Cosmetic Nose Surgery
Dr. Lee performs rhinoplasty in order to reshape the nose. Appearance can be improved for those people who are dissatisfied with the shape and size of their nose. Nasal reconstruction was one of the first cosmetic procedures ever developed and is among those most frequently performed today. Rhinoplasty is a surgical procedure in which deformities of the nose are corrected by removing, rearranging or reshaping bone or cartilage. Indications for surgery include reducing the size of the nose, removal of bumps as well as improving the angle of the nose. Conditions may be natural or due to external trauma to the face. The operation can be performed on all age groups, including teens and the elderly.
In most cases involving a reduction in shape or size of the nose, angle or removal of a hump, the skin of the nose is separated from the underlying skeleton of bone and cartilage. The bone and cartilage are then reshaped and the skin redraped over the surface. The incisions are placed inside the nose, unless Dr. Lee uses an open approach, in which an incision is made across the tissue between the nostrils connecting the incision placed inside the nostrils. In cases where the nostrils flare, the surgeon may make an incision at the junction between the nose and the skin of the upper lip to narrow the flared appearance. It is not unusual to combine rhinoplasty with chin augmentation to improve the profile.
Nose surgery (Rhinoplasty) is a procedure to reshape the nose in order to create a more pleasing look and, in some instances, to correct severe breathing problems. With approximately 400,000 operations performed each year, rhinoplasty is considered the most popular cosmetic procedure in the United States. Rhinoplasty usually involves reducing the size of the nose by removing and sculpting the nasal tissues in order to enhance the facial appearance. The results are unique to each individual, and depend upon such factors as skin condition and thickness, nasal and facial structure, genetic contributions, and age. Traditionally, a “nose job” was performed only to correct major problems. However, recent surgical innovations allow for individuals to benefit from more moderate improvements from the procedure as well. In general, having nose surgery provides the patient with a better facial balance and overall appearance.
Reasons for Considering Nose Surgery:
- Bring a better proportion to the nose and facial features.
- Reduce the size of the nose that is too large or too wide.
- Correct an overly arched or “Roman” nose.
- Re-form a crooked or elongated nose tip.
- Restore the nose if damaged from an accident or sports injury.
- Help with breathing problems by rebuilding the nasal passage.
- Treat nasal deformities caused at birth.
Note: If rhinoplasty is being utilized to correct a breathing problem or nose deformity, the procedure may be covered under the patient’s insurance policy. Our staff will be happy to help you determine if benefits exist under your plan.
The rhinoplasty procedure lasts from one to three hours. Dr. Lee may elect to utilize either local or general anesthesia, depending upon the complexity of the operation.
To begin the surgery, tiny incisions are made which allow Dr. Lee to access the underlying nasal structure. Once the skin is opened, the cartilage and bone are reshaped to form the basis for the new look. Two basic methods are utilized for performing nose surgery. These methods are referred to as the ‘open’ and the ‘closed’ techniques. The open technique allows for maximum visibility and control over the procedure. The incision used in the open technique is placed in-between the nostrils on the columella (the medial nostril strip). In the closed technique, the incisions are internal and heal faster; however, there is less surgical control over the outcome. Dr. Lee can discuss which technique is best when the patient arrives for the initial consultation visit.
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and to reduce the recovery time. Some swelling may be noticed; however, any swelling will disappear within a few weeks. A splint, bandages, and/or gauze are applied immediately following surgery to aid in the healing process and to minimize movement of the nose. Patients must refrain from smoking for several weeks before and after the surgery. In addition, any corrective glasses that are worn must be taped up and off the nose. The nose will need to be well-protected from the sun for the first year after the procedure while the body is adjusting to the new look. Patients sometimes report minor pain associated with the surgery. Pain can be effectively treated with oral medication and/or cold compresses. While complications are rare, patients can minimize the risk of potential problems by carefully following the post-surgical directions given by Dr. Lee.
Most patients will resume their normal activities within one to two weeks. There is always some stuffiness of the nose, especially when work has been done on the nasal septum. Bruising can occur around the eyes, but will begin to fade within a few days after surgery and the discoloration will usually disappear in two weeks.