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Rhinoplasty

What is Rhinoplasty?

Rhinoplasty is a surgical procedure designed for those wishing to refine and reshape their nose.

Often referred to as a “nose job” or a “nose reshaping” by many patients, people choose rhinoplasty for a variety of reasons. It can correct cosmetic problems, like a bump or a hook as well as structural problems, like difficulty breathing due to a deviated septum.

Should I Get a Rhinoplasty?

Rhinoplasty may be suitable for individuals who are dissatisfied with the aesthetic appearance of their nose or experience functional issues that impact breathing. Common cosmetic concerns include dissatisfaction with the size, shape, or symmetry of the nose, while functional problems may arise from a deviated septum or congenital defects. Those seeking post-traumatic reconstruction due to injuries or individuals unhappy with the results of a previous rhinoplasty might also consider the procedure. Additionally, some individuals choose rhinoplasty to boost self-confidence by addressing perceived facial harmony. It’s essential for those contemplating rhinoplasty to have realistic expectations and consult with our qualified, board-certified surgeon to determine the appropriateness of the procedure based on their specific needs and goals.

What Does a Rhinoplasty Correct?

  • Nasal asymmetry
  • Nose size relative to facial balance
  • Large, wide, or upturned nostrils
  • Nostril size and position
  • Tip of the nose that may be enlarged, upturned, drooping, or hooked
  • Profile of nose
  • Visible humps or depressions
  • Deviated septum

Open or Closed Rhinoplasty?

Rhinoplasty, a surgical procedure designed to enhance both the aesthetic and functional aspects of the nose, can be performed through two main techniques: open rhinoplasty and closed rhinoplasty. Open rhinoplasty involves a small external incision on the columella, providing the surgeon with a direct and comprehensive view of the nasal structures. This approach is ideal for addressing complex deformities or intricate modifications, allowing for precise adjustments. In contrast, closed rhinoplasty, also known as endonasal rhinoplasty, involves incisions made solely within the nostrils, avoiding any external scarring. This technique is suitable for less extensive modifications, offering a quicker recovery time and reduced postoperative swelling. While open rhinoplasty provides enhanced visibility and access, closed rhinoplasty is often preferred for cases requiring more modest changes. The choice between these approaches depends on the individual patient’s needs, the complexity of the desired modifications, and the surgeon’s expertise.

Preservation Rhinoplasty

Preservation Rhinoplasty is a modern and reliable method to modify the nose by keeping its original structure.  It aims to preserve as much of the cartilage and bone as possible while producing a very natural nasal bridge that can contribute to an easier recovery.  The Preservation Rhinoplasty alters the bone and cartilage rather than altering the structure with sutures, grafts and other modifications that are done in a Traditional Rhinoplasty.

How It Works

During a Preservation Rhinoplasty, cartilage and bone are removed from underneath the dorsal hump and the top or bottom of the septum.   This process allows the bridge to be altered by being “let down” or “pushed down” instead of shaving or removing the above hump, like in a Traditional Rhinoplasty. It allows for less chances of depressions, humps or blockage of airways. By preserving as much of the bridge as possible, it allows for an easier recovery with minimal bruising and swelling compared to a more aggressive Traditional Rhinoplasty.

The Recovery Process

Recovery after a nose job is usually minimal. Common side effects include swelling and bruising, which will subside over time. You can typically return to work and daily activities as soon as you wish. 

As with the majority of cosmetic procedures, it is best to avoid strenuous activities for a few weeks after your surgery. For optimal results, it is also advisable that you stay out of the sun for up to eight weeks.

For many people, a nose job can be a life-changing procedure. Your nose is a prominent facial feature, and refining and reshaping it can help improve the overall appearance of your face. Many patients report increased confidence, improved self-esteem, and easier breathing after their Rhinoplasty. To find out if it’s right for you, get in touch with us today!

Frequently Asked Questions about Open Rhinoplasty

How painful is an open rhinoplasty?

