A rhinoplasty is a procedure to reshape the nose and/or to improve breathing. The most common reasons patients undergo a rhinoplasty include:
The surgery is done by making incisions inside the nostrils or outside the nostrils across the columella. The underlying cartilage and bone structures are then exposed and altered to produce the desired result.
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A rhinoplasty can be done at any age, but the procedure is recommended for those who have finished puberty and nose growth. Any person who wants to improve the appearance of their nose is a good candidate. Patients with a history of nasal trauma and increased difficulty breathing are candidates for evaluation.
Some of the specific instructions you’ll receive about preparing for surgery include:
A rhinoplasty can be done in a variety of ways with different types of incisions. Your plastic surgeon will perform a careful evaluation of your entire face including your chin and mid-face, and suggest which procedure is best for you. The surgeon will show you where the incisions will be made.
A rhinoplasty has three main components:
A rhinoplasty is usually done in a hospital as outpatient surgery, or you may be required to stay overnight. You must be driven to and from the hospital by a friend or family member.
Your doctor will recommend the best type of anesthesia for you but local anesthesia along with intravenous sedation or general anesthesia can be used.
In most cases, patients may experience some nasal discomfort and swelling immediately after surgery. You should keep your head elevated for the first few days after surgery. Take prescription or over-the-counter pain medications as directed by your doctor.
You will have to breathe and sneeze through your mouth, and you will be instructed to avoid totally blowing your nose during the first week, and not blowing it forcefully for one month. You may notice signs of bruising (black and blue discoloration) below your eyes. Both the swelling and bruising will begin to disappear in a week, and the external nasal splint and all external sutures will be removed within a week’s time.
Most patients will be able to return to work in approximately 10-14 days.
Showering is permitted within the first several days. Vigorous physical activity is limited for several weeks following surgery. Protect your nose from any injury for six weeks, do not wear glasses, and be careful when washing your face.
A rhinoplasty will routinely enhance the appearance and function of your nose but is considered major surgery so you should think carefully about your specific expectations and communicate your goals to your plastic surgeon.
Risks from a rhinoplasty are uncommon but possible complications include slight nasal asymmetry, poor healing of the skin, anesthesia-related risks, development of permanent excess scar tissue, perforation of the septum, or collapse of the nasal bridge (relatively rare). Repeat surgery because of infection and dissatisfaction with the result can occur.
Not every person is a candidate for this procedure, and your risks may be greater or different than those of other patients. Your plastic surgeon will review all potential risks and complications with your prior to the surgery.