Rhinoplasty
or nose surgery sometimes referred to as “nose reshaping” or a “nose
job,” improves the appearance and proportion of your nose, enhancing
facial harmony and self-confidence. Surgery of the nose may also correct
impaired breathing caused by structural abnormalities in the nose.
While
the shape of your nose is usually the result of heredity, the
appearance may have been altered in an injury or during prior surgery.
What can surgery of the nose accomplish?
Rhinoplasty surgery can change:
• Nose size, in relation to the other facial structures
• Nose width, at the bridge
• Nose profile, with visible humps or depressions on the bridge
• Nasal tip, that is large or bulbous, drooping, or too upturned
• Nostrils that are large, wide or upturned
• Nasal asymmetry and deviation
Is it right for me?
Nose
cosmetic surgery is a highly individualized procedure and you should do
it for yourself, not to fulfill someone else’s desires or to try to fit
any sort of ideal image.
A rhinoplasty procedure is a good option for you if:
• Your facial growth is complete and you are 13 years of age or older
• You are physically healthy
• You do not smoke
• You have specific, but realistic goals in mind for the improvement of your appearance
Before nose surgery, you may be asked to:
• Get lab testing or a medical evaluation
• Take certain medications or adjust your current medications
• Stop smoking well in advance of surgery
• Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
• What to do on the night before and the morning of surgery
• The use of anesthesia during your nose surgery
• Post-operative care and follow-up
Rhinoplasty surgery steps
Step 1 – Anesthesia
Medications
are administered for your comfort during rhinoplasty surgery. The
choices include intravenous sedation or general anesthesia. Your doctor
will recommend the best choice for you.
Step 2 – The incision
Surgery
of the nose is performed either using a closed procedure, where
incisions are hidden inside the nose, or an open procedure, where an
incision is made across the columella, the narrow strip of tissue that
separates the nostrils.
Through these incisions, the soft tissues
that cover the nose are gently raised, allowing access to reshape the
structure of the nose.
Step 3 – Reshaping the nose structure
Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body.
Most commonly, pieces of cartilage from the septum, the partition in the middle of the nose, is used for this purpose.
Occasionally a piece of cartilage from the ear and rarely a section of rib cartilage can be used.
Step 4 – Correcting a deviated septum
If the septum is deviated, it is now straightened and the projections inside the nose are reduced to improve breathing.
Step 5 – Closing the incision
Once
the underlying structure of the nose is sculpted to the desired shape,
nasal skin and tissue is redraped and incisions are closed. Additional
incisions may be placed in the natural creases of the nostrils to alter
their size.
Step 6 – See the results
Splints and internal tubes will likely support the nose as it begins to heal for approximately one week.
While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine.
During
this time you may notice gradual changes in the appearance of your nose
as it refines to a more permanent outcome. Swelling may come and go and
worsen in the morning during the first year following your nose
surgery.
A nose surgery procedure to improve an obstructed
airway requires careful evaluation of the nasal structure as it relates
to airflow and breathing. Correction of a deviated septum, one of the
most common causes of breathing impairment, is achieved by adjusting the
nasal structure to produce better alignment.
After your
procedure is completed, a splint, internal tubes or packing will likely
be placed inside your nose and a splint or bandages placed on the
outside to support and protect the new structures during initial
healing.
You will be given specific instructions to follow
during your recovery from rhinoplasty: How to care for the surgical
site, medications to apply or take orally to aid healing and reduce the
potential for infection, specific concerns to look for at the surgical
site or in your general health, and when to follow up with your plastic
surgeon.
It may take several months for swelling to fully
dissipate and up to a year - and sometimes longer - for the outcome of
the surgery to fully refine after rhinoplasty surgery.
Although
the results of nose surgery are usually permanent, cartilage may
continue to reshape and move tissue that may change the outcome over
time.
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