Written by Marchelle Abrahams,

Cosmetic medicine is tapping into advanced technology. Less invasive procedures. Faster recovery times. More natural-looking results.

When plastic nasal specialist Dr. Olivier Gerbault invented ultrasonic rhinoplasty in 2016, the medical fraternity hailed it as “modernizing rhinoplasty techniques.” Also known as piezo rhinoplasty, the method enables accurate reshaping of the nose.

Today, the surgery is openly discussed on social media. Influencers share their experiences, from consultations to their post-op. The before-and-after results are striking. 

Previously, a “nose job” entailed breaking nasal bones followed by a long, sometimes traumatizing recovery. But like any other surgery, patients must be given all the information so they can make a more informed decision. 

Many are under the impression that rhinoplasty surgery is purely for cosmetic purposes. Functional reasons exist, says Shah Aesthetic Surgery, such as correcting a deviated septum, a crooked nose, or improving breathing. 

As a care provider, your role is patient preparation and recovery monitoring.

Preparing the Patient for Surgery

The doctor would have consulted the patient on the essential steps they must take before undergoing the procedure. This follows the detailed evaluation.

If the patient has any doubts or would like further information, relay their fears to the physician. Sometimes, they are more comfortable confiding in a nurse than with a doctor.

Things to Avoid

It goes without saying that smoking is not allowed before undergoing ultrasonic nose surgery. Not everyone is aware of this, so remind the patient to stop smoking at least 15 days before, experts recommend.

If they need a reason to quit altogether, tell them that smoking disrupts the flow of oxygen and blood, which the body requires to heal. Tobacco creates hypoxia in the nasal tissues. If tissues are deprived of adequate oxygen, healing can be seriously compromised.

Certain medications are also not advised before surgery. Aspirin, ibuprofen, and some herbal supplements may increase the risk of bleeding.

Nutrition

Encourage the patient to stay hydrated in the weeks before surgery. They should also follow a nutritious, balanced diet. Like tobacco, alcohol can also slow down the healing process.

Home Prep

Most patients don’t realize that the recovery space must be properly prepared before leaving their home. Suggest that they prepare their home for the postoperative period. 

• Set up a comfortable sleeping area. 
• Store foods and snacks within easy reach.
• Ensure all post-operative medications are easily accessible. 

Manage Expectations

Some patients expect miracles a few hours after the procedure is complete. Unfortunately, you have to play the Bad Guy and explain that even though the swelling is visibly reduced, they’ll only see the full results within six to 12 months.

Immediate Post-Op Care

Wound Care

For the first three days, monitor and change the “mustache” dressing (a small gauze pad placed under the nose to absorb drainage). Ensure the nasal splint remains dry and in place for about eight days.

Managing Inflammation

Stress the importance of consistently applying cold compresses and sleeping with the head elevated (using two to three pillows) to help reduce swelling.

Hygiene

Advise the patient to use a saline nasal spray to keep the nasal passages moist and help clear away mucus and crusting.

Pain Management

Administer prescribed pain medication as directed. Although an ultrasonic nose job is associated with less pain, swelling may still cause discomfort.

Again, Manage Expectations…

Ultrasonic rhinoplasty surgery doesn’t cause swelling, black eyes, or general pain related to traditional rhinoplasty. However, patients should expect some tenderness near the affected area. No cause to panic; it should disappear within six to ten days.

Most patients report cold symptoms or nasal congestion after surgery, but these usually disappear after a week.

Educate Your Patient

Follow-Up

Explain to the patient what to expect when they return to the doctor’s rooms for their post-op examination. If the doctor is satisfied with the healing process, they’ll remove the splints within a week and any external stitches.

Nose Taping

Nose-tapping is essential in aftercare. It helps to decrease the swelling. Knowing how to do it helps maintain the new shape of the nose.

Doctors usually recommend doing it for up to six weeks after the operation, starting when the nasal cast is removed. Talk the patient through the process. Teach them to apply the tape to the bridge of the nose. You can also share a few online tutorials with them.

Once they are discharged, they have to apply their own nose taping. Some may choose to tape their noses daily or a few times per day, depending on how they feel.

Restricted Activities

Advise the patient to avoid strenuous exercise for at least three to four weeks to prevent swelling or injury. They can resume light activity after surgery.

Also, caution them against wearing glasses for several weeks to avoid putting pressure on the nasal bones.

Emotional Support

We don’t talk enough about the psychological effects. No matter how small the procedure, some patients need to be reassured that everything is going as planned. Never mind the swelling, bruising, or healing time.

Be patient and validate their experience. 

Demand for Plastic Surgery Nurses

You may have become an RN, thinking of specializing. Many nurses consider specializing in pre- and post-operative care in the cosmetic surgery sector.

According to the American Society of Plastic Surgeons, more than 2.62 million reconstructive surgeries are performed in the U.S. annually. It shows the growing demand for certified plastic surgical nurses (CPSN).

As a CPSN, you’ll conduct preoperative assessments, assist the surgical team during procedures, monitor patient recovery, and educate patients on wound care. Basically, everything you’re doing now, but in a more active way.

You’ll be part of a dynamic team, including surgeons, nurse anesthetists, surgical technologists, and other medical staff. The express goal is working together to ensure safe procedures, smooth recoveries, and positive patient outcomes.

Advocate for Improved Patient Care

RNs have varied roles. Yet, it is easy to forget sometimes that we’re working with real people with real emotions. 

They cry. They hurt. They complain. The list goes on and on. There may be days when your emotions can override how you care for them. However, don’t forget that your patients remain the center of your universe during your workday.

Always advocate for their best interests, even if they don’t see it as such.

Author Bio

Marchelle Abrahams is an award-winning journalist (Responsible Drinking Media Awards, 2019) who found her voice after carving a niche as a features writer for Independent Online Media. Currently, she freelances for various print and online publications, while ghost-writing blogs for several clients.

Please also review AIHCP’s Nurse Patient Education Certification program and CE Courses see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification