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Rhinoplasty

Cosmetic alteration of the nose can have a profound impact on one’s appearance. The nose is the focal point of the face. A large bump, a broad tip, or a wide nasal pyramid can lead to facial imbalances that can draw one’s attention away from more attractive features such as pretty eyes or full lips. One of the most common areas in which cosmetic surgery can play a substantial role in improving one’s appearance is cosmetic rhinoplasty. Cosmetic rhinoplasty or “nose jobs” have evolved tremendously over the past several years. The days of the retrousse scooped noses have been replaced by more subtle balanced rhinoplasty. In many cases, augmentation or adding either cartilage or synthetic materials to raise certain areas of the nose have replaced the traditional complete reduction rhinoplasties.

Ethnic variations in nose anatomy have been increasingly understood. Clearly, there are major differences in techniques that one uses in treating people of various ethnicities. Indeed, a rhinoplasty can be used to somewhat alter one’s ethnic characteristics or only improve upon those characteristics within the framework of one’s ethnic background.

Most nose surgeries are performed through incisions inside the nose. The exceptions to this rule are small incisions, which are sometimes required at the columella or the island of skin separating the nostrils. Very wide-based noses will sometimes require external incisions to narrow flaring nostrils. However, the preponderance of nose surgery reduction can be carried out through completely inconspicuous incisions inside the nose.

Rhinoplasty Cont.

In general, the nose can be broken down into several major areas, which benefit from correction. The tip is defined as that area just above the nostrils. It is the area of the nose that projects the furthest from the face. In some people, this projection is inadequate and in some people, it is too great. Either of these anatomic variations can be corrected through surgery. A broad or boxy tip can be refined and an inadequate tip can be augmented.

The middle third of the nose is often characterized by a substantial bump. This bump is usually of cartilage origin. This is simply reduced by removing extra cartilage through incisions made inside the nose.

The upper portion of the nose is made up of the nasal bones. Nasal bones will often times contribute to a large nose. This can be reduced by rasping or other methods.

Finally, the width of the nose can be addressed by small incisions inside the nose, which can allow for the movement of the nasal bones closer together. It is now possible to augment the nose either with one’s own tissues or with completely safe, inert, synthetic materials. This allows us to either raise the profile or improve the nasal tip. Altering the angle with which the nose meets the face can be modified through similar techniques.

Rhinoplasty Recovery

A commonly asked question with regard to nose surgery is how will this impact my breathing? Well, in fact, functional and cosmetic nasal surgery are often combined techniques. Many people suffer from chronic obstructed nasal breathing. This is usually due to either a deviated septum or enlargement of bones on the sides of the nose referred to as turbinates. Both of these items are easily correctable during surgery. This can be done with or without alterations to the external nose. These aspects of rhinoplasty are often covered by most insurance carriers.

Recovery from nasal surgery is remarkably swift. The average patient, having a complete rhinoplasty, will have a splint on the outside of his nose for five to seven days. Most people are somewhat bruised from the surgery, but this bruising disappears within 10 to 14 days. Cover-up make up can be used to diminish the apparent bruising after the first several days. Functional nasal surgery will often require that internal splints be placed inside the nostrils. These cannot be seen and are removed at approximately two to three weeks after the operation.

The amount of pain associated with nasal surgery is remarkably small. Most patients require very little pain medication after the operation. What is most important after nasal surgery is to not do any heavy lifting, bending, or straining to avoid bleeding. Breathing is sometimes impaired in the immediate post-operative period, especially when functional nasal surgery is done. This improves as the swelling goes down over the ensuing few weeks. An important point to understand about nasal surgery is that the final outcome of the operation is not seen for six months to one year. The reason for this is that swelling persists for a very long time in the area of the nose. 

How Much Does Rhinoplasty Cost?

The cost of a Rhinoplasty will depend on several factors. The price can be affected by body type, type of technique performed, surgical complications, and even allergies. Find out more by scheduling a consultation.

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