Cosmetic Surgery of The Nose

If you feel that your nose is not a good fit, you may benefit from cosmetic surgery of the  nose, also called rhinoplasty. Rhinoplasty can enhance the shape, size and general appearance of your nose.

The process in rinoplasty is reshaping the nose by changing the structure of bones and cartilages. To acquire a more aesthetic nose shape, we sometimes need to cut the bones and cartilages. Sometimes, unlikely, we need to fill the gaps and change the shapes.


Rhinoplasty can change:


•          Nose size

•          Nose width, at the bridge

•          Nose profile, with visible humps or depressions on the bridge

•          Nasal tip, that is large or bulbous, drooping, or too upturned

Nostrils that are large, wide or upturned.


Is rhinoplasty right for me?


Rhinoplasty can be performed on men and women of almost any age. However, it’s usually recommended that young people wait until facial growth is complete – about age 16 or 17. If you are a teenager, having the procedure should be your own idea.You may be a good candidate for rhinoplasty if you have any of the following conditions:your nose appears too large for your face there is a bump or depression on the nasal bridge when viewed in profile the nose seems too wide when viewed from the front the nasal tip droops or plunge the tip is thickened or enlargedthe nostrils are excessively flared your nose is off-center or crooked a previous injury has made your nose asymmetrical

A personal consultation is the first step for every patient  considering rhinoplasty. During this meeting, your surgeon will assess your physical and emotional health and discuss your specific cosmetic goals for surgery.You should arrive at the consultation prepared to provide complete information about:previous surgeriespast and present medical conditions medical treatments you have received medications that you take, including nutritional supplements and herbal remedies any allergies that cause congestion or conditions that cause breathing difficulties how often you use nasal sprays to relieve congestion.

After surgery, the patient has a straighter bridge, a well defined nasal tip and an improved angle between the nose and upper lip During your physical evaluation, your plastic surgeon will examine the structures inside your nose and the quality of your skin, as well as the size and shape of your nose and its relationship to your  other facial features Your plastic surgeon may recommend other treatments that can be performed along with the rhinoplasty to better meet your appearance goals or to improve breathing.


Procedural Steps:


What happens during nose surgery?


Step 1 – Anesthesia


Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.


Step 2 – The incision


Surgery of the nose is performed either using a closed procedure, where 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.


Step 3 – Reshaping the nose structure


Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body.

Most commonly, pieces of cartilage from the septum, the partition in the middle of the nose, is used for this purpose.

Occasionally a piece of cartilage from the ear and rarely a section of rib cartilage can be used.


Step 4 – Correcting a deviated septum


If the septum is deviated, it is now straightened and the projections inside the nose are reduced to improve breathing.


Step 5 – Closing the incision


Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.


Step 6 – See the result


Splints and internal tubes will likely support the nose as it begins to heal for approximately one week.

While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine.

During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.


How will I be cared for on the day of my surgery?


Rhinoplasty surgery may be performed in an outpatient surgery center, an office-based surgical suite or a hospital. If you are admitted to a hospital or surgery center, your stay will be a short one, perhaps just one night. Medications are administered to keep you comfortable during the surgical procedure. Local anesthesia and intravenous sedation may be used for patients undergoing rhinoplasty, although general anesthesia may be desirable in some instances. Your plastic surgeonwill monitor your physical status throughout the operation an during your recovery.


How will I look and feel right after surgery?


When the surgery is completed, you’ll be taken to a recovery area. Any discomfort that you feel will be controlled with medication prescribed by your surgeon. A splint may be applied to the bridge of your nose to protect the nose and hold the tissues in place until they have stabilized. You may also have a small, triangular bandage beneath the tip of your nose and packing inside the nostrils, especially if work has been done to improve your breathing.Although everyone heals at a different rate, you can expect that your recovery will follow this general time line:


The first day:

In this early stage of healing, you should rest with your head

elevated to help minimize swelling

Activity must be kept to a minimum

You may experience a small amount of bleeding and stuffiness.

Within 10 days:

Swelling reaches its peak and then begins to subside

Bruising will begin to diminish

You can safely use makeup to conceal any discoloration

Stitches and packing will dissolve or be removed

You may discontinue wearing the splint (near the week’s end)

You may return to school or a nonstrenuous job.

After several weeks:

You may resume exercise and most of your normal activities

Most of the swelling will subside.

The results will be long-lasting

It may take several months for swelling to fully dissipate and up to a year – and sometimes longer – for the outcome of the surgery to fully refine.Although the results of nose surgery are usually permanent, cartilage may continue to reshape and move tissue that may change the outcome over time.




Do you break the bones?

We do not break the bones. If we want to reshape or take some parts out, we cut them. For this use, we use thin cutters. Sometimes bones are being rasped.


Can this surgery be done by local anesthesia?

If it is going to be something related to bones- mostly it is necessary- local anesthesia is not appropriate. This is a surgery which general anesthesia is a must.


Is it a must to use tampons? When tampons are removing is it going to hurt a lot?

You do not have to use tampons. Even, after most of the operations there is no need to use tampons. Tampon is just in need if something serious is done inside the nose. Now, modern tampons are not long as meters like they use to say in past. Taking tampon out might discomfort you but it is no more a process with pain. Consult to your doctor about this topic, and find out if you need to use tampons and if it is needed which tampon you should use.


In rinoplasty, is the aim minifying nose and take bone out?

The answer of this question is absolutely no. In this surgery the goal is to give the desired shape to the nose. Unlike it is thought, this is done by magnifying nose but not minifying it. At the back of the nose there is a bone called hump (actually it is mostly cartilage) and if there is extra on it, it is absolutely remove, but mostly in this kind of nose, there is lowness and it needs to heighten. Even if the tip of nose seems fat, the actual matter is the shape of it and minifying it or getting it thinner just exaggerates the problem.