Rhinoplasty (Nose)

Rhinoplasty (nasal surgery) is a procedure performed most often to achieve aesthetic and functional results. Aesthetically, the nose is reshaped to achieve a more harmonious relationship with the rest of the face. Functionally, cartilage and bone are repositioned or reshaped to improve nasal breathing. The term septorhinoplasty is used when both functional and cosmetic components exist.

Rhinoplasty is generally considered to be one of the more challenging of facial plastic procedures and is an area in which Dr. Thompson has particular expertise and training. The goals and approach to each individual are unique and depend on many factors discussed at length in a detailed consultation and imaging session. It is important to evaluate the nose as it relates to the rest of the face. For example, a patient may request a reduction in the size of the nose when in reality, the chin makes the nose appear artificially large. In such a case, a chin implant may be recommended.

Procedure Benefits

Rhinoplasty is performed in the operating room under deep sedation. Depending on the goals of surgery and the anatomic considerations of the individual patient, either an "open" or "closed" approach is taken. With the open approach, a small incision is made on the skin separating the nostrils. This incision heals very well and generally becomes imperceptible with time. With the closed approach, all incisions are made inside the nose. Whichever approach is used, cartilage, bone, and soft tissue are shifted and reshaped to achieve the desired result. Benefits of Rhinoplasty include:

  • Improves harmonization of nose and facial features
  • Improves nasal breathing
  • Can restore nasal appearance and function following nasal trauma
  • Results are usually permanent
  • Safe and effective

Recovery

Following surgery head elevation and an ice pack to the forehead are recommended. If nasal packing has been placed, it will be removed the following day. A nasal cast will be in place and will be removed one week following surgery. Significant pain is uncommon, but prescription pain medication is provided for any discomfort that does arise. Most patients are ready to return to school or work after one week, but bruising usually remains for about two weeks. Significant swelling is still present at one week when the cast is removed and resolves slowly over several weeks. Beyond this, subtle contour changes will continue to occur for up to one year as minor swelling continues to resolve.

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