KNOWLEDGE BASE ARTICLE

Plastic surgery terms explained

Rhinoplasty (Nose Surgery)

What does this term mean?

Definition

Rhinoplasty, or nose surgery, is a surgical procedure performed to improve the shape, size or function of the nose. It can be done for cosmetic reasons, such as correcting a bump or asymmetry, or for medical purposes, like resolving breathing issues caused by a deviated septum.

The procedure is popular due to the significant impact the nose has on the overall appearance of the face. Even small adjustments can greatly enhance facial balance and harmony.

In-Depth Explanation

Who Is Rhinoplasty Suitable For?

Rhinoplasty is suitable for individuals who are dissatisfied with the appearance or function of their nose. Common reasons include:

Cosmetic reasons:

  • A hump on the bridge of the nose
  • A nose that appears too large or too small in proportion to the face
  • A wide bridge or nasal asymmetry
  • A drooping or upturned nasal tip

Medical reasons:

  • Difficulty breathing due to a deviated septum
  • Correction after nasal trauma or fractures
  • Reconstruction of congenital deformities

This procedure is typically performed on adults, as the nose must be fully developed. In younger patients, it is only done in exceptional cases.

How Does Rhinoplasty Work?

Rhinoplasty is performed under general anesthesia, or in some cases, local anesthesia with sedation. The surgeon chooses between two techniques:

  • Closed rhinoplasty: All incisions are made inside the nose, leaving no visible scars. This is generally used for minor corrections.
  • Open rhinoplasty: A small incision is made at the base of the nose (columella), offering better visibility of the nasal structures. This is preferred for more complex cases.

The surgeon may:

  • Remove, reshape, or reposition bone and cartilage
  • Use cartilage grafts or implants (from the ear, rib, or synthetic materials) for support
  • Straighten the septum to improve breathing

The surgery typically takes 1.5 to 3 hours, depending on the extent of the correction.

Recovery After Rhinoplasty

Following surgery, proper aftercare is crucial. Key recovery points include:

  • Swelling and bruising: Common after the procedure, typically resolving within 2 to 4 weeks. However, some swelling may persist for up to a year.
  • Splint and nasal packing: A splint is placed to protect and support the nose. In some cases, nasal tampons are used to keep airways open.
  • Return to daily life: Most patients resume light activities after 1 to 2 weeks. Strenuous exercise should be avoided for 4 to 6 weeks.
  • Final result: Visible after 6 to 12 months, once swelling fully resolves.

During healing, it’s important to protect the nose from impact and avoid wearing glasses that rest on the nasal bridge.

Benefits of Rhinoplasty

  • Cosmetic enhancement: Improved facial harmony through nasal reshaping
  • Functional improvement: Better airflow and relief from issues like a deviated septum
  • Boost in confidence: Many patients feel more self-assured after the procedure

Potential Risks and Complications

As with any surgical procedure, rhinoplasty involves certain risks, including:

  • Infection or bleeding
  • Scarring (usually minimal, especially with closed techniques)
  • Asymmetry or dissatisfaction, possibly requiring revision surgery
  • Temporary numbness or reduced sense of smell

Choosing an experienced surgeon and following post-operative instructions carefully can minimize these risks.

Cost of Rhinoplasty

Costs vary depending on the complexity and purpose of the procedure.

  • Cosmetic rhinoplasty: Typically not covered by health insurance
  • Functional rhinoplasty: May be partially or fully covered if there is a medical indication, such as breathing difficulties due to a deviated septum

A consultation will provide a clear cost estimate and information about potential reimbursement.

Conclusion

Rhinoplasty can significantly improve both the appearance and function of the nose, offering aesthetic and health benefits. It’s essential to have realistic expectations and to choose a qualified surgeon with expertise in nasal procedures. For more information or to discuss your personal treatment plan, schedule a consultation.

About the author:

Dr. David Jairath

Plastic Surgeon

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