Nose surgery (Rhinoplasty) is a procedure to reshape the nose in order to create a more pleasing look and, in some instances, to correct severe breathing problems.   Rhinoplasty usually involves reducing the size of the nose by removing and sculpting the nasal tissues in order to enhance the facial appearance.  The results are unique to each individual, and depend upon such factors as skin condition and thickness, nasal and facial structure, ethnic structures, and age. In general, having nose surgery provides the patient with a better facial balance and overall appearance.

Reasons for Considering Nose Surgery:

• Bring a better proportion to the nose and facial features.
• Reduce the size of a nose that is too large or too wide.
• Correct an overly arched or “Roman” nose.
• Re-form a crooked or elongated nose tip.
• Restore the nose if damaged from an accident or sports injury.
• Improve breathing and relieve nasal obstruction.
• Treat congenital nasal deformities.

General Procedure

The procedure is performed under general anesthesia. Two basic methods are utilized for performing nose surgery.  These methods are referred to as the ‘open’ and the ‘closed’ techniques.  The open technique is used when significant changes are made to the tip of the nose.  The incision is placed in-between the nostrils on the columella (the medial nostril strip).  The closed technique is suitable for reconstruction of the nasal septum and nasal bones.  The physician can discuss which technique is best when the patient arrives for the initial consultation visit.

Recovery Process

Most patients are able to go home on the day of surgery.  Generally, post-operative instructions call for rest and limited activity to speed up the healing process and to reduce the recovery time.  A dorsal nasal splint and intranasal packing may be placed at the end of the procedure.  The nasal splint is often worn for 2 weeks.  Most of the swelling and bruising  resolves within a few weeks, however residual swelling may be present for a year or more.  The nose will need to be well-protected from the sun for the first year after the procedure.  Pain is typically effectively treated with oral medication and/or cold compresses.  While complications may occur, patients can minimize the risk of potential problems by carefully following the post-surgical directions given by the surgeon.