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. Rhinoplasty is considered one of the most popular cosmetic procedures in the United States, in both men and women.  The surgery usually involves altering the size of the nose by removing and sculpting the nasal cartilages and bones.  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. In general, rhinoplasty can provide better overall facial harmony and balance without being too noticeable or extreme.

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.

General Procedure

The rhinoplasty procedure lasts from one to three hours.  The surgeon 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 the surgeon 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. Bruno can discuss which approach is best when you arrive for the initial consultation visit.

Recovery Process

Some swelling may be noticed; however, the obvious swelling and bruising will resolve within one to two weeks. The minor or less noticeable swelling can take several months to completely resolve. A splint and nasal gauze packing  are applied during the surgery-the packing is removed in one day, the splint is removed in one week.  In addition, any corrective glasses that are worn must be taped up and off the nose.  Pain can be effectively treated with oral medication and/or cold compresses.  Your result will evolve over the course of the first year, with very subtle changes from the first month until the first year after surgery.