What Is Rhinoplasty?
The term “rhinoplasty” refers to plastic surgery of the nose. Typically, this surgery involves making changes to the nose’s external structure. A “cosmetic” rhinoplasty is performed mainly to improve the appearance of the nose, while a “functional” rhinoplasty is performed to help patients breathe better. A functional rhinoplasty usually involves repair of the nasal valves, which are the internal nostrils. These valves may need correction if they are narrow, collapsed, or scarred from a prior surgery.
A rhinoplasty may be performed at the same time as a septoplasty, which involves straightening the wall between the two sides of the nasal passages to improve breathing. Our ENT surgeons have extensive, intimate knowledge of nasal anatomy, aesthetics, and function, and we will be happy to discuss a treatment plan that is tailored to fit your specific needs.
Is This Procedure a Good Fit for Me?
You may benefit from rhinoplasty if:
- You struggle to breathe through your nose.
- You have a deviated septum.
- Traditional treatments for sleep apnea haven’t worked.
- You’re interested in reshaping your nose.
What Happens During Surgery?
A rhinoplasty is typically performed under general anesthesia. Incisions are made to allow access to the underlying cartilage, bone, and other nasal structures. When these incisions are hidden completely inside the nostrils, it is referred to as a “closed” rhinoplasty. Often, a small incision may need to be performed at the base of the nose to improve exposure, in which case it would be an “open” rhinoplasty.
Depending on the needs of the patient, cartilage and bone may need to be removed or added. More recently, there has been a move away from extensive cartilage removal (“reduction rhinoplasty”) and a greater emphasis on cartilage grafting to improve the contour of various parts of the tip or bridge of the nose. These cartilage grafts are often taken from the nasal septum itself, although sometimes ear, or even rib cartilage, may need to be harvested. Further reshaping may need to be performed with sutures to the cartilage. “Osteotomies” – or deliberate fracturing of the nasal bones – are often performed to straighten or narrow the nasal bones themselves.
At the conclusion of the procedure, the outside of the nose is taped and some form of external cast may be applied. Plastic sheets and/or packing may also be temporarily placed inside the nose depending on the procedure and the surgeon’s preference.
What’s the Recovery Process Like?
Most rhinoplasty patients can return home the same day and continue with light activity after three weeks. You will be given a splint and packing to help support your nose as it heals. These dressings should remain in place for one week.
You should plan on resting in bed immediately after the surgery. Keeping your head elevated can reduce bleeding and swelling.
You may experience puffiness in the face and minor bruising for a few days while you heal. You should avoid demanding exercises, intense facial expressions, blowing your nose and pulling clothing over your head. Be sure to wear sunscreen on your nose while outside.
What Results Can I Expect?
Results are typically noticeable after one month, though the final shape of your nose may not be completely visible for up to a year after the surgery is complete.
When it comes to nasal reconstruction, even small changes can boost your confidence. Our team is here to help you breathe better and achieve your ideal look.