Rhinoplasty, or nose reshaping surgery, is the second most popular cosmetic surgical procedure in the world Why is it so popular? Well, the nose is the centerpiece of the face. People who are unhappy with their nose have reported having lower self-esteem, and receiving a nose job can transform the way they hold themselves in the workplace as well as in their personal lives. Below, I’ll discuss how rhinoplasty can help your nose and what to expect.
Though it is one of the most difficult cosmetic procedures to conduct, 221,053 rhinoplasty procedures were performed in 2013, according to the American Society of Plastic Surgeons. Cosmetic rhinoplasty patients receive treatments for a variety of aesthetic nose issues caused by genes or injury. A few common conditions that patients come in with include crooked nose, saddle nose, hump reduction, bulbous tip, long nose, wide or flat nose and short nose. Along with appearance, many of my patients get nose jobs to improve the functionality of their nose, making breathing easier and correcting chronic sinusitis.
Open vs. Closed Rhinoplasty
During any rhinoplasty procedure, I use either the open or closed rhinoplasty approach. Some conditions are best suited for open rhinoplasty, while others are best suited for closed rhinoplasty.
During open rhinoplasty, an external nasal incision is made and I de-glove the skin envelope from its underlying cartilaginous and bony skeleton. This way, I can see the cartilages in their entirety and difficult procedures can be done in the open with direct vision. Though very complicated, rhinoplasty procedures are best completed in open rhinoplasty, for others, a closed rhinoplasty is more appropriate. Why? Well, open rhinoplasty in theory, has several disadvantages. These include more intra-operative swelling, which can disrupt vision, difficulty making minor adjustments as a result of the elevated skin and a longer procedure and recovery time.
In the closed rhinoplasty approach, surgical incisions occur inside of the nostrils, so that no external incisions are made. This means that close rhinoplasty is a less invasive approach that leaves no visible scarring. After performing nearly 2,000 rhinoplasties, I’ve developed a specialized closed approach that uses stability-enhancing maneuvers common to the more invasive open approach, but I employ them through a closed approach. This advancement has allowed for less swelling with little to no bruising and a quicker recovery period. Yet, not all patients have noses suited for closed rhinoplasty and open rhinoplasty is sometimes the better option for more complicated procedures.
Rhinoplasty Results and Recovery
Rhinoplasty patients should have realistic expectations about their results. Noses won’t look perfect after surgery, but usually there is a drastic improvement in appearance. Results and recovery time vary depending on the procedure.
Depending on the specific case, the nasal splint is removed approximately one week after surgery. Within two to four weeks, many patients begin seeing results as swelling reduces. Typically, discomfort is minimal, but pain medication can be prescribed if necessary. After surgery, it’s important to avoid sun exposure and putting pressure on your nose.
Like always, my office is consistently dedicated to giving our patients the attention they deserve during their rhinoplasty recovery. Every patient that receives rhinoplasty will receive a rhinoplasty recovery care package, and I will work to make your recovery time as comfortable as possible.
Choosing the Right Doctor
Like with any cosmetic procedure, choosing the right doctor is extremely important to receiving the results you want, the care you need and a safe procedure. This is especially important with rhinoplasty, as it is considered one of the most difficult cosmetic procedures to conduct.
It’s important to make sure that your doctor is certified by the American Board of Plastic Surgery, or the American Board of Facial Plastic Surgery, and it’s best if the doctor specializes in the area of plastic surgery that you are thinking of getting, such as facial surgery.
When looking for a doctor for rhinoplasty, it’s important that she or he has an understanding of the complex three-dimensional internal and external anatomy of the nose. They should also have respect and understanding for nose function and physiology. Of course, your doctor should have technical skill and a plethora of experience performing rhinoplasty in the past. Also, ensure that your doctor is listening to your needs and desires. If they seem uninterested in what you have to say about your treatment and body, you should definitely move on to the next doctor. After all, they are treating you, not just your nose.
Questions to Ask Your Doctor Before Rhinoplasty Surgery
- Are you board certified? By what board?
- When did you perform your last rhinoplasty?
- What is your revision rate among your patients?
- What percentage of your practice is devoted to rhinoplasty?
- What is your policy on revisions?
- What type of rhinoplasty approach and technique will you use on me?
- What type of anesthesia do you use?
- Can you show me some before and after photos of patients with noses like mine?
- How realistic are my expectations?
- What can I expect after this surgery?
- What are the potential risks of undergoing rhinoplasty with a nose like mine?
- How will your office support me during recovery?
- Why are you the best doctor for me?
If you are interested in Rhinoplasty and don’t know where to start, I hope this article helps. All of us here at my office encourage you to look through our website and contact us if you have any questions.
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