face procedures

Rhinoplasty (nose surgery)

This surgical procedure is designed to re-shape the nose according to the patient’s wishes and needs. This can be done to improve nasal appearance and function following trauma and fractures, breathing abnormalities, dissatisfaction with appearance, or a combination of these reasons. There are a variety of approaches to Rhinoplasty, including the use of incisions on the inside of the nose and the outside of the nose. Rhinoplasty might include reducing the “hump” on the top of the nose, narrowing or widening the nose, increasing the projection or changing the “tip” of the nose, or other goals. Sometimes the nasal septum is curved or “deviated” and this can be straightened or changed. Attention will be paid to the upper portion, central or middle portion, and the lower portion of your nasal appearance. It is important to discuss with your surgeon any prior nasal conditions or medications you are taking, as well as any prior nasal procedures you have had, if any. Prior to the operation, multiple visits are recommended with your surgeon to carefully design a plan that is right for you.

What to expect: Your procedure will begin after consulting with your surgeon and your anesthesiologist or anesthetist. Typical approaches involve a small incision placed on the lower part of your nose skin. From this incision and incisions made inside your nose, the cartilage and internal structures of your nose can be reshaped, using both reduction and augmentation techniques to work toward a plan created by you and your surgeon. Occasionally ear cartilage or rib cartilage can be helpful, but typically the tissues of your nose and septum are utilized.

The recovery: Nasal packs are sometimes necessary and are removed in the office 1-2 days following your rhinoplasty. An external splint shaped to your nose is sometimes necessary and may be created in the operating room by your surgeon and is removed after 1-2 weeks. Some swelling and bruising following rhinoplasty can last for many months, but typically improves over several weeks.

Some of the unlikely complications: Infection, fluid collections, or bleeding can occur following any type of Rhinoplasty, and may require surgical drainage, opening the sutures, nasal packing or other intervention. More rarely tissue damage can occur. A more complete discussion of the risks, benefits, and alternatives will always be included at your visit. As always, our efforts are always directed at minimizing the risk of these complications and optimizing your safety.

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