Rhinoplasty

Suggested if your nose seems too wide when viewed from the front, the nasal tip droops or plunges, the tip is thickened or enlarged, your nostrils are excessively flared, and your nose is off-center or crooked

Am I a good candidate for rhinoplasty?

Nose surgery is a good option for you if:
  • Your facial growth is complete and you are 15 years of age or older
  • You are physically healthy
  • You do not smoke
  • You have specific, but realistic goals in mind for the improvement of your appearance
  • Nose cosmetic surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. Some of the indications that you may be a good candidate for rhinoplasty are:
  • your nose appears too large for your face
  • there is a bump on the nasal bridge when viewed in profile
  • your nose seems too wide when viewed from the front
  • the nasal tip droops or plunges
  • the tip is thickened or enlarged
  • your nostrils are excessively flared
  • your nose is off-center or crooked
  • previous injury has made your nose asymmetrical
  • It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo rhinoplasty because they want to enhance their self-image are usually very satisfied with their decision. Your plastic surgeon can provide further information if you have an interest in any of these additional procedures.

    How will my plastic surgeon evaluate me for rhinoplasty?

    You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, medical treatments you have received, previous surgeries including repair of nasal injuries, and medications that you currently take. Your plastic surgeon may also ask whether you have difficulty breathing through your nose, suffer from allergies that may cause nasal stuffiness, or are a chronic user of nasal spray. It is important for you to provide complete information.

    In evaluating you for rhinoplasty, your plastic surgeon will conduct a routine and painless examination of your internal nasal structures. Your skin quality as well as the size and shape of your nose and its relationship to your other facial features will be carefully studied. In some instances, your plastic surgeon may recommend surgery of your chin, making it either more or less prominent, to improve facial balance. This procedure can be done at the same time as your rhinoplasty.

    When will I learn about the cost of surgery?

    It is understandable that you would like to have information about the cost of surgery as soon as possible. Your plastic surgeon must first complete a thorough evaluation before your individualized surgical plan can be developed. Following this, the fees required for your surgery will be discussed with you. While most insurance plans will not pay for aesthetic nose reshaping, they frequently will cover surgery performed on the internal structures of the nose to improve breathing problems. Your plastic surgeon can discuss this with you at the same time of consultation.

    Your Surgical Experience

    The goal of your plastic surgeon and the entire staff is to make your surgical experience as easy and comfortable for you as possible.

    I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?

    Depending on the surgical technique used, a splint may be placed on the bridge of the nose for the purpose of holding the tissues in place until they have stabilized.

    The subject of risks and potential complications of surgery is best discussed on a personal basis between you and your surgeon, or with a staff member in your surgeon's office.

    Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Numbness of the skin following rhinoplasty may occur but is usually temporary. Occasionally, if the surgical outcome needs further improvement, additional surgery may be necessary.

    Results of Your Rhinoplasty

    The goal of rhinoplasty is a nose that looks natural and blends harmoniously with your other facial features.

    Since the healing process is gradual, you should expect to wait up to one year to see the final results of your rhinoplasty. You are likely, however, to begin enjoying your new look within weeks of your surgery.

    Occasionally, a touch up may be desired to further improve the results. If this is the case, the additional procedure is usually less extensive than the original operation.

    When can I resume my normal activities?

    Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you may be able to return to work within a week or ten days after surgery. Most normal activities including exercise can usually be resumed within three weeks.

    It will be a few months before you can expose your reshaped nose to direct sunlight. Your nose will be sensitive during this time, and you must be conscientious about using a sunblock to protect your skin. If the bones of your nose were altered, it may be a number of weeks before you can wear glasses without special support such as tape

    How long will the results last?

    In most instances, the results of rhinoplasty are permanent, except for possible changes associated with the normal aging process.

    Maintaining a Relationship with Your Plastic Surgeon

    You will return to your plastic surgeon's office for follow-up care at prescribed intervals, at which time your progress will be evaluated.

    Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.

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