What is rhinoplasty?

Rhinoplasty, or cosmetic nasal surgery, is a plastic surgery procedure that improvesthe shape and size of the nose. The procedure can remove a hump, change the shapeof the nasal tip, and straighten the nose. Occasionally, the size and shape of thenostrils can be changed. The goal of rhinoplasty is often to achieve better harmonybetween the nose and the other facial features and, often times; even the slightestalteration can greatly improve a patient’s appearance. If the patient has breathingdifficulty, the surgeon may perform septal and turbinate surgery at the same time.

Who are good candidates for rhinoplasty?

Healthy teenagers and adults who wish to have an improvement in their nasalappearance are good candidates for the rhinoplasty procedure.

Can rhinoplasty be performed at any age?

The surgeon will perform the rhinoplasty procedure beginning at age fourteen infemale teenagers and fifteen in male teenagers.

What happens during a consultation for rhinoplasty?

The surgeon will personally meet with you during the consultation. He will examineand evaluate you. He will then show you before and after pictures and then explainthe surgical procedure from beginning to end. This explanation will include whatsurgical technique he will use, where the surgery will be performed, what type ofanesthesia, and a step-by-step explanation of what the recovery will be like. You willthen meet with the patient care coordinator, who will explain the scheduling detailsand the cost.

Where is the rhinoplasty procedure performed?

The surgeon will perform the rhinoplasty procedure in his clinic.

When performing rhinoplasty, what type of anesthesia is used?

The surgeon can perform the rhinoplasty procedure with local anesthesia

How is the actual rhinoplasty procedure performed?

The rhinoplasty procedure can be performed via one of two approaches. They are theopen (also called external) and the closed (also called endonasal) approach. These aresimply approaches, which mean the way in which the surgeon will have access to theinternal structures of the nose. Once the surgeon has access to the internal structures,he will work on the bridge of the nose. He will make the bridge straight, if needed,and then narrow the bridge if needed. He will then proceed to change the shape if thetip if needed. At the end of the procedure, the surgeon will place a splint to help thenose heal in the proper shape.

How long does the actual rhinoplasty procedure last?

The surgeon will take about one to two hours to perform the rhinoplasty procedure.Revision rhinoplasty may take longer.

For rhinoplasty, where are the incisions made?

The surgeon will perform the rhinoplasty procedure using either the open or closedapproach. If the open approach is used, a small incision in the columella is made. Thisincision heals very well and will not be noticeable once it is fully healed. The closedapproach is performed with incisions inside the nose. The surgeon will discuss withyou what the best approach is for you.

Should I expect to experience much pain with my rhinoplasty procedure?

Most patients that undergo the rhinoplasty procedure experience a mild pressureabove the nose for about two hours after the procedure. From thereon after, thepatients do not experience any pain.

What is the recovery like after rhinoplasty?

The recovery for rhinoplasty is rather mild. The patient is allowed to return homeafter the procedure. The post-operative period is painless, although pain medication isusually given in case the patient has some discomfort. The surgeon will see the patientin his office the morning after surgery. Most patients that have the rhinoplastyprocedure with the surgeon do not have “black and blues” over their eyes. They mayhave some swelling, which usually resolves in five days. The patient returns to theoffice on the fifth post-operative day. At that point the splint is removed and thepatient will get a first glimpse of what the nose will look like. Seventy percent of theswelling resolves in the first three weeks and the remaining thirty percent takesmonths. The final result is at one year.

How soon after rhinoplasty surgery will I am able to return to work?

Patients are generally able to return to work about one week after the rhinoplastyprocedure.

How soon after rhinoplasty surgery will I am able to exercise?

The surgeon asks that his patients resume exercise three weeks after having theprocedure.How soon after rhinoplasty surgery are the stitches removed?If the rhinoplasty was performed via an open approach, the stitches will be removedon fifth post-operative day.

What are the risks or complications that can occur with rhinoplasty?

As with all types of surgery, there are potential risks or complications associated withrhinoplasty surgery and these may include bleeding, infection, and cosmeticimperfection.