Every year, half a million people who are interested in improving the appearance of their noses seek consultation with facial plastic surgeons. Some are unhappy with the noses they were born with, and some with the way aging has changed their nose. For others, an injury may have distorted the nose, or the goal may be improved breathing. But one thing is clear: nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance.
Making the Decision
Whether the surgery is desired for functional (medically necessary) or cosmetic reasons, your choice of a qualified facial plastic surgeon is key to achieving your desired results. Otolaryngology facial plastic surgeons are trained in ear, nose, throat, and facial cosmetic surgery, which provide the patient with the highest level of training and expertise. During your consultation, your surgeon will examine the structure of your nose, both internally and externally, to evaluate what you can expect from rhinoplasty. Photos will be taken and your surgeon will provide you with realistic expectations by simulating potential cosmetic results through our state-of-the-art imaging technology.
Also discussed will be factors that may influence the outcome of the surgery such as skin type, ethnic background, age, degree of deformity, and degree of function. You will learn how the nasal structures, including bone and cartilage, can be sculpted to reshape the nose and indicate how reshaping the chin, for example, could enhance the desired results. The angle of the nose in relation to the upper lip can be altered for a more youthful look or to correct a distortion. Additionally, your surgeon will offer information regarding anesthesia, the surgical facility and the costs for the procedure. Risk factors in rhinoplasty are generally minor, and your facial plastic surgeon will discuss these prior to surgery.
Understanding the Surgery
The majority of incisions are made inside the nose where they are invisible. In some cases, an incision is made in the area of skin separating the nostrils for easier access to cartilages. With either method, underlying bone and cartilage are removed or rearranged to provide a newly shaped structure. If medically necessary surgery is required, such as straightening a deviated septum or reducing the turbinates to improve breathing, this is done at the same time. The skin is then re-draped over the new frame and the incisions are closed.
What to Expect After the Surgery
Immediately after surgery, a small cast will be placed on your nose to protect it and to keep the structure stable for 6 to 8 days. A flexible splint may be inserted inside the nose to maintain stability along the dividing wall of the air passages called the septum. Daily nasal irrigation with salt water will keep the inside clean for easier removal of splints. You will be advised to sleep elevated and use cold compresses to minimize bruising and swelling. Your face will feel puffy and pain medication should manage any discomfort. Your surgeon will advise you to avoid blowing your nose for 7 days after surgery. Absorbable sutures inside the nose do not have to be removed. If any external incisions are made, sutures are removed in 6-8 days leaving a nearly imperceptible scar.
Strenuous activities will be prohibited for two weeks after the surgery. Sun exposure, exertion, and risk of injury must be avoided. To help your newly formed nose maintain its shape, you will be advised not to wear eyeglasses or sunglasses on the bridge of your nose for approximately four weeks. Your surgeon will provide you with alternative ways to wear glasses, such as taping them to your forehead or having them refitted so they rest more on your ears rather than on your nose.
Keep all post operative appointments as scheduled. Anything unusual should be reported to your doctor immediately.