NOSE RESHAPING (RHINOPLASTY)

Nose reshaping (rhinoplasty) is intended to produce a more attractive nasal shape and/or a nose in better proportion to other facial features. It may also be indicated for abnormal appearance of the nose as a result of birth defects, injury, or disease.

Rhinoplasty is done on an outpatient basis under sedation, and local or general anesthesia.

• CLOSED RHINOPLASTY: Incisions are made inside the nostrils. The nasal bones, cartilage, and soft tissues are reshaped to improve the external contour.
  

• OPEN RHINOPLASTY: Involves one external incision across the columella (strut between the nostrils). Bones, cartilage, and soft tissues are reshaped under direct vision. Better suited for patients who need extensive tip work.
  

• Large nostrils may be reduced through tiny incisions at the outer base of the nostrils with either type of rhinoplasty (Weir excision).

The patient goes home with an external cast or splint in place. The nasal pack is removed in 24-48 hours. The cast or splint is usually removed in 7-10 days. Initial discomfort is easily controlled with oral medication. The majority of swelling and bruising subsides progressively over 2-4 weeks. External sutures (if any) are removed in 4-6 days. Internal sutures will dissolve.

The semifinal result of a nose reshaping procedure is evident in 3 months. The final result is evident in 12-14 months. An additional procedure that may enhance the result is a chin enlargement. If you need to improve your breathing, correction of a deviated septum (Septoplasty) may also be appropriate.

Rhinoplasty is not covered by insurance if being done for cosmetic reasons. If however, the nasal deformity is due to recent injury, insurance coverage may be available. Pre-authorization information can be obtained from your insurance company.

The specific risks and the suitability of nose reshaping for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.