OUR PROCEDURES & SERVICES
Rhinoplasty Face
The Procedure
Rhinoplasty, also known as the surgery of the nose or "nose job," is the surgical procedure that improves the appearance and proportions of the nose, thus enhancing facial balance and harmony. Specifically, rhinoplasty can correct the size, width, and profile of the nose, as well as the nasal tip and nostrils. Surgery of the nose can also correct difficulty with breathing, which is caused by structural abnormalities in the nose. Deviated septum is one of the most common causes of breathing impairment, and can be corrected by adjusting the nasal structure to improve alignment. Rhinoplasty can be performed in conjunction with other facial surgical procedures to enhance aesthetic results.
The Method(s)
Rhinoplasty is performed either using a closed procedure, whereby incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils. The soft tissues that cover the nose are gently raised through these incisions. This allows exposure of the nasal structures for reshaping. Nasal cartilage can be removed or trimmed, and bone can be filled or broken to alter or reduce the share of the nose. Cartilage or implants can be placed to augment various aspects of the nasal structure. Once the surgeon has completed the sculpting of underlying nasal structure, nasal skin and tissue is repositioned and incisions are closed.
In some cases, secondary or revision rhinoplasty may be required, to correct problems that persisted or developed after the initial nose surgery. Many physicians also offer "non-surgical nose jobs," in which injections of facial fillers alter minor areas around nose. Though this approach can be more affordable and performed in less time than traditional plastic surgery, it has limitations.
Ideal Candidate
Patients considering rhinoplasty should be in their mid teens, an age when the nasal bone has matured and the development of the nose has stabilized. Ideal candidates should have ceased smoking and should be in good physical health. It is important for all patients to communicate openly and clearly with the surgeon about their aesthetic goals, and to have realistic expectations.
Surgery and Anesthesia
Primary rhinoplasty can be performed under general or local anesthesia in 1-3 hours, depending on the complexity of the case. The procedure is commonly performed in an outpatient surgical center. Secondary or revisionary rhinoplasty is typically more difficult and requires more expertise and surgery time than primary rhinoplasty.
Recovery
When the surgeon has completed your rhinoplasty procedure, a splint and internal tubes will likely be placed inside your nose to provide support. To protect your new nose structure and to promote healing, a splint and bandages will also be placed on the outside of your nose. In some cases, bruising may extend to the eyes and other areas of the face. Most of your bruising and swelling should disappear after 1 to 2 weeks. Any external sutures will be removed approximately 4 to 5 days following surgery, and the splint removed after 1 to 2 weeks.
Though not particularly a painful procedure, it is recommended that patients stay home for about one week after surgery. During this time, you should avoid any trauma or force to your nose. Dr. Chiu and the staff at Beverly Hills Plastic Surgery will provide you with detailed instructions for a safe and speedy recovery.
Risks
In addition to general anesthesia risks, complications associated with rhinoplasty can include the rupture of small surface vessels of the nose, infection, change in nasal skin sensation and coloration, bleeding, and possibility of revisional surgery. Rarely, nasal airway alterations that may interfere with normal passage of air through the nose may occur after rhinoplasty.
Your New Look
Though initial swelling and bruising should dissipate within the first couple weeks, it may take up to a year for your final nasal contour to be realized. The results of nose surgery are usually permanent, however, cartilage may continue to reshape and move tissue that may change the outcome over time.
*Some information extracted from the American Society of Plastic Surgeons
