Rhinoplasty, sometimes referred to as a “nose job” or “nose reshaping”, enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose.
You may be a good candidate for rhinoplasty if:
- You have reached a complete facial growth
- You are physically healthy
- You don’t smoke
- You have realistic goals for the improvement of your nose appearance.
Before & After
Step 1. Anesthesia
For your comfort, anesthesia medications are administered during the surgical procedure. procedure can be conducted either under general anesthesia, or by intravenous sedation; i.e. anesthesia medication is administered through the veins. The best choice for each patient will be recommended by the doctor depending on the individual case.
Step 2. The incision
Rhinoplasty is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils. It is through these incisions where the doctor will gently raise the thin skin layer that covers the nasal bones and cartilages, allowing access to reshape the structure of the nose.
Step 3. Reshaping the nose structure
Reshaping the nose structure requires removal or addition of certain nose bones or cartilages. An overly large nose may be reduced by removing some bones, whereas a small nose might need adding new cartilage grafts. Extra cartilage from the septum, which is the partition in the middle of the nose, is most commonly used for this purpose. Occasionally, cartilage from the ear or rarely a section of rib cartilage can be used.
Step 4. Correcting a deviated septum
If the septum is deviated, it can be straightened, and the projections inside the nose can be reduced to improve breathing.
Step 5. Closing the incision
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is re-draped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.
Step 6. Results
The doctor can keep some splints for some time to support the nose as it begins to heal.
What is the ideal age for Rhinoplasty?
Rhinoplasty is recommended after the bony and soft tissue of the nose is fully matured, therefore it is best for girls to wait until the age of 16 and boys until the age of 18 before undergoing the surgery.
When should outside cast and inside foil splints be removed?
Following Rhinoplasty an outside cast may be placed on the nose which will be removed approximately 7 days after surgery.
Inside foil splints may be used to support the septum. These are often removed 6-10 days after surgery.
Will sutures be removed after Rhinoplasty?
No suture removal is needed after a “closed” Rhinoplasty.
If the Rhinoplasty was performed via an open approach, the stitches will be removed 5-10 days after surgery.
How soon will I return to work after Rhinoplasty?
Most Patients will be able to return to work about 5 to 10 days after the Rhinoplasty procedure.
Can I wear glasses after Rhinoplasty?
Wearing glasses (including sunglasses) should be avoided for at least 20 days after surgery to avoid putting pressure on your healing nasal bones.
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