What does a nose-job surgery involve?

Rhinoplasty is an operation performed on the nose to change its shape to give a more pleasing cosmetic appearance. I perform what is called “open structure” rhinoplasty. This newer approach to rhinoplasty combines a traditional emphasis on cosmetic shape change with a particular focus on maintaining the strength of the nose. A strong nose not only looks good but also works the way it is supposed to. This can improve the nasal passages in cases where nasal blockage is present.

Am I a good candidate for nose reconstruction surgery?

Ideal candidates for nose reconstruction are patients with a nose which doesn't fit the face whether caused by birth, accident or disease. Good candidates are also those who have a nose which if adjusted slightly would enhance overall facial appearance and proportion. You might also be a good candidate if you suffer from a breathing problem due to internal nasal deformity.

How is the procedure done?

For cosmetic reasons, incisions are generally made inside the nose. Occasionally small external incisions are required.  Through the incisions cartilage and/or bone are cut, trimmed and manipulated to reshape the nose and alter its external appearance. If surgery is for a breathing problem, the same general technique is used to straighten the septum. Sometimes a chin enlargement will be offered in conjunction with a rhinoplasty to improve the profile.

What can I expect after nasal reconstruction?

With significant structural work on the nose, the patient goes home wearing a splint holding the bone and cartilage in their new shape. A light nasal pack may also be applied to protect the septum. Inside packing would be removed within 24 to 48 hours, the outer splint within a week. There is minimal postoperative discomfort, easily controlled by medication. Most swelling and discoloration will subside quickly over two weeks.

How long is the recovery period?

You will be seen by your doctor one to two days after your nasal surgery. Approximately one week after your surgery you will be seen  to remove your cast and stitches. As you enter the second week after surgery, you will probably begin to notice that a good amount of the swelling in the nose is resolving. Your nose will continue to improve in shape for several weeks following surgery as the swelling decreases.

When can I return to school or work?

If you do light (office) work, you could return to these activities four to five days after the operation. If you do more physical work, seven to ten days is more appropriate. If you care for young children at home, it is best to have someone available to help with their care for the first four to seven days.

What are the common risks of rhinoplasty?

Every type of surgery has risks. We will educate you on these risks so you can make the best possible decision for yourself while weighing these risks against the benefits of surgery.  Common risks include stiffness in nasal tip, irregularities of bone or cartilage, damage to the nasal skin, and damage to the internal linings of the nose.

The risks above are the most common, but they are not a complete list of all possible risks. During your initial consultation we will formulate your surgical treatment plan and review with these common risks as well as the less likely complications that may occur.