Nose Surgery

Also known as rhinoplasty, nose reshaping or nose job.

If your nose is too large or too small, and does not seem to fit with the rest of your face.
Also if your nose is crooked, badly shaped, or out of alignment, and if you have nasal blockage inside your nose and have trouble breathing, and if you would like improvement, not perfection, in the appearance of your nose, you are most likely a good candidate for this procedure.

Rhinoplasty can reshape your nose, remove bumps, improve angles and reduce an enlarged tip.
After swelling has subsided after rhinoplasty, your nose will better complement your other facial features.

Procedure

After numbing the area, your surgeon will make incisions to access the bones and cartilage that support the nose. There are two general techniques for making the incisions: open and endonasal

By adding or removing bone and cartilage and adjusting the supporting structures inside the nose, the size of your nose can be reduced or increased and the nose may be shortened or lengthened.

There are two main incision approaches: the open approach and the internal (endonasal) approach.

 

Open rhinoplasty

For an open rhinoplasty, the incisions are made outside the nose with a small access incision on the underside of the nose between the nostrils that then connects with other incisions hidden inside the nose.

Advocates for the open rhinoplasty approach say that it fully opens the nose, providing better visualization of the nasal structures and a more direct route for surgical manipulation; the small scar at the base of the nose is barely visible once it heals.

Endonasal rhinoplasty

For an endonasal rhinoplasty, the incisions are made inside the nasal passages. Because these incisions are hidden, they are invisible after surgery.

Advocates for the endonasal approach say that it permits more limited dissection of nasal tissues, offers excellent visualization of nasal structures, and eliminates the visible scar at the base of the nose.

You should stop smoking at least six weeks before undergoing surgery to promote better healing. Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding
Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.
Aftercare and Recovery

Immediately after rhinoplasty

After surgery you may be asked to wear a nasal splint over your nose for support. The splint will protect your nose while you sleep and shield it from accidental bumps. You may also have a small triangular bandage beneath the tip of your nose. Nasal packing will be placed inside your nose for additional support; it acts as an internal splint to hold everything in place and to keep the airway clean and free of crusts. Many patients dislike the idea of anything being put in their noses, so adjusting to the nasal packing may be difficult. Some surgeons insert a small tube in each airway to allow the patient to breathe more freely when the packing is in place. Expect some swelling and bruising and possibly some discomfort. Your face will be puffy, and the areas around your nose and eyes will be bruised and swollen after surgery. Your surgeon may recommend cold compresses to help minimize the swelling and reduce pain. You may need to keep your head elevated and relatively still for the first few days after surgery. Your doctor may prescribe a pain medication to deal with any pain you may experience. You will have to limit your activities for a few days to weeks.

Recovery time frame after rhinoplasty

It is vitally important that you follow all patient care instructions provided by your surgeon. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals. You will need to wait for several weeks before you can engage in exercise or athletics.

The first two weeks

All surgical packing within your nose will be removed within four to seven days after surgery. The splint and bandages on your nose will be removed in a week to ten days. It takes about ten to fourteen days before most of the swelling and bruising improves. Your return to work or school depends on how much exertion your job or your school activities require. Most normal activities including exercise can usually be resumed within three weeks. You should avoid strenuous exercise, straining, bending, and lifting until cleared to do so by your plastic surgeon.

After the first two weeks

Minor swelling of your nose may persist for up to a year but most likely will not be noticeable to others. It will be a few months before you can expose your reshaped nose to direct sunlight, and it may be a number of weeks before you can wear glasses without special support, such as tape, if the bones in your nose were altered.

How Long Will the Results Last?

The results of rhinoplasty are permanent, so it is important that you have clear aesthetic goals when this procedure is planned. Rhinoplasty should only be performed on a nose that has finished growing; complete development has usually occurred by age sixteen or seventeen. If rhinoplasty is performed before development is complete, continued growth can change the outcome of your surgery and cause potential problems and complications.