The nose is a prominent feature of the face, and even a slight change in its appearance can significantly impact one’s overall look. Rhinoplasty, commonly known as a nose job, is a cosmetic surgical procedure designed to enhance the appearance and function of the nose. This procedure can reshape the nose, improve facial harmony, and correct structural defects that may impair breathing. By surgically altering the bone, cartilage, and skin, rhinoplasty can create a more balanced and aesthetically pleasing facial appearance. Other terms for rhinoplasty include “nose reshaping” or “nasal surgery.”
Rhinoplasty is performed for various reasons, including:
Rhinoplasty can address both aesthetic and functional concerns, making it a versatile solution for individuals seeking to improve their nasal appearance or breathing function.
The results of rhinoplasty are typically long-lasting. Once the nose has fully healed, the changes made during the surgery are permanent. However, the natural aging process can cause subtle changes in the nasal structure over time. Most patients enjoy the benefits of their rhinoplasty for many years, though some may require minor revisions or touch-ups in the future.
Most healthy individuals without significant medical conditions are suitable candidates for rhinoplasty. Ideal candidates:
Patients who are not good candidates include those with complex medical conditions that can impair healing, have unrealistic expectations, or are unable to follow post-surgical care instructions.
Preparation for rhinoplasty begins with a consultation with your surgeon. During this consultation, the surgeon will evaluate your overall health and medical history, discuss your goals and expectations for the surgery, and review any medications, supplements, or herbal products you are taking. Photographs and measurements of your face and nose may be taken, and potential risks and complications, as well as the expected outcomes of the surgery, will be discussed. Your surgeon will also consider factors such as your skin type, age, history of previous surgery or trauma, and any history of nasal obstruction or breathing problems.
Patients may need to undergo lab testing and adjust or stop taking certain medications that can increase the risk of bleeding. Smoking cessation is crucial, and it is recommended to quit well in advance of the surgery date. Maintaining a healthy lifestyle and limiting alcohol intake can also help improve the healing process.
Rhinoplasty can be performed in an outpatient surgical center, a hospital, or a surgeon’s office-based surgical facility. During the procedure, the patient is given general anesthesia, which induces deep sleep and ensures comfort throughout the process. Once the patient is comfortable, the surgeon makes the initial incision on the underside of the nose to access the bones and cartilage that support the nose. Depending on the desired outcome, bone and cartilage may be removed, reshaped, or added. The surgeon may also address any issues affecting the nasal airway during this process. After reshaping the nose, the skin and soft tissue are redraped over the new nasal structure, and the incisions are closed.
The surgery can be performed using either an open or closed technique:
The exact technique and incision pattern will depend on the individual’s anatomy and desired outcome, which will be thoroughly discussed during the consultation.
A rhinoplasty procedure typically takes about 1 to 4 hours, depending on the specific techniques used and whether any additional procedures are performed simultaneously.
While rhinoplasty is generally safe, it does carry some risks, including infection, bleeding, swelling, numbness or changes in skin sensation, asymmetry, dissatisfaction with cosmetic results, difficulty breathing, scarring, the need for another surgery, changes in the sense of smell, and septal perforation (a hole in the nasal septum). These risks are rare and can usually be managed with proper post-operative care and follow-up with the surgeon.
The benefits of rhinoplasty include improved facial harmony and proportion, enhanced self-confidence, and satisfaction with facial aesthetics. Additionally, rhinoplasty can correct structural defects to improve breathing. The procedure offers permanent results without the need for repeated procedures, resulting in a balanced and natural-looking nasal appearance. If the desired outcome is not achieved, you and your surgeon may consider a secondary procedure. It is best to wait at least a year before such a follow-up surgery, as the nose can continue to change during this time. Overall, rhinoplasty offers both aesthetic and functional improvements, making it a valuable option for individuals seeking to enhance their nasal appearance and function.
Recovery from rhinoplasty typically involves swelling and bruising during the first few days, which will gradually subside over the following weeks. It is crucial to keep your head elevated higher than your chest to reduce bleeding and swelling. Your nose may feel temporarily stuffy due to swelling or the splints placed inside during the procedure. You may also experience minor bleeding or drainage of mucus and old blood for a few days after surgery or after removing the surgical dressing.
Following all post-operative care instructions, including taking prescribed medications and keeping the surgical site clean and dry, is essential for a smooth recovery. Avoid strenuous activities to minimize swelling and support proper healing. Refrain from blowing your nose and allow nasal discharge to occur naturally, wiping gently with tissue as needed. Sneeze or cough with your mouth open to minimize pressure that can lead to more swelling or bleeding. Avoid resting eyeglasses on the nose for at least four weeks after surgery to prevent pressure on the area. Patients should avoid smoking and alcohol to promote optimal healing and attend all follow-up appointments to ensure proper healing and address any concerns.
Most patients can return to normal activities within 6-8 weeks. Typically, patients can see differences in their lateral profile almost immediately after surgery, but nasal tip swelling can obscure final results, which typically become more visible in 6 to 12 months.
How painful is rhinoplasty?
Pain after rhinoplasty is typically moderate and can be managed with prescribed medication. Most patients report discomfort rather than severe pain.
Will there be visible scars?
In a closed rhinoplasty, there are no visible scars as the incisions are made inside the nostrils. In an open rhinoplasty, a small scar may be visible on the columella (the soft tissue that separates the nostrils), but it usually fades over time with proper care.
How soon can I return to work?
Most patients can return to work within 2 weeks, depending on their job and how their healing progresses.
How long do the results last?
The results of rhinoplasty are long-term, although the natural aging process will continue to affect the appearance of the nose over time.
Can I combine a rhinoplasty with other procedures?
Yes, rhinoplasty can be combined with other facial procedures such as chin augmentation for a more comprehensive rejuvenation.
What should I avoid after surgery?
After surgery, patients should avoid strenuous activities, smoking, and alcohol, and follow all post-operative instructions to ensure optimal healing and results.
Complementary procedures that can enhance the results of rhinoplasty include facelifts to address sagging and wrinkles, chin augmentation to improve facial balance and proportions, and botulinum toxin or dermal fillers to smooth fine lines and add volume to areas that have lost fullness. Combining these procedures can provide more harmonious results and a more youthful overall appearance.
For more detailed information or to schedule a consultation, please contact our office.
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See what some of our patients have to say:
Kiersten Obermayer
Dr. Dorafshar is absolutely amazing. He truly cares about the results as well as the patient. He checked up on me multiple times through my recovery and my results are amazing already after 10 days! Can’t wait to see them when I’m fully healed!
Khyla Tatak
Talk about a great experience overall. Dr. Dorafshar made me feel at ease, answered all of my questions and set realistic expectations on recovery. Constantly checked in to make sure I was doing ok during the first week post surgery. His team set the bar high. I’m so incredibly happy with my results.
—Iliana Diana
At Evolve Your Life, we know how important it is to look in the mirror every day and see a reflection that feels like your own.
