Nose Job - Rhinoplasty is one of the most common of
all plastic surgery procedures. It can be used to:
- Reduce or increase the size of the nose
- Change the shape of the tip or the nasal bridge
- Narrow the opening of the nostrils
- Change the angle between the nose and the upper
- Correct a birth defect or injury
- Help relieve some breathing problems
Rhinoplasty can be performed under local or general
anesthesia, depending on the extent of the procedure and the
patient's preference. It may be performed in a surgeon's
office-based facility, a hospital, or an outpatient surgery
center. Complex procedures may require a short inpatient stay.
The procedure usually takes an hour or two, but may take
With local anesthesia, the nose and the surrounding area is
numbed. The patient will usually be lightly sedated, but awake
during the surgery -- relaxed and insensitive to pain. General
anesthesia allows the patient to sleep through the operation,
and is typically used in children.
Facial Refinement /
combination of procedures adds
and balance to facial features.
Note the subtle change in
position, nasal hump reduction
and improved balance of nasal
nostril, improved harmony of
lower lip and chin, and more
add up to a very nice and
elegant improvement. These
softness and harmony to facial
features and can have a
impact on self esteem and
Add to 'My Interests'
The surgery is usually done through the incision inside the
Why the Procedure is
Nose surgery is considered "elective"
when it is done for purely cosmetic purposes. In these cases,
the purpose is to change the shape of the nose to one that the
patient finds more desirable. Age may be a consideration. Many
surgeons prefer not to perform cosmetic nose surgery until the
growth of the nasal bone is completed (around 14 or 15 for
girls, a bit later for boys).
In other cases, nose surgery may be needed for medical
purposes. For example, surgery may be needed to treat a serious
breathing problem or an injury. Age may be less of a
Return to top
The risks for any anesthesia
- Reactions to medications
- Problems breathing
The risks for any surgery are:
After surgery, small burst blood vessels may occasionally
appear as tiny red spots on the skin's surface and are usually
minor, but permanent. There is no visible scarring if the
rhinoplasty is performed from inside the nose. There may be
small scars at the base of the nose that are not usually
visible when the procedure calls for the narrowing of flared
Rarely, a second procedure may be necessary to correct a
A splint (metal or plastic) will be
applied externally to maintain the newly shaped bony structure
when the surgery is complete. Soft plastic splints or nasal
packs may also be placed within the nostrils to stabilize the
septum (the dividing wall between the air passages).
Immediately following surgery, the nose and face will be
swollen and painful. Headaches are common. Pain
medications will control these discomforts.
Swelling and bruising around the eyes will increase and
reach a peak after 2 or 3 days. Keeping the head raised
(elevated) and placing cold compresses to the eyes can help
reduce the swelling. Within 2 weeks, most of the swelling and
bruising disappears. Some subtle swelling remains for several
months, but this is generally unnoticeable to anyone but the
During the first few days, minor bleeding from the nose is
common. Do not blow the nose, pick the nose, or insert items
into the nose for the first week while tissues heal.
The nasal packing is usually removed after 3 to 5 days and
the patient will feel much more comfortable. All dressings,
splints, and stitches should be removed within 1 or 2
Within 2 days, most patients are up
and about, and able to return to school or non-strenuous work
within about a week following surgery. Full recovery takes
Avoid strenuous activity (jogging, swimming, bending -- any
activity that increases blood pressure) for 2 to 3 weeks. Avoid
rubbing or bumping the nose. Avoid unprotected sun exposure,
especially for the first 8 weeks. Be gentle when washing the
face and hair or using cosmetics.
Glasses will have to be taped to the forehead or propped on
the cheeks for 4 to 6 weeks after the splint is removed and the
nose is completely healed.
The patient may feel depressed following surgery, but day by
day the nose will look better. Within a week or two, cosmetics
will camouflage signs of the operation. Healing is a slow and
gradual process. The tip of the nose may have subtle swelling
and numbness for months. The final results may not be apparent
for up to a year.
The patient might experience some unexpected reactions from
family and friends. They may act resentful, especially if
something they view as a family or ethnic trait is altered. The
patient should keep in mind the reasons for the nasal
correction, and if these have been reached, then the surgery is