Written by Escobar MD
If you are going to
get a rhinoplasty in Bogotá or in Madrid, you are perhaps thinking about the
famous cast and the noticeable dressing...
This point is
necessary (very necessary, I would say), but it has particularities, in my
experience.
I believe that the
use of a cast in a rhinoplasty is something completely anachronistic, out of
date and useless.
The ideal thing is to
use a metallic splint that adapts easily to the shape of the nose, that does
not become loose as the nose's swelling goes down, and that is in place for at
least 10 days.
This splint is fixed
and covered with Micropore, which is a type of paper bandage that will allow
the splint to be held in a stable position. It will be better if it is flesh
toned, because it will be more aesthetic.
The dressing helps
the skin adapt to the new shape of the nose, it will control the swelling on
the first 10 days, and it will protect the nose from getting hit. It is ideal
to change the dressing four or five days after the surgery, and it should be removed
finally after ten days. If there is still some swelling, the patient should
wear it for two or three more days. It makes no sense to have it on for more
than 2 weeks, and in most cases the skin begins to react.
To summarize, the
dressing is as important to me as the surgery. On the follow-up visits the
surgeon not only removes it and puts it back on... ...he has the opportunity to
speed up the healing process by massaging the nose, doing pressure on an area
that is more swollen, etc. The checkup has that objective, in addition to
changing the dressing.

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