Category(s): Cosmetic Surgery
Rhinoplasty, also known as nose surgery, is used to improve the appearance and proportion of the nose. This type of surgery can:
• Change the size of the nose in relation to the face by shortening or lengthening the nose
• Change the width at the bridge
• Change the tip that is large/bulbous, drooping, or upturned
• Change the profile of the nose by narrowing the nostrils
• Add support and structure to the nose
• Improve nasal symmetry and deviation
The nose is a prominent feature of a face and can have a great impact on the appearance of the patient. Motivation for this type of procedure can come from a dislike of the nose that the patient was born with, the changes in the face and nose during aging, repairing a distortion resulting from an injury or improve breathing.
Candidates for this surgery should be in good health and have a realistic expectation of the outcome. Cosmetic surgery on the nose is a highly individualized process and should only be done for personal satisfaction and not to meet others expectations or match a certain ideal image. The goal is to improve the harmony and aesthetics between the nose and face. Perfection cannot be guaranteed in plastic surgery.
Before having this type of surgery, the patient must reach full growth usually around the ages of fifteen or sixteen unless the surgery is to repair obstructed breathing.
Possible complications with this type of surgery include recurring nose bleeds, difficulty breathing through the nose, numbness in and around the nose, uneven or asymmetrical appearance of the nose, pain, swelling, and discoloration that may persist, and scarring.
Before the procedure, you should discuss with your doctor your medical history, receive a physical examination, have photographs taken from different angles for a before/after assessment by the doctor, and be prepared to discuss your specific expectations for the surgery.
Rhinoplasty is normally an outpatient procedure performed under general anesthesia. There are two types of nose surgery that are typically performed: closed or open. In a closed procedure, incisions are hidden inside the nostril. In an open procedure, incisions can be made across the columella or the narrow strip of tissue that separates the nostrils. The surgeon separates the skin from the underlying bone or cartilage and mucous membranes and uses different techniques to cut, trim, or build up the underlying nasal bone or cartilage. The process of building up the bone and cartilage can be done by (1) harvesting bone from deeper in the nose or ear to add shape and structure to the nose, (2) adding implants, or (3) utilizing bone grafting.
Once the underlying structure of the nose is sculpted into the desired shape, the nasal skin is repositioned and sutured closed. Splints may be used inside or outside the nose to support and promote healing of the nose for up to one week. Pain should be minimal and initial swelling/bruising should subside within 10-14 days after surgery. It is important to follow all doctor recommended care after the procedure. It can take up to one year for the fully defined nose contour to be visible and during this period gradual changes in appearance may be visible.