Rhinoplasty (nose reshaping) is one of the most commonly performed Plastic & Reconstructive Surgery procedures.
The nose is a dominant feature of the face and has an important role in determining overall appearance. Modern nasal surgery techniques focus on reshaping undesirable features of the nose while retaining those features that are attractive. These procedures result in natural-appearing noses that enhance one’s facial proportions.
Nose surgery may be divided into two categories, cosmetic and functional. Examples of cosmetic procedures on the nose include reducing a prominent bump on the bridge or refining a bulbous nasal tip. Cosmetic changes are visible on the outside of the nose.
Functional improvements involve opening the nasal airways so that it is easier to breathe. The most common functional problem is a deviated septum (a midline cartilage structure that divides the nose into right and left sides). Impairment of nasal breathing is considered a health problem and is typically covered by health insurance.
Many patients have both cosmetic and functional concerns about their nose. An example would be a severely deviated septum that results in a blocked nasal airway and a visibly crooked nose. Most health insurers will cover these types of problems.
Other patients may seek medical treatment for breathing problems, but would also like to improve the cosmetic appearance of their nose. For instance, a patient may have nasal airway obstruction and an unattractive bump on the bridge. There are important advantages to correcting both functional and cosmetic problems at the same time. Insurers, however, are unlikely to cover the costs of the cosmetic portion of the procedure.
Nose shapes and patient desires vary greatly. Advice about nasal surgery should be individualized to the particular patient’s needs. In a consultation with your plastic surgeon at the Breast and Body Center of Austin, he will review your cosmetic and functional concerns to help you determine your best options. To schedule your consultation, please call us at 512-533-9900 today.
Changing the size or shape of your nose with rhinoplasty or a ‘nose job’ procedure can improve your overall facial appearance by creating better balance and harmony. Rhinoplasty, or nose job surgery, is a delicate but effective procedure that can improve the appearance of the nose and face. Rhinoplasty can be used to correct problems such as crookedness or a deviated septum, and it can also be used for purely aesthetic reasons. The Plastic Surgeons at the Breast and Body Center of Austin can use rhinoplasty, or a nose job, to make changes in the size of the nose or in the shape of the bridge, tip, or nostrils. If you want to learn more about rhinoplasty, or nose job surgery, please contact us.
FREQUENTLY ASKED QUESTIONS ABOUT RHINOPLASTY
What is rhinoplasty?
Rhinoplasty/septoplasty or “nose surgery” includes cosmetic and/or functional components. Nose surgery can be performed to improve the cosmetic appearance of one’s nose. It can also be performed to correct functional impairments, such as a deviated septum that interferes with nasal breathing.
How old do you have to be to have Rhinoplasty?
The quick answer is that a patient can have rhinoplasty after their nose has fully matured; around age 16 for women and age 18 for men. Patients who have completed their growth may have surgery at earlier ages. Parental consent is required for patients younger than 18 to have rhinoplasty surgery. Health, rather than age, is the most important consideration in determining the maximum advisable age for rhinoplasty.
What options are available for ethnic noses?
Many ethnic noses have skin, bone and cartilage qualities that limit the possible surgical outcomes. Often the best results are achieved with subtle improvements that do not completely erase the nose’s ethnic qualities.
How long does the procedure take?
Rhinoplasty surgery will last from one to two hours depending on the type and degree of shaping required. If the rhinoplasty is also intended to improve your breathing, additional time is required.
Does Rhinoplasty hurt?
While the perception of pain is subjective, most rhinoplasty patients would say that the surgery was not very painful; they might describe it as uncomfortable. The few patients who require nasal packing (placed into the nose after the operation to control bleeding) do find this bothersome. If your rhinoplasty requires nasal packing you will most likely be able to remove it within 48 hours.
What form of anesthesia is used?
Local anesthesia combined with light sedation is used for some individuals. Most patients will have local anesthesia in addition to general anesthesia administered by a board certified anesthesiologist. Be sure to discuss your options and preferences completely with your surgeon.
Can I return home the same day?
Yes. Rhinoplasty surgery is performed on an outpatient basis. You will need someone to drop you off, pick you up, take you home and stay with you for at least 24 hours.
How long before I can return to normal activity?
Following Rhinoplasty, most people return to normal activities within a few days, but some swelling and bruising may remain. During the first week you may have a cast or splint on your nose; if you are not self-conscious about the cast you can resume most normal activities after three days. Most of the swelling will be gone within 3 weeks. Complete resolution of swelling may take more than one year.
You need to exercise good judgment for the first few weeks. Do not participate in strenuous activities that will increase your blood pressure and nasal swelling. Vigorous activity in the postoperative period may prolong recovery.
If the bones of your nose were altered, it may be a number of weeks before you can wear glasses without special support such as tape.
Are there any scars after rhinoplasty?
Most types of rhinoplasty surgery are performed “endonasally” (all the incisions are inside the nose). Some patients may have an “open” approach if they require extensive nasal tip work or are having a repeat rhinoplasty. This results in a small, discreet scar under the nose.
Is rhinoplasty permanent?
Rhinoplasty is permanent, but after rhinoplasty your nose will still change with the natural aging process.
What if I don’t like my result?
You will need to wait for the swelling to subside before you can judge your final result. Patience is important. Often the subtleties and elegance aren’t revealed for many months. If after several months you are still unhappy with the result, speak to your surgeon about your options for minor revisions.
What are possible risks of a rhinoplasty procedure?
Rhinoplasty procedures are considered safe and hundreds of thousands of rhinoplasty surgeries are performed every year. Every surgical procedure, however, is associated with a risk of complications. Examples of complications associated with rhinoplasty include adverse reaction to anesthesia, bleeding or infection. Your rhinoplasty surgeon will review risks in detail prior to the procedure.
What is the post-operative course following rhinoplasty?
Generally, bruising around the eyes and cheeks is most apparent during the first three days following surgery. Most discoloration will disappear within a week. A few days after surgery, you can begin to use cover-up makeup, if desired. Noticeable swelling may last for several weeks. Minor residual swelling, most frequently affecting the nasal tip, may continue for many months, but generally this should not be apparent to others. If packing was used, it will be removed one to three days after surgery. Patients who have an external incision will have their sutures removed within one week. The nasal splint is usually worn for one week, during which time you should avoid getting it wet.
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