Rhinoplasty is performed to reshape the nose. Over a half million people seek facial plastic surgeons every year to discuss their noses. Some have purely cosmetic concerns while others have both cosmetic and functional concerns including nasal blockage. Whether, you don’t like the bump on your nose or the shape of the nasal tip, Dr. Bapna will thoroughly evaluate the appearance and structure of your nose and discuss the changes that would make your nose ideal for your face.
Reasons for Considering Nose Surgery:
- Bring a better proportion to the nose and facial features.
- Reduce the size of the nose that is too large or too wide.
- Correct an overly arched or “Roman” nose.
- Re-form a crooked or elongated nose tip.
- Restore the nose if damaged from an accident or sports injury.
- Help with breathing problems by rebuilding the nasal passage.
- Treat nasal deformities caused at birth.
- Nasal septal perforation secondary to previous surgery or trauma
Note: If rhinoplasty is being utilized to correct a breathing problem or nose deformity, the procedure may be covered under the patient’s insurance policy.
The rhinoplasty procedure lasts from one to three hours. The surgeon may elect to utilize either local or general anesthesia, depending upon the complexity of the operation. To begin the surgery, tiny incisions are made which allow the surgeon to access the underlying nasal structure. Once the skin is opened, the cartilage and bone are reshaped to form the basis for the new look. Two basic methods are utilized for performing nose surgery. These methods are referred to as the ‘open’ and the ‘closed’ techniques. The open technique allows for maximum visibility and control over the procedure. The incision used in the open technique is placed in-between the nostrils on the columella. In the closed technique, the incisions are internal. The physician can discuss which technique is best when the patient arrives for the initial consultation visit.
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and to reduce the recovery time. Some swelling may be noticed; however, any swelling will disappear within a few weeks. A splint, bandages, and/or gauze are applied immediately following surgery to aid in the healing process and to minimize movement of the nose. Patients must refrain from smoking for several weeks before and after the surgery. In addition, any corrective glasses that are worn must be taped up and off the nose. The nose will need to be well-protected from the sun for the first year after the procedure while the body is adjusting to the new look. Patients sometimes report minor pain associated with the surgery. Pain can be effectively treated with oral medication and/or cold compresses. While complications are rare, patients can minimize the risk of potential problems by carefully following the post-surgical directions given by the surgeon.
Regardless of technique, the nose continues to heal and improve in appearance for a period of 6 to 12 months.
Occasionally Dr. Bapna recommends non-surgical rhinoplasty using dermal fillers to address nasal deformities. Ideal patients for this technique have subtle irregularities of the nose, sometimes after a previous nasal surgery, and just need a slight correction.