Rhinoplasty – Nose Surgery by Female Plastic Surgeons
Rhinoplasty is a surgical procedure that is performed on the nose. The procedure, a form of plastic surgery, is commonly referred to as a “nose job.” Rhinoplasty can improve the appearance of a person’s nose for cosmetic reasons, therapeutic reasons or reconstructive reasons.
A person may simply be dissatisfied with the appearance of their nose or they may need surgery to correct problems that affect breathing through the nose, such as a deviated septum. Another reason that a person might elect to undergo a rhinoplasty procedure is if they had broken their nose previously or had previous surgical procedures that caused a deformity of the nose that was not present before. No matter what the reason for electing to have a rhinoplasty procedure, the procedure can improve appearance, increase self-confidence and create a nose that is still uniquely your own, but in better proportion to the rest of your facial features. Rhinoplasty can correct several imperfections of the nose, including overall size of the nose, width of the bridge of the nose, presence of bumps on the nose, the cartilaginous tip of the nose, size of the nostrils and symmetry of the entire nose.
Before a rhinoplasty procedure, a patient meets with a plastic surgeon for a consultation. The surgeon will ask the patient questions about their lifestyle, for safety reasons, and what they want the surgery to accomplish. The plastic surgeon may also take photographs of the patient and take measurements of the patient’s nose and face. The surgeon may also outline their plan for the patient’s rhinoplasty procedure and discuss risks of the surgery and the general anesthesia that will be used during the surgery.
A patient should not receive plastic surgery if they are not healthy, because this makes recovery from surgery more difficult. Before surgery, a patient may have to stop smoking and stop or alter the dosage of certain medications. A patient who is not receiving rhinoplasty surgery in the hospital and staying overnight will need someone to drive them home and monitor them after the surgery for any complications that may arise.
After anesthetic is administered to the patient, an incision is made to allow access to structures of the nose. A “closed” procedure means that the incisions are made inside of the nostrils so they are hidden. An “open” procedure means the incision is made elsewhere. The nose is then reshaped through various methods. If more structure is needed in a specific location, pieces of cartilage from the septum of the nose, ear or rib can be used for this purpose. Parts of the nose can also be diminished in size; a significant bump on the nose can be filed down, or some cartilage can be removed from the tip of the nose, making it appear less bulbous. A deviated septum can also be adjusted during a rhinoplasty procedure to improve breathing. The incisions in the nose are then closed with sutures and the surgical procedure is complete.
The risks of rhinoplasty are discussed in detail before the surgery takes place. A patient must sign consent forms indicating that they understand all of the potential risks involved, even if these risks are rare. Risks include scarring, need for additional surgery to refine the results, skin discoloration, asymmetry of the nose and other unfavorable cosmetic outcomes. As with any surgery involving incisions, there is a risk of infection and problems with anesthesia with rhinoplasty. Other health risks include bleeding, numb skin on the nose, pain, nasal septum perforation and disruption of air flow through the nose.
After rhinoplasty surgery, the nose is fitted with a splint to keep it immobilized during the first stages of the healing process. Some bruising and swelling occurs after surgery; some patients experience bruising under the eyes as well. Most of the swelling goes away a few weeks after rhinoplasty surgery, but it may take months or even up to a year for recovery to be fully complete. During this time, it is critical that the patient takes care not to injure the nose. Patients can typically return to normal activities such as work after about two weeks. The results of rhinoplasty surgery are permanent; however, it may take months for the swelling to subside and for the nose to be in its final form.
If you are considering rhinoplasty surgery, it is important to find an experienced, certified plastic surgeon that you trust.