Who Is a Candidate for Rhinoplasty?
Candidates for rhinoplasty should meet the following qualifications:
- In good physical health
- No chronic health conditions that could increase the risks of surgery
- Facial growth is complete (usually occurs in the late teenage years)
- Has a positive outlook
- Has specific, reasonable goals of surgery
- Desires improvement, not perfection
To find out whether you are a good candidate for rhinoplasty, please request an appointment with Dr. Coscia.
What Is Involved with Rhinoplasty Surgery?
There are three broad anatomical categories addressed during rhinoplasty surgery—the skin, nasal cartilages, and nasal bones. The preoperative condition of the skin is important because very thin or very thick nasal skin can affect the surgical outcome. The nasal cartilage involves upper lateral nasal cartilage segments and lower alar cartilage segments. The nasal bones are assessed for their positioning and width.
In a patient who has a prominent dorsal hump, this often involves the nasal bones as well as the upper lateral cartilages. In the consultation, we will discuss the techniques that are used to refine these areas of the nose to give a more natural dorsal nasal slope. In situations where a patient has a very large or bulbous nasal tip, we address the lower alar cartilages. Techniques designed to narrow these cartilage segments, as well as reshape them, will be discussed.
Rhinoplasties performed to treat post-traumatic nasal injuries involve a variety of techniques aimed at reshaping the cartilage and/or bony structure. In patients with nasal obstruction, we often manipulate the nasal septum and the inferior turbinates.
In general terms, the aim of rhinoplasty is to restore natural proportions and aesthetic ideals to the nose. These small changes can improve the overall balance of the nose and positively affect a person’s face.
Types of Rhinoplasty Surgery
Open Versus Closed Rhinoplasty
Rhinoplasty is performed using either the open approach or the closed. In the open approach, an incision is made along the columella, the strip of skin separating the nostrils. In the closed approach, the incisions are hidden inside the nostrils.
Septoplasty addresses a displacement of the septum, which is the wall of bone and cartilage separating the nostrils. A deviated septum can make it difficult to breathe through the nose. Septoplasty can be performed in combination with rhinoplasty or as a standalone procedure.
Ethnic rhinoplasty is performed on non-Caucasian noses. The goal of most ethnic rhinoplasty procedures is to improve the appearance of the nose without compromising the patient’s unique ethnic identity and facial characteristics.
Revision rhinoplasty improves upon the results of a previous rhinoplasty procedure. It may address aesthetic and/or functional problems that result after the initial rhinoplasty surgery.
What Procedures Can be Combined with Rhinoplasty?
Oftentimes, rhinoplasty is performed alone, as it is the patient’s primary concern at that time. However, many of the other facial rejuvenation procedures can be performed at the same time as rhinoplasty. For example, a patient might opt for laser resurfacing of the face at the same time as the rhinoplasty.
What Type of Anesthesia is Used for This Procedure?
Depending upon the type of rhinoplasty to be performed, a patient may undergo either IV sedation or general anesthesia. This is usually discussed on a case-by-case basis.
What Should I Expect After Rhinoplasty?
Like many of the facial procedures, rhinoplasty does not involve a significant amount of postoperative pain, rather a general underlying level of discomfort. You will be discharged from the surgical center with an external nasal splint on your nose. The splint will stay in place for five days, at which time you will return to the office to have it removed, as well as a few tiny sutures. Your nose will be evaluated, and then you will receive a new splint for an additional five days before removal. You can also expect swelling of the nose and some bruising that is patient-specific and varies. A large degree of your swelling will be reduced in approximately two to three weeks after surgery with further reduction by two to three months.
Frequently Asked Questions About Rhinoplasty
What are the potential risks and side effects of rhinoplasty?
Any major surgery, including rhinoplasty, carries risks. Rhinoplasty risks include the following:
- Adverse reaction to anesthesia
- Persistent pain or swelling
- Unfavorable scarring
- Numbness in and around the nose
- Breathing difficulties through the nose
Is rhinoplasty painful?
Rhinoplasty is performed under anesthesia, so patients do not feel or remember anything from surgery. After surgery, most patients have some mild discomfort as the anesthesia wears off. Prescription or over-the-counter pain medications can be taken as needed to manage discomfort.
Is there an age limit for rhinoplasty?
Rhinoplasty does not have specific age requirements. However, as a general rule, rhinoplasty should not be performed until facial growth is complete. Operating on a nose while it is still developing can lead to an unfavorable result.
When can I return to work after rhinoplasty?
Expect to take approximately one week off from work after rhinoplasty. Some patients need a few extra days, depending on how they feel.
Do nose jobs last forever?
The results of rhinoplasty are very long-lasting. However, the appearance of the nose can change gradually with age.
How long does a nose job take?
Rhinoplasty is an outpatient procedure, so patients can return home shortly after the procedure. The operation normally takes one to three hours, depending on the complexity of the changes being made.
How much does rhinoplasty cost?
The cost of rhinoplasty is based on the surgeon performing the operation, the complexity of the procedure and whether it is combined with other procedures. Dr. Coscia and his team would be happy to provide more specific pricing for rhinoplasty during a consultation.
Learn More About Rhinoplasty
If you are considering rhinoplasty or have further questions, we encourage you to call our office and set up a consultation with Dr. Coscia. At that time, he will discuss your specific concerns, as well as walk you through before and after photos and diagrams to explain in detail the procedure of rhinoplasty.
*Individual results may vary