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Rhinoplasty (Nose Job)

Rhinoplasty, or a 'nose job' is the reshaping of the nose to improve function or to change the appearance. Although rhinoplasty is one of the oldest (and most common) cosmetic procedures, a high degree of surgical skill is required to achieve aesthetically superior results. The whole procedure lasts less than an hour and can greatly improve the overall look of the face.

 

With rhinoplasty, work is done on the cartilage beforeafter1and bone that form the structure of the nose. In some cases, bones may need to be altered to attain a narrower look. Incisions are made either on the inside of the nose or on the sides of the nostrils. The cartilage and bone is then altered as needed and in some situations, the surgeon will shape a small piece of silicone to strengthen or increase the size of the nose. The technique of using patients’ own bone and cartilage is no longer preferred, but is still done under certain circumstances.

Mild to moderate pain is commonplace following the operation. A small plastic splint is placed over the nose which remains in place for about a week. Although the major portion of the swelling resolves quickly, patients must understand that it may take months (rare) for the swelling to subside totally.

As with all cosmetic procedures, it is important to have a clear idea of the desired outcomes. Pictures and ideas should be brought to consultations and discussed with your surgeon. Together, with your surgeon, realistic goals and desired results can be set.

Rhinoplasty FAQs

Scars After Rhinoplasty

Q: Are there any scars left after rhinoplasty?

A: With the endonasal approach all incisions are made inside of the nose leaving no external scarring. When the nasal tip is being altered, incisions are made on the outside of the nose. These incisions are extremely small and discrete, visible only upon close inspection. As with any tissue scarring, they will fade with time.

Swelling After Surgery

Q: People say there is considerable swelling after the surgery. How long until the nose looks ideal?

A: Generally by one week, most patients feel comfortable being in public view. As with any cosmetic procedure, swelling can take up to one year to totally fade. For the first few days following the surgery, it is not uncommon for bruising around the eyes and cheeks to occur. This is temporary and can be covered up with make-up.

Return To Normal Life

Q: How long before I can return to normal activities?

A: If you are not self conscious about wearing a cast on your nose, you can return to normal activities within a few days. Some swelling and bruising will remain, but after initial recover is minimal. For the first few weeks, exercising good judgment is paramount. Participating in strenuous activities that cause nasal swelling may prolong the recovery period.

Ethnic Noses

Q: What are the options available for ethnic noses?

A: Many ethnic noses have bone, skin, and cartilage characteristics that can limit surgical outcomes. Best results are achieved by making subtle improvements as opposed to drastic changes. Completely erasing the ethnic quality of one's nose is generally not practiced.

Nasal Hump

Q: I have heard that it is possible to 'shave' the hump off of the nose, is this true?

A: Yes, it is certainly possible to remove the hump from the nasal bridge. The nasal hump is composed of bone and cartilage; there are several approaches of taking down the nasal hump. The optimal method for your case will be discussed with your surgeon.

Front And Side Views

Q: If I have rhinoplasty performed to alter a long nose, will it look different from the front as well as the side?

A: Yes, it will definitely look different from both angles. From the front it will look shorter and less droopy. And, from the profile view, the nose will be changed to suit your request. Many patients, however, are not concerned with their nose's appearance from the front. The profile view causes unease in most people.

Mobility After Surgery

Q: Will I be stuck in bed following the surgery?

A: After leaving the hospital, you should plan to stay in bed for about 24 hours. After that period, you can be up and about without any difficulties.

Nasal Splint

Q: How long do I have to wear a cast for following the surgery?

A: For six days you will wear a nasal cast. The small protective cast is really more of a bandage and is not cumbersome in any way.

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