Rhinoplasty can enhance your appearance and your self-confidence. The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look.
At Carmel Cosmetic and Plastic Surgeons, we focus on cosmetic rhinoplasty only and leave reconstructive rhinoplasty, having to do with birth defects or breathing problems, to surgeons specializing in otolaryangology (ENT).
What is rhinoplasty?
Rhinoplasty, or surgery to reshape the nose, can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip.
In your initial consultation, your surgeon will ask what you would like your nose to look like, evaluate the structure of your nose and face, and discuss the possibilities with you. Your surgeon will also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.
Be sure to tell your surgeon if you've had any previous nose surgery or an injury to your nose, even if it was many years ago. You should also inform your surgeon if you have any allergies or breathing difficulties; if you're taking any medications, vitamins, or recreational drugs; and if you smoke.
Rhinoplasty usually takes two to three hours, though complicated procedures may take longer. Rhinoplasty may be performed in an outpatient surgery center or a hospital and is usually done on an outpatient basis under general anesthesia. During surgery, the skin of the nose is separated from its supporting framework of bone and cartilage. The bone and cartilage is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and your surgeon's preferred technique. Finally, the skin is redraped over the new framework.
Rhinoplasty may be performed with either a closed or open technique. Many plastic surgeons perform rhinoplasty from within the nose or "closed" rhinoplasty, making their incision inside the nostrils. Others prefer an "open" procedure, especially in more complicated cases. They make a small incision across the columella, the vertical strip of tissue separating the nostrils.
When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.
You'll notice that the swelling and bruising around your eyes will increase at first, reaching a peak after two or three days. Applying cold compresses will reduce this swelling and make you feel a bit better. Most of the swelling and bruising should disappear within two weeks or so.
If you have nasal packing, it will be removed after a few days and you'll feel much more comfortable. By the end of one or, occasionally, two weeks, all dressings, splints, and stitches should be removed.
Your surgeon will schedule frequent follow-up visits in the months after surgery to check on the progress of your healing. Healing is a slow and gradual process. Some subtle swelling may be present for months, especially in the tip. The final results of rhinoplasty may not be apparent for a year or more.
In about one case out of ten, a second procedure may be required-for example, to correct a minor deformity. Such cases are unpredictable and happen even to patients of the most skilled surgeons. The corrective surgery is usually minor.
Get Started Today!
Contact us to schedule a consultation. Carmel Cosmetic and Plastic Surgeons provides a supportive environment in which you can feel at ease to discuss your goals. Our physicians, Dr. Elizabeth Grasee and Dr. Debra Bergman, will educate you further on the procedure, evaluate your case, and help you decide the best course of action to achieve your desired outcome. We are committed to guiding you towards a solution that aligns with your personal preferences and maintains your health.