Nose surgery

Rhinoplasty, or more commonly, the “nose job” is a cosmetic procedure designed to reshape, aesthetically enhance, or functionally improve the nose. Patients choose to reduce, enlarge, straighten, or shorten their noses for a variety of reasons; from birth defects to disfigurement following an accident.

Reconstructive nose surgery should be performed by a surgeon with extensive experience, as there is little room for error when it comes to cosmetic procedures of the face. The skilled surgeon will won’t simply create the nose the patient desires, but take into account what shape nose would be ideal for the patients facial structure. While there are different techniques made to address different issues, rhinoplasty is one of the most sought after procedures today as it can significantly improve the balance of the face without it being overtly obvious that surgery has been performed.

When to consider Nose Surgery

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As with all cosmetic procedures, choosing to undergo nose surgery is a deeply personal choice, based on how you feel about your particular nose and how you wish your nose looked. The nose ages as the rest of the body does and tends to droop at the tip causing an elongated look. This cartilage drooping combined with loss of other structural support in the nose can drastically change how the nose looks over time.

Ethnic rhinoplasties are also wildly common among patients of Jewish, Greek, Asian and African American descent. Often controversial, ethnic rhinoplasty can help diminish the bulbous or rounded shape of the tip of the nose, straighten the bridge of the nose, and reduce the size and width of nostrils.

Revision rhinoplasty can also be used to correct functional issues such as difficulty breathing, and deviated septum.

Are you a good candidate for a Nose Job?

As with all procedures at Jolie, candidates should be in good overall health and prepared for the recovery following their nose jobs. Since rhinoplasty is performed under general anesthesia, patients are advised to stop smoking, drinking alcohol and using recreational drugs prior to surgery. The surgeon will also review all prescription medications to ensure they don’t react with the anesthesia.

Ideally, patients undergoing cosmetic procedures, especially those of the face should have realistic expectations, and take into consideration the surgeon’s suggestions. Normally well-adjusted and in a stable place in their lives, cosmetic surgery patients have valid reasons for wanting their surgery. The patient should be able to articulate what they want from their surgery, and not expect a simple nose job to change other aspects of their life.

Different types of nose surgery

Having a cosmetic procedure you have always wanted, as is the case with many rhinoplasty candidates, can improve a patient’s self-image, and boost their confidence. Some patients have the added benefit of correcting lifelong respiratory difficulties, deviated septum, and deformity following an accident.

There are several techniques involved in rhinoplasty which can impact the outcome of the surgery, including non-surgical alternatives.

nose surgery candidate

Cosmetic rhinoplasty

Symmetry and balance have always been found attractive. The nose, being at the center of the face greatly impacts overall facial harmony which is the main reason cosmetic rhinoplasty remains among the most sought after cosmetic surgery procedures. An experienced plastic surgeon, like the ones here at Jolie, can straighten, refine, and enhance the appearance of the nose to improve the appearance of the face.

Reduction rhinoplasty

Reduction rhinoplasty is used to improve the angle between the tip of the nose and the patient’s upper lip by reducing the tip of nose. Reduction nose surgery can also reduce the size of the nose altogether by removing excess skin, cartilage, or reducing the size of the bridge to achieve the desired shape. Nostrils can also be shrunk and repositioned to match the new refined tip and bridge. Different combinations of these techniques effectively serve to narrow or shorten the nose. Patients who have difficulty breathing through the nose may benefit from reduction nose surgery by combining this procedure with a septoplasty, the correction of the deviated septum. Patients have the option to change the size of part of their nose, such as shrinking the tip or a bump on the bridge of the nose, or to alter all aspects of the nose.

Augmentation rhinoplasty

Augmentation rhinoplasty uses the patient’s septal, ear, or rib cartilage to increase the size and alter the shape of the bridge of the nose. In some cases prosthetics may be used, though most surgeons prefer not to as the chance for rejection is increased. There are non-surgical options to increase the size of the nose. Using fillers such as Juvederm, the bridge of the nose can be filled to disguise a bump, or to “sharpen” the nose’s profile. Some patient’s seek augmentation rhinoplasty as an option to revise a previous surgery. As with all revision surgeries, augmentation rhinoplasty can be more complex due to various reasons including scar tissue and lack of donor cartilage from the septum.

Revision rhinoplasty

Secondary nose surgery, or revision rhinoplasty, is an additional cosmetic procedure to enhance or correct a previous nose surgery. Patients who are not satisfied with the results of a prior rhinoplasty or who are having difficulty breathing may seek a second surgery. Rhinoplasty is one of the most complex surgeries to perform, patients seek out revisions for a variety of reasons ranging from the desire to remove additional cartilage or bone, to more complex cases where too much tissue was removed resulting in deformity.

When performed by a skill plastic surgeon, patients generally experience shorter recovery time, less pain and discomfort after a secondary nose job. Bruising and swelling will occur, though these symptoms should subside in less than two weeks.

Post-Traumatic Rhinoplasty

Injuries to the nose are frequent amongst those who lead an active life style, following an automobile accident, or get into a fist fight. Broken bones and damaged cartilage following a traumatic event may alter the shape of the nose even after the injury has healed. People who suffer a nose injury often opt to simply ice it at home and wait for the bleeding and swelling to subside unaware of the consquences they may be faced with down the line.

If you suffer an injury to the nose which causes severe pain and bleeding seek medical attention. IF the bones in the nose have been broken, corrective post-traumatic rhinoplasty immediately following the accident will have a higher success rate, especially when compared to patients who wait to have rhinoplasty until after the nose heals.

Seeking medical attention and assessing whether or not you need post- traumatic rhinoplasty soon after an accident can help you avoid complications down the like. Consult a facial surgeon as soon as the bleeding stops.

