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 surgery include men and women over the age of sixteen who are healthy and are looking to improve the appearance of the nose.
Why Choose Dr. Schwartz?
With over 25 years of plastic surgery experience, Dr. Schwartz is an expert in facial plastic surgery. But what sets him apart from other plastic surgeons is his ability to create aesthetically beautiful results while ensuring full proper functionality of the nose. As a double board certified doctor, Dr. Schwartz is not just a talented facial plastic surgeon but also a skilled ENT. With Dr. Schwartz you can achieve the look you want with the comfort of knowing that the air passages within the nose will not be affected. Often times, Dr. Schwartz performs revision rhinoplasties to amend surgeries performed by other doctors that either aesthetically missed the clients desires or caused breathing issues post-surgery. As an ENT, Dr. Schwartz knows how to achieve the right design without any interference with breathing. You can trust Dr. Schwartz with your surgery. Call the practice today to schedule your consultation, 561-228-5888.
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 be 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.
Rhinoplasty and Aging
A common myth is that the nose “grows as we age”. This is not so. The nose does not “grow”, but the ligaments that support the cartilages lose their strength and ability to support the nose and that combined with the loss of facial volume (especially if the upper gums have receded) results in the appearance of drooping, larger nose. This is often disturbing to patients who feel that “they never looked the way before.” It can also result in functional problems because as the nose droops it may impinge on the breathing passages as well. It is also a myth that patients experiencing these changes are “too old for rhinoplasty”.
The following patient exhibits what great results can be achieved by performing conservative rhinoplasty in older patients.
This active 80 year old male still runs distance races. He complained of increasing airway problems from his drooping nose along with difficulty in shaving his upper lip. Preoperative photos show the deviated, elongated nose with drooping tip cutting off his breathing along with creating the illusion of dorsal hump due to poor tip support. While generally healthy there were definitely concerns about doing elective surgery at this age. A conservative rhinoplasty and septoplasty done under local anesthesia provided him great relief with low risk and quick recovery. Post-operative photos demonstrate straightening of his nose with increased tip support and elevation thus improving his airway and allowing him to more easily shave his upper lip. Conservative lowering of the profile and tip shaping add a more youthful looks as well. He now reports his running to be the best he has done in years.
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.
How much does rhinoplasty cost in West Palm Beach, Florida?
We provide assistance with financing options for the patients with quick approval.
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.
The Deviated or Crooked Nose
The patient with a crooked or deviated nose presents a special challenge in rhinoplasty. The deviation may be a result of previous trauma or just aberrant growth pattern.
These types of noses often have asymmetrical features, uneven amounts of bone or cartilage on either side, areas of collapse opposite areas of excess prominence. Often underappreciated is the amount of internal deviation which may also be present and if not also corrected will doom the aesthetic result to failure. The surgeon also must take into account the natural tendency of “cartilage memory” to return to it’s original deviated position even after correction and take steps to counteract this.
Rhinoplasty FAQ
Where does rhinoplasty surgery take place?
Dr. Schwartz performs rhinoplasty at an outpatient surgical center.
What anesthesia is used for rhinoplasty?
Dr. Schwartz performs rhinoplasty with IV sedation or general anesthesia.
How is the rhinoplasty surgery performed?
Once anesthesia is administered, incisions are made. Incisions are hidden and may be located entirely on the inside of the nose or an additional small incision may be made on the underside of the nose between the nostrils. Working through the incisions, the nasal structure is then reshaped to the desired shape.
How long does the rhinoplasty procedure take to perform?
Rhinoplasty surgery usually takes two to three to perform.
Where are the incisions made for rhinoplasty?
The incisions for rhinoplasty are hidden and may be located entirely on the inside of the nose or an additional small incision may be made between the nostrils on the underside of the nose.
Will I have scars after undergoing rhinoplasty?
The incisions made for rhinoplasty do result in scars though they are hidden. They may be located entirely on the inside of the nose or an additional small incision may be located on the underside of the nose between the nostrils.
Will I experience any pain after undergoing rhinoplasty?
There can be some discomfort after the rhinoplasty procedure as the head and nose may ache at first. This can be managed with medication.
What can I expect the recovery to be like after my rhinoplasty surgery?
Patients can expect a recovery time of about one week after rhinoplasty. Swelling and bruising, particularly around the eyes can occur, with most of the noticeable swelling fade within about two weeks. Medication can help to manage any discomfort. Work and other normal activities may be resumed in about one week and more strenuous activities may be resumed in about two weeks.
When will I be able to return to work after my rhinoplasty surgery?
Patients can usually return to work in about one week after rhinoplasty.
When will I be able to exercise after my rhinoplasty surgery?
Exercise and other strenuous activities may need to be postponed for at least two weeks after rhinoplasty.
What are the risks of rhinoplasty surgery?
As with all types of surgery, there are potential risks associated with rhinoplasty and these may include adverse anesthesia reactions, incomplete improvement, infection, small burst blood vessels, and the need for additional surgery.
Is rhinoplasty surgery covered by insurance?
Rhinoplasty procedures that are performed for cosmetic reasons are generally not covered by insurance. When performed for reconstructive purposes or when treating breathing problems or deformities, some degree of coverage may be available. Patients should consult with their own insurance carrier.
Can the rhinoplasty surgery be financed?
There are financing options available for many plastic surgery and cosmetic surgery procedures.