead.
For at least several weeks after the surgery, do not rest eyeglasses or sunglasses on your nose to prevent pressure. You should also wear SPF 30 sunscreen when you are outside because too much sun can cause permanent irregular discoloration to your nose. Do not put anything such as ice or cold packs on your nose even though it is swelling as the swelling will go away faster by limiting your dietary sodium.
Nose surgery is known to have around 80% to 90% success rate. Nevertheless, just like any other surgery, it still has possible risks and complications. These risks are bleeding, infection, numbness, permanent nerve damage, and an adverse reaction to the anesthesia. You should call your surgeon immediately if you suspect any of the symptoms. Other possible risks are difficulty breathing through your nose, uneven-looking nose, persisting pain, swelling, and discoloration, scarring, septal perforation, and the need for a second or third surgery.
For an in-depth analysis of the closed rhinoplasty procedure with before and after images, watch this short video.
If you do not want to undergo surgery, or if it is not suitable for you, you can get filler injections, such as Botox, Juvaderm, and Restylane. They can change the shape of your nose and only require a short visit to the doctor. This method is not painful and needs no incisions or stitches.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Bulgaria has plenty to offer and tourists are going to be very impressed with the country’s mountainous landscapes, beautiful Black Sea beaches, fascinating history, friendly locals, lively nightlife, and affordability. Although the country’s holiday tourism is very much on the radar, it is also actually quite popular with medical tourists, due to its modern medical centers, highly trained medical professionals, state-of-the-art equipment, affordable healthcare, and mineral baths, thousands of medical tourists visit this country each year. Most of the medical tourists come for dental treatment, orthopedic surgery, elective surgery, neurosurgery, as well as health screening.
Bulgaria’s laid-back capital city, Sofia, is truly a must-visit. It is full of museums, Ottoman mosques, communist architecture, chic galleries, Eastern Orthodox churches, amazing restaurants, and upbeat clubs. One of the most popular landmarks in the country is the Aleksander Nevski Cathedral, which is an awe-inspiring church built between 1882 and 1912 to honor 200,000 Russian soldiers who died fighting for the independence of Bulgaria during the Russo-Turkish war. If you want to relax on beautiful beaches visit Varna, which is a major tourist destination during the summer. The second-largest, city in Bulgaria is Plovdiv and it is one of the oldest continuously inhabited cities in Europe. Tourists are attracted by the Roman Amphitheatre, Archeological Museum, and Tsar Simeon Central Garden.
Most international tourists will arrive at Sofia Airport, which serves flights to most numerous major cities in Europe and the Middle East. There are several budget airlines that operate flights from this airport, including Ryanair and Wizz Air. Domestic flights are available, but they tend to be expensive. Therefore, to travel from one city to another, trains and buses are the best option. Buses and trains are punctual and affordable. However, if you are in a hurry, you should avoid trains as they can be a little slow. To travel around big cities, taxis are widely available and are really cheap. Just make sure you choose a licensed taxi to avoid being overcharged.
While Bulgaria is not yet a part of the Schengen Area, it has a visa policy that is based on the Schengen system. Therefore, holders of Schengen Visa are allowed to enter the country. Additionally, citizens of 62 countries, including the US, Australia, and the UAE, can stay in the country for up to 90 days without a visa.
From June to August, Bulgaria experiences summer. The weather can get a bit hot and humid, with an average temperature of 19°C to 21°C. July is the wettest month in the country. Winter, from December to February, is usually freezing. Autumn and Spring bring pleasant weather.