Rhinoplasty is a procedure done on the nose to change the angle and/or width of the nose to provide the patient with a more balance or appealing look. Because the incisions are made on the inside of the nose, there is little to no scarring.
Rhinoplasty procedures, we do in our operating suite here. The patient
goes to sleep, and during the operation I make small incisions on the
inside of the nose. The bony structure of the nose can then be reduced,
reducing both the angle and the width of the nose, and the cartilage at the
tip of the nose can then be refined to give the nose a more elegant look.
There are many techniques that use incisions on the outside of the nose. I
prefer to leave all of these incisions hidden on the insides. There's no
external scarring at all. My goal with all rhinoplasty procedure is to
leave the patient with the nose that they should have been born with. So
many patients feel that their nose doesn't fit with the rest of their face.
It's just not quite harmonious. They're not really particularly
interested in looking different or having a new nose, they just want to
have a better version of their own nose.
Many surgeons will perform rhinoplasties the exact same way in every single
patient, where the nose is completely reduced and you have a typical
rhinoplasty or operated-looking nose. I prefer to take each nose, again,
and try to give the patient a nose that fits with their face and still
looks like their nose. So they should not look operated on. And that's my
goal in all operations to provide patients with a natural appearance so
they don't look as though they've had surgery, but are significantly
improved from before.
At the same time, as we perform a cosmetic rhinoplasty we can frequently
address nasal airway issues, opening up the nasal passages, reducing
deviated septums to allow people to breathe better, and those, again, are
certainly done at the same time frequently. The cosmetic portion, the
rhinoplasty itself won't change the way the nose functions. You'll still
be able to breathe the same way afterwards. It's really designed just to
change the physical appearance of the nose.
During the first week after rhinoplasty, patients have a plastic splint
over their nose and black-and-blues under their eyes. At a week the splint
is removed and the black-and-blues tend to stay for about two weeks.
During that period of time they're really in very little pain, they just
have a stuffy nose and don't look great. Usually, by the end of two weeks
they can get back out in public and people cannot tell they've had surgery.
At that point, their nose is still a little bit swollen and will probably
remain a little bit swollen, especially in the tip for up to a year.
Having said that, no one except themselves, their close family members, and
me will know that it's still swollen.