Rhinoplasty

Rhinoplasty or nose surgery, sometimes referred to as “nose reshaping” or a “nose job,” improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Surgery of the nose may also correct impaired breathing caused by structural abnormalities in the nose.

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  • Nose size, in relation to the other facial structures
  • Nose width, at the bridge
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is large or bulbous, drooping, or too upturned
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry and deviation
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    Is it right for me?

    Nose cosmetic surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

    WHAT TO EXPECT DURING YOUR NOSE SURGERY CONSULTATION

    The success and safety of your nose surgery depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle before rhinoplasty surgery.

    Be prepared to discuss:
    • Why you want the surgery, your expectations and desired outcome
    • Medical conditions, drug allergies and previous medical treatments
    • Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
    • Previous surgeries
    Your surgeon may also:
    • Evaluate your general health status and any pre-existing health conditions or risk factors
    • Examine and measure your face
    • Take photographs for your medical record
    • Discuss your options and recommend a course of reshaping your nose
    • Discuss likely outcomes of a nose surgery and any risks or potential complications
    • Discuss the type of anesthesia that will be used
    PREPARING FOR YOUR NOSE SURGERY
    Before nose surgery, you may be asked to:
    • Get lab testing or a medical evaluation
    • Take certain medications or adjust your current medications
    • Stop smoking well in advance of surgery
    • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
    Special instructions you receive will cover:
    • What to do on the night before and the morning of surgery
    • The use of anesthesia during your nose surgery
    • Post-operative care and follow-up

    Your plastic surgeon will also discuss where your procedure will be performed. Surgery of the nose may be performed in an accredited office-based surgical center, outpatient or ambulatory surgical center, or a hospital.
    You’ll need help

    If your nose surgery is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.

    RHINOPLASTY RISKS AND SAFETY INFORMATION:

    The decision to have nose surgery is extremely personal and you’ll have to decide if the benefits will fulfill your goals and if the risks and potential rhinoplasty complications are acceptable.

    Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

    The risks of rhinoplasty include:
    • Rupture of small surface vessels of the nose
    • Infection
    • Poor wound healing
    • Anesthesia risks
    • Bleeding (hematoma)
    • Nose asymmetry
    • Cardiac and pulmonary complications can occur in longer surgical procedures and may be associated with the formation of, or increase in, blood clots in the venous system
    • Change in skin sensation (numbness)
    • Nasal airway alterations may occur after a rhinoplasty or septoplasty that may interfere with normal passage of air through the nose
    • Nasal septal perforation (a hole in the nasal septum) may develop but is rare; additional surgical treatment may be necessary to repair the nasal septum but in some cases, it may be impossible to correct this complication
    • Pain, which may persist
    • Unfavorable rhinoplasty scarring
    • Skin contour irregularities
    • Skin discoloration and post rhinoplasty swelling
    • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
    • Possibility of revisional surgery
    Be sure to ask questions:

    It’s very important to ask your plastic surgeon questions about your nose procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

    When you go home

    If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

    The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure. Another minor surgery may be necessary to reach the intended aesthetic goal.
    Be careful

    Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during your recovery from rhinoplasty. Your doctor will give you specific instructions on how to care for yourself.

    MY NOSE SURGERY RECOVERY

    After your procedure is completed, a splint, internal tubes or packing will likely be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing.

    You will be given specific instructions to follow during your recovery from rhinoplasty: How to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon.

    Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.

    • Where will I be taken after my surgery is complete?
    • What medication will I be given or prescribed after surgery?
    • Will I have dressings/bandages after surgery?
    • When will they be removed?
    • Are stitches removed? When?
    • When can I resume normal activity and exercise?
    • When do I return for follow-up care?
    • How long will swelling after rhinoplasty surgery persist?

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