Rhinoplasty, which is also referred to as a nose job, is a plastic surgery procedure that improves the shape of the nose by correcting and restructuring the underlying nasal structures. The surgery may also correct nasal breathing difficulties. Rhinoplasty is most often performed by a plastic surgeon who specializes in surgeries of the nose, an otolaryngologist or a maxillofacial surgeon.
Rhinoplasty can be performed on individuals who are unhappy with the appearance of their nose or those who have suffered from trauma or injury (e.g. car accidents, skin cancer) that requires reconstruction of the nose to restore normal appearance. Rhinoplasty also plays an important role in treating patients who suffer from congenital defects such as cleft palate.
Rhinoplasty is one of the most commonly performed plastic surgeries in the United States today. It can be used to address a wide variety of nasal complaints and defects. Some of the most popular reasons people seek a rhinoplasty are to:
- Eliminate or reduce a nasal hump
- Correct a drooping nasal tip
- Correct over-rotation of the nasal tip
- Address asymmetries
- Smooth out bumps and lumps
- Change the size or shape of the nostrils
During rhinoplasty, the surgeon can access the underlying nasal framework in two ways – through the nostrils (a closed rhinoplasty) or by separating the nasal skin from the underlying structures (an open rhinoplasty). Neither method in itself is superior, but some doctors have a preference towards an open or closed approach. In most cases, when major changes are being made, an open rhinoplasty provides the doctor with better access to the nasal structures and a clearer view.
There is no risk of scarring associated with a closed rhinoplasty. In an open rhinoplasty, a tiny incision is made across the columella, the strip of skin that separates the two nostrils. In most cases, the scar left from this incision is barely visible to the naked eye, especially when a skilled surgeon performs the procedure.
Yes. It is quite common for a plastic surgeon to correct problems in the underlying nasal framework in order to restore proper nasal function. In some cases, a problem in the nasal structure is responsible for both a physical and functional defect.
Rhinoplasty that is performed to address solely cosmetic complaints is rarely covered by insurance; however, insurance may cover a portion of the surgery if it is performed to correct a breathing problem.
Rhinoplasty can be performed on teenagers after their noses have reached full adult size. This usually occurs around the age of 15 in females and around 16 in males. It is also important that the patient is emotionally mature enough to handle the demands of the surgery and recovery period.
The cost of rhinoplasty varies based upon the type of rhinoplasty being performed, extent of revisions required, experience and skill level of the surgeon, and the geographical location of the practice. Dr. Morin is able to provide his patients with a detailed quote after their initial consultation.
Dr. Morin provides his patients with detailed instructions to follow in the weeks and days leading up to their surgery. This includes the cessation of any medications that are known to increase bleeding. Patients who smoke cigarcigarettes will need to quit before their surgery. Most patients will need to undergo certain blood tests as well. We recommend that patients maintain a healthy lifestyle and get plenty of rest before surgery to support the recovery process.
On average, the surgery takes about two to three hours to perform. Depending on the changes being made, it can take more or less time.
Rhinoplasty is typically performed under general anesthesia. An anesthesiologist administers the drugs and stays the patient throughout the surgery to monitor his or her well-being.
Rhinoplasty is usually performed as an outpatient surgery, so you should be able to return home on the same day as your surgery.
You will leave the surgical center with a splint on your nose. This remains in place for one week and protects the nose during the initial recovery phase. Most patients report that their recovery from rhinoplasty is uncomfortable, rather than painful. It is important that you give your body the time it needs to heal properly, so you should expect to spend the first week recovering at home and taking it easy. Office workers are usually able to return to work after one week, but those with more strenuous jobs may need to wait another week or two before returning.
Dr. Morin provides his patients with detailed instructions to follow during their recovery period. You can help ensure a satisfactory outcome and comfortable recovery by adhering to your post-operative care instructions.
About half of all rhinoplasty patients have some amount of bruising after rhinoplasty and nearly all patients experience swelling. Within the first week, most of the swelling and bruising will have dissipated and you should be able to cover any lingering bruising with makeup; however, it can take up to one year for swelling to completely disappear and for the nose to take on its final shape and position. Most of our patients are comfortable appearing in public within one week to show off their new nose.
Ethnic rhinoplasty refers to a rhinoplasty performed on people of non-Caucasian descent. Surgeons who perform ethnic rhinoplasty must take the patient’s unique heritage into account to shape a nose that looks natural on their face. Not all surgeons are able to perform ethnic rhinoplasty, so it is important to find a surgeon who is experienced in performing rhinoplasty of patients who are similar to you.
Septoplasty is the name of the surgery performed to correct a deviated septum and thereby restore proper nasal function.
Yes. In some cases, patients wish to make cosmetic changes to their nose while a deviated septum is being corrected. The name of this surgery is septorhinoplasty.
Most insurance policies cover septoplasty, provided that a doctor has deemed the surgery medically necessary. Patients who choose to undergo septorhinoplasty can expect to have a portion of their surgery paid for by insurance, but will likely need to cover the cost of any cosmetic changes being made.