Why have nose surgery?
If you are bothered by the shape of your nose, a rhinoplasty can improve the nasal appearance. While nose reshaping can enhance your appearance, it is best performed in someone with realistic goals.
A rhinoplasty can be performed for crooked nose, broad tip, under or over projected nose, or dorsal hump. Nasal surgery can correct and improve on tip definition, reduce or increase nasal projection, straighten a crooked nose, and reduce a dorsal hump.
Can nasal surgery be combined with other procedures?
Yes, nasal surgery is most commonly performed with either a septoplasty to correct for a deviated septum and improve breathing or with a chin implant, which can enhance the overall facial symmetry and appearance.
During your consultation, we will discuss your expectations as well as limitations of the procedure. The technique for the rhinoplasty will be discussed along with the complexity of the nasal surgery. Other factors, such as breathing problems, facial symmetry, bony and cartilage structure will also be reviewed with you. Estimate will be provided for the procedure.
Preparation for the procedure
You are advised not to take any herbal medications, high dose multivitamins, or aspirin containing medications including NSAIDS (anti-inflammatory). These include Advil, Aleve, aspirin, ibuprofen, motrin, or naprosyn. You will need someone to drive you home following the procedure. Complete instructions are also noted in General Instructions tab.
Nasal surgery is usually performed under general anesthesia in the hospital as an outpatient procedure. The procedure lasts about 2 to 4 hours depending on the complexity as well as the procedures involved. The surgery may involve incision either inside the nose alone or also include incision in the columnella.
Reshaping can involve straightening the septum, obtaining a graft from the septum, securing the grafts either in the tip or the dorsum of the nose with sutures. Nasal tip and nasal openings can be improved with sutures or grafts in the cartilage in order to change the projection or change the width. The nasal dorsum can be altered either with a graft or a hump removed with conservative excision. Nasal bones can also be fractured and reset to change and improve the width of nose and to correct for previous deformities from fractures.
Splints are used for both the septum as well as well as for the external nose to minimize the swelling. The septal splint stays in place for about one week and the nasal splint on the outside for about 7-14 days. Sutures are removed in 5-7 days.
Ice is extremely important to reduce the swelling, bruising, and pain. The splint also helps to reduce swelling. It is not uncommon to cough or bring up a small amount of blood. Bruising or swelling reduces in 3-5 days with initial nasal swelling improving in 2-3 weeks. Final results may take up to one year for complete improvement in swelling.