Nose


Rhinoplasty

The nose is a prominent feature of the face and truly shapes and defines facial structure and outward appearance. The purpose of rhinoplasty (nose job) is to reshape the nose. More specifically, it changes the shape, width, and position of the nose. This procedure can have a dramatic impact on your appearance and how you view yourself. A rhinoplasty is intended to improve your self-confidence, poise, and satisfaction with your looks.

Some people choose to have a nose job for cosmetic reasons and to feel better about their outward appearance. People also choose to have a nose job to correct breathing difficulties or correct a nose injury. The nasal septum is made of bone and cartilage and separates the two sides of the airway passage in the nasal cavity. When the septum does not align properly, it can block the flow of air through the nasal passages.

A deviated septum can be associated with a crooked external appearance. This can be a congenital disorder due to nose compression during birth. Sometimes this is associated with trauma, such as a broken nose. Regardless of the cause, a deviated septum creates difficulty breathing, poor sinus drainage, headaches, snoring and contributes to allergies. For individuals that have suffered a broken or injured nose, a rhinoplasty can restore the nose to a more pleasing appearance and proper alignment.


Rhinoplasty Results

The outcomes of a nose job can be minor or more drastic, depending on what type of correction you are looking for. Cosmetic rhinoplasty is a highly individualized procedure. For this reason, you will work closely with your surgeon to determine the best ways to address your concerns and get you the results you want. If you have realistic expectations and you share those expectations with your surgeon, you will be more likely to get your desired results. The results of a nose job are permanent, though subsequent injury can alter the nose shape.  

A nose job should only be performed on a fully developed nose to ensure complete development and growth. For females, this typically occurs by age 16 and for males this typically occurs by age 18. If surgery is done prior to this, further development and aging can change and alter the surgical outcomes.

Rhinoplasty surgery can change

  • Nose size, in relation to the other facial structures
  • Nose width, at the bridge
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is large or bulbous, drooping, or too upturned
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry and deviation

Two conventional approaches to Rhinoplasty Surgery

Open Rhinoplasty

During the open rhinoplasty procedure, the surgeon creates an incision in the shape of an inverted V along the middle column of your nose, in the area that separates your two nostrils. There are many other incisions made on the inside of the nostrils as well. After the incisions are made, the skin is lifted and the cartilage, bone, and tissue beneath is sculpted and reshaped to produce the desired result. Implants, grafts, and/or cartilage may be used to build up tissue to achieve the desired nose shape. The skin is then re-draped over the newly shaped area and secured with very fine stitches. A nose splint is placed to support the newly shaped nose as it heals.  

Closed Rhinoplasty

A closed rhinoplasty is performed in the same manner as an open rhinoplasty, except for that it is done without any incisions made on the exterior of the nose. All of the incisions are made inside of the nose, which means that there is no visible scarring. Depending on the extent of the rhinoplasty and the desired outcomes, your surgeon will determine which type of approach is best suited for your needs.


What to expect during Rhinoplasty Procedure

A rhinoplasty is performed at OMNI can last between 1-2 hours. You are given general anesthesia or local anesthesia with sedation, depending on the extent of the surgical procedure. Our anesthesiologist directs the administration of anesthesia, ensuring your safety and comfort. Your response to the anesthesia medication is monitored throughout the procedure, making certain that you are relaxed and stable.  

Once the procedure has been completed, a splint is placed to help your nose keep its new shape. Soft absorbent packing may be used inside the nose to sustain stability and reduce any post-operative bleeding. The splint and bandaging around the nose is removed in about one week.

After the surgery, your face will feel puffy and you will have bruising around your eyes and nose for several days. Typically, it takes 10-14 days for the swelling and bruising to subside. During your recovery period, it is important to avoid any strenuous activity to allow your body to heal. You may be given pain medication to reduce discomfort and improve your comfort during the healing process.

It may be difficult to see your rhinoplasty results immediately due to the nasal splint, bandaging and swelling. However, once the splint and bandaging are removed you will see your surgical results. As the bruising and swelling subside, your results will continue to improve.