Rhinoplasty

Rhinoplasty – Achieving facial balance and harmony through surgical sculpture

Very few of us were blessed by heredity to have the perfect nose.  Because the nose occupies the central focus of the face, an unusually large, bulbous, or crooked nose can cause a person to be self-conscious, feeling that it doesn’t fit in with the other facial features.

Rhinoplasty, commonly called a “nose job”, is a surgical procedure to alter the appearance of the nose to create the appearance of facial harmony and a renewed sense of self-confidence.

There is no plastic surgical procedure that requires more skill, artistry and experience than the rhinoplasty.  Creating a nose that fits in beautifully with the other facial features requires surgical expertise and an aesthetic sensibility that cannot be taught to just any Plastic Surgeon, but requires true artistry.

Dr. Edelson has 25 years of rhinoplasty experience and is known for creating noses that look natural and fit in with the other facial features, enhancing their appearance rather than detracting from them.

Each rhinoplasty performed by Dr. Edelsaon is individually planned and tailored to each patient’s unique facial features.  The result is a nose that restores balance and harmony to the face; a nose that is beautiful, naturally.

Understanding Rhinoplasty

The rhinoplasty procedure takes about 1-2 hours and is performed at Dr. Edelson’s surgical center usually under general anesthesia.

There are different techniques for performing rhinoplasty.  The closed rhinoplasty, in which surgery is performed from inside the nostrils, and the open rhinoplasty, where an additional incision is made across the columella, the strip of skin which separates the nostrils.  Either approach is acceptable and an excellent result can be obtained either way.

Modifications are made to the cartilage and bones of the nose.  The cartilage is modified to obtain a refined appearance to a bulbous tip.  The bridge of the nose can be reduced by shaving down the cartilage and bone either with a file or chisel.  Often the nasal bones need to be broken in order to narrow the nose.

If a breathing problem exists pre-operatively, this is addressed by additional internal work, most commonly correction of a deviated septum.

During recovery, a splint is kept over the bridge of the nose to reduce swelling and hold the structures of the nose in place for one week.  Although the eyes will swell and bruise, most of the this will be gone one week after surgery, when the splint is removed.  When the splint is removed, you will see your new nose, although there will still be some swelling which gradually resolves.  You should be able to be seen in public in 7-10 days but still might have a little bruising.

Rhinoplasty FAQs

Rhinoplasty

The septum can be thought as of as a wall which separates the two sides inside the nose and is made of cartilage and bone.  If it is “deviated”, it means it is pushed too much to one side or the other.

This can cause breathing problems which fortunately can be corrected during rhinoplasty by straightening or removing portions of crooked cartilage or bone without having an effect on the appearance of the nose itself.

This depends on the insurance carrier and your particular situation.  Insurance companies may cover part of surgery if it is done to improve the breathing or if the nasal deformity is the result of an injury.  Be sure to check with your insurance provider ahead of time.

It can depend on which Plastic Surgeon you ask.  An excellent result can be obtained either way, but most surgeons have a personal preference for one or the other.  I typically perform a closed rhinoplasty for primary rhinoplasty and reserve the open technique for revision (secondary) rhinoplasties or the more complex cases.  The best advice is the select the best surgeon based on their experience and results in their before and after pictures.

This is one of the more challenging problems in rhinoplasty.  A proper diagnosis of the cause of the asymmetry needs to be determined, whether it involves cartilage, bone, or both.  There are a number of strategies different surgeons will use to correct this, and breaking the nasal bones and straightening them is almost always necessary in addition to making modifications to the cartilage and often the septum.

Most Plastic Surgeons require one year to pass before performing a revision.  This is to allow all the swelling to subside and the tissues to mature and soften to the point where surgery can be performed again.  Re-operating too soon runs the risk of damaging the delicate structures of the nose and usually makes the situation worse.

 

Patients with thick or oily skin make it more difficult to obtain fine detail and definition particularly in the nasal tip.  This is more often a problem with men than women.  The surgeon should assess the quality of your nasal skin ahead of time so you know whether this will have an impact on the result that you can expect.

Yes, large nostrils can be reduced by cutting out a wedge of skin 2-4 millimeters wide at the junction of the nostril and cheek.  The scar almost always heals imperceptibly.  This is definitely a part of rhinoplasty that requires a high level of artistry to make it look good.

Not in all cases.  Breaking the nasal bones is done to narrow the nasal bridge or deal with asymmetry.  If the surgery involves mainly the tip of the nose and the bridge is O.K. to begin with, nasal fractures can often be avoided.

A chin implant can add balance to a profile where the nose is too big and the chin too small.  The implant is made of silicone rubber and is usually inserted through an incision inside the lower lip.