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Changing the shape of the nose is one of the most frequently requested facial plastic surgery procedures. The nose is the most prominent facial feature, and it is quite common to meet patients who have been concerned with their nasal appearance for most of their lives. Patients can become shy and introverted, and in extreme cases their personal and professional life may suffer. Rhinoplasty can have a profound effect on appearance and, when done well, can boost confidence and self esteem.
What can Rhinoplasty improve?
The object of the surgery is to create a harmonious natural appearing balance between the patient's nose and other facial features. It is extremely important for you to communicate your desires to the surgeon, so that an exact plan is developed. Your surgeon will perform an evaluation, and communicate to you what can be achieved in surgery. Computer imaging might be utilized during the consultation, as it is helpful to see how changing the shape of your nose will change your appearance.
It is important to ensure that your surgeon is well trained and has the necessary skills for performing rhinoplasty. Many surgical maneuvers could be done to change nasal shape, making it smaller or shorter, making the tip narrower, straightening it out, taking down the hump, etc. In modifying the shape of the nose, however, the function should not be sacrificed. Not all the surgeons undertaking this procedure have the knowledge, skills, or experience required to perform this complex surgery. Facial plastic surgery and otolaryngology training dedicates an extensive part of its program to rhinoplasty, and Facial Plastic Surgeons are often uniquely qualified to perform this procedure. They are not only trained in techniques that make your nose smaller or straighter, but also in those that preserve or improve your nasal breathing.
In fact, another reason to have nasal surgery is to alleviate breathing problems, and sometimes it is necessary to straighten your septum or address your sinuses at the same time. In these cases, insurance may cover some or all costs, depending on an individual plan. At your initial consultation, your surgeon will perform a thorough diagnostic evaluation, occasionally including an examination with a small telescope. Other diagnostic tests can be done, depending on the severity of the problem, but they are seldom required.
What is involved in this procedure?
The majority of incisions are made inside the nose, but occasionally a small incision will be made between the nostrils. The skin is then separated from the underlying bone and cartilage, which are then reshaped according to the desired silhouette. The incisions are then closed. A splint is typically applied to the outside of the nose and needs to stay for about a week.
Your doctor will see you in the office the day after surgery to ensure proper healing, and to clean out your air passages, so as to ease your breathing. Some swelling is expected after the surgery, and you may need to use medications or nasal spray to keep your nasal passages open. Keeping the head elevated and applying cold compresses helps to reduce the swelling. Pain is usually minimal, but you will be prescribed pain medications to take as needed. The splint and the sutures will be removed in about a week. The majority of the swelling resolves during the first month, but your nose will continue to adjust its shape over the next several years.
Can additional procedures be performed with Rhinoplasty?
Sometimes additional procedures, such as placing a chin implant, can make a dramatic difference in your overall appearance. If you desire, they can be performed at the same setting as your nasal surgery.
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