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What is rhinoplasty?

Rhinoplasty, or nose surgery, is a surgical procedure designed to improve the appearance of the nose and sometimes the function of the nose as well. The nose can be altered by reducing or increasing the overall size, removing a hump, changing the angle between the nose and the upper lip, changing the shape of the tip or the bridge, or narrowing the span of the nostrils. Some breathing problems may also be treated during the rhinoplasty procedure.

Who is the best candidate for rhinoplasty?

Physically healthy men and women who have realistic expectations and are interested in improving the appearance and/or function of the nose are potential candidates for rhinoplasty. Rhinoplasty is often postponed on younger patients until the nose has completed its growth, which is around the age of fourteen for girls and a bit later for boys.

What can I expect during a consultation for rhinoplasty?

The consultation will include in-depth discussion about your desires regarding your nose. There will also be a pre-operative evaluation of the nose as well as the overall facial balance. Computer imaging may also be used to aid in communication with patients and offer them the opportunity to have input.

Where is rhinoplasty performed?

Rhinoplasty is often performed in a free-standing ambulatory surgery center or a surgeon's office-based facility, though procedures can also be performed in a hospital

What type of anesthesia is used for rhinoplasty?

General anesthesia or a combination of local anesthesia and sedation may be used for rhinoplasty.

How is the actual rhinoplasty procedure performed?

Incisions are made either within the inside of the nose or both inside of the nose and one small one under the tip of the nose. The skin is then separated from the underlying bone and cartilage, which is then sculpted to the desired shape. The skin is redraped over the new framework and the incisions are closed.

Where are the incisions made for rhinoplasty?

Incisions may be solely confined to the inside of the nose, which is referred to as closed rhinoplasty. Sometimes an additional small incision under the tip of the nose is also required, which is referred to as open rhinoplasty. Open rhinoplasty may be preferred in some cases if it can provide better exposure and an overall better result. Other cases, however, can be performed with closed rhinoplasty.


Are there scars after rhinoplasty?

Surgical incisions will results in scars. However, for closed rhinoplasty the incisions are confined to the inside of the nose and result in no visible scarring. Open rhinoplasty includes an additional small incision under the tip of the nose which will result in a well-concealed, fine-line scar that will fade with time.

Is there much pain with rhinoplasty?

Patients may experience some discomfort during the first few days after surgery, but this can be controlled with prescription pain medication.

Will I be able to drive myself home after rhinoplasty?

It's best to have a family member or friend accompany you on the day of surgery and drive you home.

Will I need someone to help me out at home after rhinoplasty?

It's best to have a family member or friend accompany you home or to your place of recovery for the evening.

What is the recovery like after rhinoplasty?

During the first couple of days after surgery, some discomfort can occur though this can be controlled with prescription pain medication. Antibiotics and other medicines, such as a saline nose spray, may be prescribed as well. The splints and stitches are typically removed within six or seven days after surgery. Patients may also experience some bruising which will fade enough so that you feel comfortable in social situations by around the tenth day after surgery. Swelling is common and may take months to fully fade. Within one to two weeks most patients can return to work. However, it will be two to three weeks before more strenuous activities can be resumed.

How much time will I need to take off from work after rhinoplasty?

Patients are typically able to return to work within one to two weeks after rhinoplasty.

When can I exercise after rhinoplasty?

Exercise and other strenuous activities can usually be resumed within two to three weeks after surgery.

When are the stitches removed after rhinoplasty?

The stitches are typically removed within six or seven days after surgery.

What are the risks or complications that can occur with rhinoplasty?

Some of the potential complications associated with rhinoplasty may include the following: adverse anesthesia reactions, incomplete improvement, infection, small burst blood vessels, and the need for additional surgery.

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