Because we’ll administer general anesthesia before making incisions, you will not feel any pain during the procedure. Afterward, we’ll prescribe pain medication to ensure you’re completely comfortable through the recovery process.

What concerns can an open rhinoplasty address?

An open rhinoplasty can address a nasal hump, nasal asymmetry, deviated septum, misshapen nostrils, too-large or too-wide nose, and a number of other nasal concerns.

How long does the open rhinoplasty procedure take?

How long an open rhinoplasty takes can depend on the extent of the procedure, but typically, the procedure takes 2-4 hours.

When will the swelling go down after open rhinoplasty?

When the swelling goes down differs from person to person, but you should see most of the swelling subside within the first 2-4 weeks, with any residual swelling going down after six months to a year.

Will I see results immediately after surgery?

You may see some initial results immediately after surgery, but most results take a few weeks to show up as the swelling goes down.

How long is the open rhinoplasty recovery process?

Initial recovery takes about a week. At that point, you can likely return to work. It will take another 1-2 weeks before you can return to all your normal activities.

When will I see the final results of my open rhinoplasty?

Final results can take up to a year to finally appear. Most of the swelling and bruising will subside after a few weeks, but some swelling can remain for a year or longer.

Will I be awake during an open rhinoplasty?

No, you will not be awake during your open rhinoplasty. We will administer general anesthesia, which will put you to sleep and ensure you’re comfortable throughout the procedure.

When can I workout after an open rhinoplasty?

After two weeks, you can start performing light activities, but any strenuous activities should be avoided for at least four weeks after your open rhinoplasty. Dr. Marvel will let you know when you can return to your normal level of activity.

How long do the results of an open rhinoplasty last?

The results of an open rhinoplasty are considered permanent and will last for the rest of your life.

Frequently Asked Questions about Closed Rhinoplasty

When can I go back to working out after a closed rhinoplasty?

Dr. Licata will let you know when you’re cleared to return to exercise and other strenuous activities. Generally, you’ll need to avoid strenuous working out for 1-2 weeks.

What are the benefits of a closed rhinoplasty?

Some of the benefits of a closed rhinoplasty include no visible scarring, less swelling and bruising, a shorter recovery time, and less discomfort as you recover.

What should I avoid after a closed rhinoplasty?

After a closed rhinoplasty, you’ll want to avoid exercise, excess sun exposure, touching or rubbing your nose, overly hot environments, blood thinners, and sleeping on your stomach or side.

What are the risks associated with a closed rhinoplasty?

Some of the risks associated with a closed rhinoplasty include infection, swelling and bruising, nasal congestion, breathing issues, and bleeding.

How should I prepare for a closed rhinoplasty?

To prepare for your closed rhinoplasty, you’ll want to avoid smoking and drinking alcohol, stop any blood thinners, arrange for someone to drive you to and from surgery, schedule childcare if necessary, and stock up on supplies you’ll need during your recovery.

What is the difference between a closed and open rhinoplasty?

The main difference between closed and open rhinoplasty is where the incisions are made. With a closed rhinoplasty, the incisions are made inside the nose. An open rhinoplasty involves incisions between the nostrils and inside the nose to open up the nose and expose the nasal structures.

When can I return to work after a closed rhinoplasty?

Patients can typically return to work within one to two weeks after a closed rhinoplasty.

Is a closed rhinoplasty painful?

Because we’ll administer anesthesia before surgery, you don’t have to worry about any pain at all.

Will I notice the results immediately after my closed rhinoplasty?

You may notice some improvements immediately, but most of the results will be hidden behind the swelling and bruising. As those side effects dissipate, you’ll be able to see the results more clearly.

Can I go home the same day as my closed rhinoplasty?

Absolutely. A closed rhinoplasty is considered an outpatient procedure, which means you will be able to go home after surgery. You will need someone to drive you home and watch over you for the first 24 hours.

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