Your nose is the focal point of your face. The appearance of the nose can be affected by genetic predisposition, trauma or developmental abnormalities. The most common reasons to have a rhinoplasty are to reduce the “hump” on the bridge, narrow the bridge and refine a “boxy” tip. The detailed plan will be discussed with the patient at the time of consultation. Most procedures are accomplished using the open technique for greater accuracy.
The goals of a teen seeking nasal improvement may be very different than that of the 40 year old seeking the same procedure. The aesthetics are entirely different from each other. In particular, the nature of the skin envelope and anatomy is entirely different from patient to patient. By creating a complimentary nose, or merely helping a patient breathe better, nasal surgery can be helpful, and sometimes life-changing,
The result of the operation is dependent on two factors: 1. the anatomy and cosmetic goal of your operation, and 2: the experience of the surgeon and his or her familiarity with all techniques. Just as the concept and goals of rhinoplasty has evolved over the past hundred years, so should the procedures of the surgeon throughout his or her practice.
Rhinoplasty is often combined with other facial plastic surgery procedures such as eyelid surgery, chin implants, and fat transfer for a more comprehensive improvement.
General anaesthesia is usually required to provide patients with a pain-free experience. Performed by using either a closed procedure with incisions made inside of the nose or by an open procedure where incisions are hidden along the bottom of the nose (“columella”), the tissue covering the nose will be separated from the underlying support and cartilage reshaped. Grafted cartilage is sometimes necessary to enhance the features of the nose.
In order to help patients with deviated septums breathe better, the nose will be straightened and tissue projections removed to open and clear the nasal passageway. Finally, the nasal skin will be redraped and all incisions closed.
Rhinoplasty patients usually return home the day of surgery, and recovery is typically relatively comfortable and uneventful. As other procedures, the patient will leave the office with a friend or relative and return home or to the hotel. It is essential that ice compresses be applied to your eyes to minimize bruising in the early postoperative period. Following surgery, nasal packing and splints are applied for one week and the patient should stay as upright as possible, with the head elevated during sleep. We recommend not blowing your nose for 3 weeks and If you must wear glasses, keep them from resting on the bridge of your nose.
Scars are usually inside the nose and across the mid-columella. After a sufficient healing period, the scars can be difficult to see. Tape and a plastic splint are typically used for 2-3 weeks. Swelling and bruising will begin to diminish within the first few days and patients will be able to return to work or school within three to five days. Scarring from the procedure will be minimal. Patients should expect to see the final results from their nasal surgery within 6-12 months.