Nose Reshaping Procedures (RHINOPLASTY)

Rhinoplasty Procedures

Rhinoplasty procedures are for those patients whose nose, by birth, accident or disease, is outside the range of normal looking. The patient finds that not only does the procedure enhance overall facial appearance, it also helps those patients with breathing problems due to nasal deformity. Rhinoplasty procedures are often combined with a chin implant to create a more balanced profile.

Who is a Candidate for Nose Reshaping?

You may be a candidate for nose reshaping if you have a nose that is cosmetically unattractive or does not "fit" with other facial features. Rhinoplasty may also be indicated for abnormal appearance of the nose as a result of birth defects, injury, or disease.

Nose reshaping is intended to produce a more attractive nasal shape and/or a nose in better proportion to other facial features.

About Nose Reshaping

Rhinoplasty is done on an outpatient basis under sedation, and local or general anesthesia.

STANDARD RHINOPLASTY: Incisions are made inside the nostrils. The nasal bones, cartilage, and soft tissues are reshaped to improve the external contour.

OPEN RHINOPLASTY: Frequently used for difficult or larger noses. Involves one external incision across the columella (strut between the nostrils). Bones, cartilage, and soft tissues are reshaped under direct vision.

TIP PLASTY: If only the nasal tip is abnormal, it may be corrected with either a standard or external (open) approach.

Large nostrils may be reduced through tiny incisions at the outer base of the nostrils with either type of rhinoplasty.

The patient goes home with an external cast or splint in place. The nose may be packed for 24 to 48 hours. The cast or splint is usually removed in 7 to 10 days. Initial discomfort is easily controlled with oral medication. The majority of swelling and bruising subsides progressively over 2 to 4 weeks. External sutures (if any) are removed in 4 to 6 days. Internal sutures will dissolve.

The semifinal result of a nose reshaping procedure is evident in 3 months. The final result is evident in 12 to 14 months.



Procedure:
Reshape nose by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. May also relieve some breathing problems. (May be covered by insurance.)
Length:
1 to 2 hours or more.
Anesthesia:
Local with sedation, or general.
In/Outpatient:
Usually outpatient.
Side Effects:
Temporary swelling, bruising around eyes, nose and headaches. Some bleeding and stiffness.
Risks:
Infection. Small burst blood vessels resulting in tiny, permanent red spots. Incomplete improvement, requiring additional surgery.
Recovery:
Back to work: 1 to 2 weeks. More strenuous activities: 2 to 3 weeks. Avoid hitting nose or sunburn: 8 weeks. Final appearance: 1 year or more.
Duration of
Results:
Permanent.