Our board certified plastic surgeons maintain a philosophy for nose contouring while allowing function to be improved and delicately improve placement of inner structures. The rhinoplasty procedure should procedure a nose that appears natural, functions properly with improving breathing, and is in balance and harmony with the remaining facial structures.
This procedure gives patients a new, renewed self-confidence and improved self-esteem with social interactions and inner growth. For any structural improvements in nasal contouring surgery and reconstructive nasal surgery, there are some limitations related to the final outcome and the proportions requested by the patient. Some of the limiting factors are related to skin texture, skin thickness, previous fractures of the nose, variations in healing and individual facial contours and proportions with delivery of the final outcome.
When Should I Consider Nose Surgery?
- An abnormal appearance of the nose as a result of trauma or injury to the nose.
- Breathing difficulties; obstruction of airflow.
- Repeated sinus infections
- Loss of proportions of the nose in relation to the face; dorsal hump or large, pointed tip.
Rhinoplasty Surgery Information
A small incision is made in the column of skin between the nostrils on the underneath surface of the nose to utilize an open rhinoplasty technique. Through this incision, the tip can be reshaped with permanent sutures using cartilage grafts as needed, the cartilages can be fractured and re-positioned as needed, a hump can be reduced, and the turbinates can be reduced to improve breathing. If the base of the nose is too wide, our surgeons can perform a Weir’s Excision in addition by making incisions in the creases on both sides of the nostril creases to decrease the base width of the nostrils. The resulting scars are hidden in the creases.
We will place nasal packing to the nostrils for the first 24-36 hours, and a nasal splint is placed and is removed after 7 days. Our doctors will recommend wearing the splint at night for 2-4 weeks. The recovery period is typically 7-10 days. There will be swelling and bruising for the first 2 weeks and lifting restrictions are required for the first 2 weeks. We also recommend taping the nose for additional support and to reduce the swelling for the first 4-6 weeks and restricting any glasses for 4-6 weeks also.
The Day of Surgery
Rhinoplasty surgery is performed on an outpatient basis under general or monitored anesthesia. The procedure typically takes 2.5 – 3.5 hours.
7-10 days of recovery is usually required for Rhinoplasty. After a Rhinoplasty surgery, you will be required to return to the office the day following surgery for removal dressings and to be given further instructions. You may need a caregiver for the first 2-3 days. A driver is required for the first post operative appointments.
Improvement in breathing and airflow through nostrils. Improved proportions of the nose; less bulbous tip and straighter slope of the nose.
Note: It is important to address any concerns with The Gillian Institute at the time of your consultation. There is some risk, as with any surgical procedure. To prevent postoperative complications with this technique, no smoking is a requirement prior to surgery. Our doctors can explain the procedure and potential complications to you in detail, and she can assist you in determining if rhinoplasty surgery is right for you.