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Rhinoplasty (Nose Surgery)

Reasons For Having Rhinoplasty

  • Nose appears too large for your face
  • A bump or depression on the dorsum of your nose
  • A droopy nasal tip
  • A broad nasal tip
  • Your nose is crooked
  • Difficulty breathing through your nose

The Consultation

The first step toward undergoing a rhinoplasty procedure is the initial consultation. During this meeting we will listen to your concerns and assess your nose and its proportion to your face. We will discuss your goals and expectations; whether you want to increase/decrease the size of your nose, correct a deviated septum, increase/decrease the size of your nostrils, or to change the shape of your nasal tip. Your overall physical and emotional health will also be discussed. After this assessment, a surgical plan will be discussed with you including the procedure in detail, expected results, and the recovery period.

The Procedure

The technique used for your surgery depends upon the corrections desired for your nose. The procedure is performed under general anesthesia. We usually use an open technique, which entails an incision across the central base of your nose. Smaller corrections frequently can require only incisions inside your nose, which is called the closed technique. Once the incisions are made and the framework of your nose exposed, the cartilage in the tip is sculpted to the desired shape, the bony framework is modified to the desired size and grafts are added if enlargement is desired in certain areas. Small wedges of tissue can also be removed at the base of the nostrils if these are deemed to be too wide. The incisions are then closed. A splint is applied to the dorsum of the nose, and nasal packing is frequently necessary for a couple of days.

The Recovery

After the rhinoplasty surgery, you will be taken to the recovery room for 1-2 hours. A friend or family member will need to drive you home. You need to keep your head elevated to help reduce the swelling. A small amount of bleeding may be noticed the first couple of days. A drip pad will be taped beneath your nose which can be changed as needed. Ice packs may be applied to decrease swelling. Keep a cloth between the ice and your skin. Do not do anything strenuous, especially bending over to lift things. Do not blow your nose. Sneeze with your mouth open. Any sutures that need to be removed are usually taken out about three days after surgery.

Pain and swelling will continue to improve. Saline nasal spray can be used after packing is removed. Continue to sneeze with your mouth open and do not blow your nose. Any residual bruising at this time can usually easily be covered up with makeup. Many people return to work after the first week, with no strenuous activity.

No restrictions after 4-6 weeks. It is not uncommon to have slight swelling up to 1 year.