Nose Reshaping (Rhinoplasty)

Nose reshaping, or rhinoplasty, is one of the most common plastic surgery procedures performed today. Nose reshaping procedures can help to correct the disproportionate appearance of the nose by altering the size or shape of the nasal dorsum / tip, the span of the nostrils, or the angle between the nose and the upper lip. In addition, nose reshaping procedures may be performed to correct a nasal birth defect or injury as well as chronic breathing problems. It is important to realize that individuals considering a nose reshaping procedure should be at least 16 years of age, as this procedure should only be performed after the nose has finished developing completely.Read Client Reviews on RealSelf

Anaesthesia & Stay

Complications are infrequent and usually minor, including infection, nosebleed, a reaction to the anaesthesia, even dissatisfaction.

When rhinoplasty is performed from inside the nose, there is no visible scarring at all; when an “open” technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible.

In about one case out of ten, a second procedure may be required-for example, to correct a minor deformity. Such cases are unpredictable and happen even to patients of the most skilled surgeons. The corrective surgery is usually minor.

Nasal Anatomy

The framework of the nose is primarily made of bone and cartilage. The upper portion of the nose is supported by bone. Dorsal humps,which are areas of built up cartilage or bone, can form along the dorsum, or ridge of the nose.

The lower portion of the nose is supported by different plates of cartilage that extend laterally from the center of the nose, determining the shape and appearance of the nasal tip.

Procedure

Be sure to tell us if you’ve had any previous nose surgery or an injury to your nose, even if it was many years ago, history of allergies, or breathing difficulties; if you’re taking any medications, vitamins, or recreational drugs; and if you smoke.

1. Open Rhinoplasty :
The surgeon makes small incisions across the columella and inside each nostril. These incisions allow the physician to lift the skin away from the bone and cartilage of the nose. The nasal framework can be clearly visualized to make precise adjustments.

2. Closed Rhinoplasty :
Two small incisions inside each nostril in order to gain access to the cartilage and bone. The skin is not lifted away from the framework of the nose. Using very small instruments,the nose is reshaped by removing or adding bone, cartilage, and tissue to achieve the desired appearance.

Reshaping the Tip

In patients whose nasal tip is wide or bulbous, a portion of the alar cartilage is removed from the tip of the nose.

Depending on your anatomy, sutures may be taken to bend or pull the alar cartilages inward to create a narrower tip or adjust its position.

Reduce the Dorsal Hump

The dorsal hump usually consists primarily of cartilage and some bone. Using the osteotome, areas of cartilage and bone are carved away. Your nose may have what is known as an open roof, which is an open space between the nasal bones. The nasal bones might need to be repositioned with an osteotomy to close the open roof.

Osteotomy

An osteotomy involves breaking the nasal bones in order to reposition them. An osteotomy can be performed to correct a high nasal dorsum with a dorsal hump, close an open roof after the removal of a dorsal hump, or create a narrower base of the nose.
The incisions inside the nose will be closed with dissolvable stitches. Nasal airway splints inside your nostrils that provide support and stabilize the nose as it heals. Steri-strips will be applied to the outside of your nose. If the nasal bones were broken during the procedure, a nasal splint will be applied as well.
The bandages and splint help the tissues heal and conform to the new cartilage and bone structure.

Nasal Implant

An incision is made inside one or both nostrils and a carefully sculpted pocket is created underneath the skin along the bridge to place the implant. The implant itself can also be sculpted for a perfect result.

Post Op Recovery

After surgery-particularly during the first 24 hours-your face will feel puffy, your nose may ache, and you may have a dull headache which can be controlled by medication.

You’ll notice that the swelling and bruising around your eyes will increase at first, reaching a peak after 2 – 3 days. Applying cold compresses will reduce this swelling and most of the swelling and bruising should disappear within two weeks or so.

Stitches,bandages, and the nasal splints may stay in place for approximately 3 – 7 days.

Risks

Complications are infrequent and usually minor, including infection, nosebleed, a reaction to the anaesthesia, even dissatisfaction.

When rhinoplasty is performed from inside the nose, there is no visible scarring at all; when an “open” technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible.

In about one case out of ten, a second procedure may be required-for example, to correct a minor deformity. Such cases are unpredictable and happen even to patients of the most skilled surgeons. The corrective surgery is usually minor.

Your New Look

Rhinoplasty can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal.Nose reshaping procedures are intended to achieve a significant improvement, not perfection.

newLook

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