Rhinoplasty, also known as nose surgery, nose reshaping, or a nose job, is a surgery procedure which reshapes the nose in order to create a more aesthetic facial appearance. Rhinoplasty may also help to improve nasal function.
Most rhinoplasties today emphasize a more natural and lasting result using more conservative techniques. In this way, the nose can be reduced or increased in size, a hump can be removed, the nostrils can be narrowed, the tip or bridge of the nose can be reshaped, and the angle between the nose and upper lip can be changed. Altering the appearance of the nose can often help to achieve facial balance and enhance the other facial features. Good candidates for rhinoplasty include men and women over the age of sixteen who are healthy and are looking to improve the appearance of the nose.
The Rhinoplasty Surgical Procedure
Dr. Schwartz performs the rhinoplasty procedure at an outpatient surgery center with IV sedation or general anesthesia. The surgery typically takes two to three hours to complete. In some cases, a small external incision is made on the columella, which is the column of skin between the nostrils. This is known as the “open rhinoplasty approach”. In other cases, a “closed” approach is used which involves internal incisions made solely on the inside of the nose. Dr. Schwartz uses both closed and open approaches, emphasizing that it is not the incision that should concern patients but rather the best approach to achieve the patient’s desired result. Because all noses are different to start, Dr. Schwartz does not apply a “one incision fits all” approach and instead recognizes that a variety of techniques are necessary for achieving different changes.
Working through the incisions, Dr. Schwartz will reshape the nose to the desired appearance. Contemporary rhinoplasty emphasizes creativity in fashioning a new nasal architecture by reshaping, sculpting and restoring skeletal deficiencies as opposed to large volume removal and resection of bone and cartilage. This is a more natural and creative approach which has the added benefit of decreased bruising, a quicker recovery, and more natural, lasting results.
After (Post-Op) Rhinoplasty Surgery
Most patients begin to resume normal activities within seven to ten days after rhinoplasty. Swelling and bruising may occur, particularly around the eyes. While the majority of swelling will subside within two weeks, it can take as much as a year for some subtle, unnoticeable swelling to fade. Any discomfort that patients experience can be controlled with medication. Stitches are removed after one week, and work can usually be resumed after seven to ten days. Aerobic activity can often resumed after two weeks while heavy lifting and contact sports should be postponed for four weeks or longer.
Risks of the Procedure
As with all types of surgery, there are potential risks associated with rhinoplasty which may include adverse anesthesia reactions, bleeding, and infection. Additional risks may include slight asymmetries, irregularities, deviations, and unpredictable scarring.
What is rhinoplasty?
Rhinoplasty is a plastic surgery procedure which can reshape the nose and help to improve nasal function. Many changes can be made to the nose including a reduction or increase in overall size, removal of a hump, reshaping of the tip or bridge, narrowing of the nostrils, or a change in the angle between the nose and upper lip. Reshaping the nose can help to achieve a more aesthetic facial appearance by creating harmony among the facial features. Today’s techniques for rhinoplasty are more natural and creative, focusing on reshaping, sculpting and restoring skeletal deficiencies rather than performing large volume removal and resection of bone and cartilage.
Who is a good candidate for rhinoplasty?
Healthy men and women over the age of sixteen who would like to improve the appearance of the nose may be good candidates for rhinoplasty.
At what age can rhinoplasty be performed?
Rhinoplasty can be performed on patients over the age of sixteen, or once the nose has completed its growth.
What happens at a consultation for rhinoplasty?
During the consultation with Dr. Schwartz you will discuss what it is that you dislike about your nose and what you hope to achieve through surgery. Your nose will be examined, a thorough medical history taken, and your options discussed, including whether a closed or open approach will best be able to achieve your desired result. All details of the procedure will be explained and any questions or concerns that you may have will be addressed.
Learn more about rhinoplasty procedures.
The Deviated or Crooked Nose
The patient with a crooked or deviated nose presents a special challenge in rhinoplasty. They deviation mat be a result of previous trauma or just aberrant growth pattern…