Nose Surgery – Rhinoplasty


It is one of the most well-known and common kinds of plastic surgery, with more than 220,000 procedures performed in 2013 alone. It’s done for both cosmetic purposes and for reconstruction following an accident or injury. It’s the “nose job,” also known as nose reshaping and rhinoplasty. And no matter what your reason is for considering one, our trained and professional surgeons here at Facial Aesthetic Concepts are here to help.

In some cases, rhinoplasty is done for medical reasons, such as correcting breathing problems or structural defects in the nose that can cause discomfort and health issues. But the vast majority of nose reshaping surgeries performed in the United States are done for purely cosmetic reasons. People of varying ages — including older adolescents (with parental permission) — may consider rhinoplasty for a wide variety of reasons, such as:

• To change the size of the nose in its entirety
• To change or narrow the width of the bridge of the nose
• To change the size, position, or shape of the nostrils
• To remove bumps or depressions on the bridge of the nose
• To alter the shape or size of the tip of the nose
• To achieve a more symmetrical look to the nose

Rhinoplasty can also change the entire impression of the face because the nose is at the center. It is the focal point, facially speaking, and many people have found that their nose job has improved their overall appearance significantly.

There are so many different things that can be done to reshape the nose, and so it’s no wonder that rhinoplasty has long been a popular choice in cosmetic surgery procedures. The most common candidates tend to be women in their 20s to 40s, but there has been a significant number of men who also opt for this kind of procedure. It is also a popular choice for teenagers; 2013 saw 30,672 rhinoplasties performed on adolescents between the ages of 13 and 19.

So with so many different things that rhinoplasty can fix, is the surgery different every time? Not exactly. There are actually two ways to perform a nose job. Pre-surgery consultations and conversations between you and your surgeon will determine which one is best for you, based on factors such as your nose, what you want corrected, and the look you are trying to achieve.

In some surgeries, the surgeon will make incisions on the inside of the nose; this procedure is known as an endonasal or closed rhinoplasty. In others, the incisions are made on the underside of the nose where the cartilage separates the nostrils; this an open rhinoplasty. In either case, the small scars that result from the surgery are barely visible once full recovery and healing is complete.

It’s important to remember that no matter which type of rhinoplasty you have, this is a surgical procedure. So full recovery can take a while. Your surgeon will discuss specific details of what you can expect from your rhinoplasty, but some of the basics will always be the same. For example, you will have a splint and likely some packing inside of your nose in order to protect the new shape of your nose. Both will be removed about a week after the surgery. You will have some bruising and swelling around the nose and also around the eyes. While the bulk of that will go away within a few weeks to a month, it is possible to have some swelling for up to a year. The reason for this is that your nose needs adequate time to adjust to its new shape and contours. Your surgeon will keep a close eye on swelling and recovery in your follow-up visits. And if you have any concerns, you can call us whenever you like. We are here to help you as much as we can. Read more about nose surgery.

Septoplasty

A septoplasty is the medical term commonly applied to straightening the septum. The septum is mostly a cartilage structure that divides the left and right nostrils. If deviated, the septum can cause nasal obstruction and problems breathing through the nose. The deviation physically obstructs the flow of air through the nostril. The deviation can be caused by trauma or occur during early development.

The correction is typically performed with incisions entirely within the nose. Unless markedly deviated, the correction will not change the outer appearance of the nose. However, commonly patients will request changes in the outer appearance of the nose at the same time the septum is being straightened. This is an excellent chance to improve the function and the appearance of the nose. After a septoplasty, no nasal splint is required, and nasal packing is rarely required. Typically, no bruising is involved, and minimal if any swelling is seen on the outside of the nose. Most patients return to physical activities quickly with markedly improved nasal breathing. Read more about nose surgery.

Tiplasty

Sometimes a person will only desire improvement in the tip or lower third of their nose. The tip may be twisted, asymmetric, droopy, or have a bump or dip that needs refinement. In these cases, a Tip-plasty can be performed. With a Tip-plasty, no cutting (breaking) of the nasal bones is required, so there is no chance for bruising and the recover is less involved. Depending on the problem, most nasal tips can be improved with incisions on the inside of the nose, although some may require an incision on the outside, but these heal with virtually no sign of a scar.

The procedure is performed on an outpatient basis, with little downtime after the procedure. Depending on the deformity and the thickness of skin swelling resolves quickly, but the tip continues to improve and become better defined months after the procedure. Often improving the look of the nasal tip will actually improve the function of the nose allowing improved nasal breathing. Read more about nose surgery.