Nose Feminization – Part of Facial Feminization Surgery

Patients undergoing transgender surgery, gender reassignment surgery, or facial feminization surgery may seek feminization rhinoplasty as part of their surgical procedures. By nature female noses tend to be smaller than those of their male counterparts, having narrower bridges, and tending to be more defined at the tip.

Nose surgery is usually a major component of Facial feminization surgery, where the nose is given a more feminine outline, usually by reducing the top portion of the bridge, shrinking and repositioning the nostrils, and reducing the tip. When combined with other facial surgical procedures, feminization rhinoplasty can bring transgender surgery patients one step closer to their surgical goals.

Nose Surgery Procedure – Detailed Info

Performed as an outpatient procedure under general anesthesia, the majority of nose jobs are open rhinoplasties where the incision is made underneath the nose where it meets the upper lip. Depending on the patient’s desires, bone, cartilage, and skin can be removed, reshaped or repositioned. Once the surgery is complete, splint and cast are placed on the nose to support the delicate structures as they being to heal.

There are two main options available for the kind of incision; open and closed.

Closed rhinoplasty

Closed rhinoplasty involves making incisions to the inside of the nose, leaving behind no visible external scars. Ideally for patients seeking to make minimal changes to their nose, there are several advantages to using the closed technique such as:

  • May reduce swelling, especially at the tip of the nose
  • No visible scarring
  • Operation time is faster when compare to the open rhinoplasty

Open rhinoplasty

open and closed nose surgery

Open rhinoplasty, a method which uses an additional incision at the base of the nose where the nostrils are separated, is the preferred method used by most surgeons as it allows for more control over the end result as it allows the surgeon to see the cause of the deformity.

Nose job results

Whatever the reason behind a patient requesting a nose job, results can range from barely noticeable to quite dramatic. The results of rhinoplasty can take anywhere from four months to one year to be considered final as residual swelling is normal to last a while. Depending on factors such as technique and post-operative care, swelling and bruising are usually almost completely gone at two weeks. Everyone’s healing time will vary and may be impacted by how closely the patient follows the post-operative instructions and other lifestyle factors.

“Pick your friends not your nose” is a good motto to adopt following rhinoplasty as we remind patients to fight the temptation to touch, pick, or otherwise disturb their noses throughout the healing process. The average patients will be close to seeing their final rhinoplasty results about two months after surgery.

rhinoplasty before and after
before and after nose surgery
deviated nasal septum nose surgery

How much does a nose job cost

As with all cosmetic procedures, we urge all patients to research their procedures and look at “before and after” image galleries. Do not choose a plastic surgeon solely based on cost. The national average cost of rhinoplasty in the United States begins at about $5000 but can sky rocket in to the $10,000. The cost of nose reconstruction surgery is based on location, and the complexity of the surgery.

As with all cosmetic procedures, we urge all patients to research their procedures and look at “before and after” image galleries. Do not choose a plastic surgeon solely based on cost. The national average cost of rhinoplasty in the United States begins at about $5000 but can sky rocket in to the $10,000. The cost of nose reconstruction surgery is based on location, and the complexity of the surgery.

The best revision rhinoplasty surgeons will not promise to deliver results they can’t guarantee. Having a nose job can improve facial balance and harmony, correct crookedness and respiratory issues, or diminish or enlarge the size of the nose, thereby changing the overall structure of the face. The nose job is a delicate procedure which takes a skilled surgeon’s hand to deliver the dramatic yet subtle results most rhinoplasty patients desire.

Once you have made the decision to move forward with surgery, connect with a plastic surgeon specializing in rhinoplasty like the ones here at Jolie Plastic Surgery and schedule your consultation.

Nose Surgery FAQ

How old must I be to undergo nose surgery?
This surgery can be performed after nasal growth is fully complete in girls by age 15 and in boys by age 16. However, patients who are emotionally mature and prepared are better candidates and they are also more pleasant to work with. It’s very rare seeing this type of surgery performed at younger ages. In most cases, it’s due to an existing medical condition or severe functional impairment.
What are the challenges for revision rhinoplasty?
This can be a complex surgical procedure depending on the patient’s cosmetic goals. There can be some challenges including:
  • The nose being without repair. This generally happens on patients that have undergone several revisions and there is limited tissue to work with.
  • The degree of skin contracture and scarring can limit the amount of improvement.
  • In some cases revision surgery may not be a good idea as the risks may outweigh the benefits.
  • Patients who are not sure about what they want should work with a specialist to help them sort through their fear and confusion.
Is rhinoplasty painful?
Many patients say recovery is not that painful as they’d imagined. Some discomfort and soreness is to be expected together with a dull headache and a swollen sensation. However, pain medicine will be prescribed in order to keep the patient comfortable. A cold compress can also help. After the first 48 hours all discomfort should fade and patients will start seeing an improvement in how they feel.
What are some tips for nose recovery?
In order to recover quickly and without complications you should follow a few tips:
  • Avoid strenuous exercise for at least two weeks.
  • Don’t go swimming because the nose can be very tender when you swim or dive. Also, chlorine will get inside the nose and it will sting.
  • Stop blowing your nose for two weeks.
  • Avoid foods requiring heavy chewing.
  • Avoid laughing or smiling too hard.
  • Brush your teeth gently.
  • Don’t pull clothing over the head.
  • Don’t wear glasses for up to four weeks.
  • During the first three months after surgery avoid exposing unprotected skin to the sun.
  • Don’t smoke three weeks before and after surgery.
Updated on: december 27st, 2016

Disclaimer: Non Surgical Treatments, Diets, Plastic & Cosmetic Surgery Results Can Vary Significantly Between Patients.