In open rhinoplasty, the surgeon makes a small incision in the columella between the nostrils and then makes additional incisions inside the nose. Open Rhinoplasty requires general anesthesia. Normal rhinoplasty surgery duration is about 1-2 hours. After surgery, patient will be sent to recovery room for observation for 1-2 hours. If condition is normal, patient will be sent back to ward room. If there is a need for close monitoring, patient will be admitted to Intensive Care Unit first before sending back to ward room.
Length of stay in hospital: 1 night in ICU or as indicated by attending physician
Risks and Complications
Possible risks and complications are anesthesia risks, bleeding(hematoma), infection, poor wound healing or scarring, change in skin sensation(numbness or pain), nasal septal perforation (a hole in the nasal septum) is rare. Difficulty of breathing, unsatisfactory nasal appearance, skin discoloration, swelling and possibility of revisional surgery.
Standard Pre-operative Investigations
Patient must follow few instructions such as no food and drinks 8 hours before pre-operative test etc. Patient below 50 years old with no other medical problem, standard pre-op investigations will be done before surgery such as chest x-ray, blood tests and possible EKG.
Length of stay in hospital: 1 day outpatient visit
Additional pre-operative investigation/s and consultation/s
If the result will show any abnormality, additional investigation/s and consultation/s with other specialist/s must be done. Patient from 50 years old and above, additional consultation with a specialist is required for medical clearance whether test results showed normal or abnormal with possible additional investigations. The pre-operative evaluation will be performed by cardiologist. Patient regardless of age who has other medical problem, an additional consultation with a specialist is required and possible additional investigations.
Length of stay in hospital: 1 day outpatient visit
Day 1 after surgery, the physiotherapist will teach patient breathing and coughing exercises. These exercises will help your breathing, clear your lungs, and lower your risk of pneumonia.
After surgery you may be asked to wear a nasal splint over your nose for support. All surgical packing within your nose will be removed within four to seven days after surgery. Your surgeon may recommend cold compress to help minimize the swelling and reduce pain. You may need to keep your head elevated and relatively still for the first few days after surgery. Your doctor may prescribe a pain medication to deal with any pain you may experience. You will have to limit your activities for a few days to weeks. Wound check appointment will be 2-3 days after discharge day wherein the nurses will open the dressings, clean the wound and check for any signs of infection and other problems. Follow-up appointment with the surgeon will be 1 week after discharge. The stitches will be removed on that day. In some cases, the surgeon will not remove all stitches. The remaining stitches will be removed another week by own GP in home country in order to avoid wound separation. Post-op care involves rest as much as possible, ambulate in moderation, avoid smoking, avoid alcohol intake, avoid straining, avoid heavy lifting, avoid exposure to hot areas that will cause sweating, avoid saunas, avoid steam rooms, avoid swimming etc. Ask for your surgeon’s advice for specific instructions.
What is included in the price estimation?
Pre-operative investigations based on ASA class, surgeon’s fee, procedure fee, anesthesiology fee, medical supplies, equipment and facilities related to procedure, home medications, accommodation:superior private room for 2 nights, ICU 1 night only after surgery for monitoring (if indicated), follow-up appointment, stitch off and dressing as ordered by doctor only. (staff will provide appointment slip), additional home medications related to procedure on the follow-up appointment, transportation on arrival, pre-op date, admission date, dressing change appointment, follow-up and departure only. (Airport-Hospital-Hotel).
What is excluded?
Pre-op investigations related to other medical problems, specialist consultation fee for underlying diseases or any regular consultation with other specialist from 1,250 THB per consultation, additional ICU (In case patient needs to stay more than 1 night due to underlying diseases or complication)from 40,000 THB per night, additional follow-up, laboratories or medications related to underlying diseases and complications, additional food for patient and family, outside calls, services and materials not included in the package, extra bed for watcher or relative, daily wound dressing(In case patient cannot change dressing daily by himself/herself and wants to do in the hospital), transportation services not mentioned in the inclusions.
Founded in 1993, Sikarin Hospital has always kept its promise to provide high quality and value-driven healthcare to the local community in the eastern region of Bangkok. In recent years, this JCI-accredited and ISO certified hospital has began to set a strong foot-hold in providing care towards international community with strong determination to help and heal people regardless of where they are from.
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