What is Rhinoplasty?
This is one of the most artistic procedures a plastic surgeon performs and is one of Dr. Dahan’s favorites. Dr. Dahan has significant training and experience with rhinoplasty. Rhinoplasty is mainly about proportion and shape, also referred to as Nose Reshaping. Female and male noses are not the same and these differences must be respected during rhinoplasty surgery.
Rhinoplasty can offer a dramatic enhancement in facial appearance. The most common rhinoplasty involves the reduction of a hump and/or reshaping of the tip. In most cases, both bone and cartilage are sculpted. Today, in addition to incisions hidden inside the nose, most rhinoplasties include a tiny incision across the columella, the skin under the nose between the nostril openings. The incision is rarely visible.
Am I a good candidate for Rhinoplasty?
Sometimes the nose is too small and needs to be built up using your own cartilage or in some cases a nasal implant. As with so much of plastic surgery, your starting anatomy defines your range of opportunity. For example, a really large nose has too much skin to be made into a tiny nose without risking deformity. We spend a great deal of time teaching and establishing realistic expectations to be sure our patients will be happy with their rhinoplasty. Dr. Dahan’s goal with every rhinoplasty is to achieve a natural, attractive result where most people will assume the patient was born with a beautiful nose.
Medical Reasons for Rhinoplasty
Nasal function is very important to Dr. Dahan. Some patients may require surgery of the septum and turbinates at the same time as the rhinoplasty to improve and ensure optimal nasal breathing. These procedures may improve snoring, speech, exercise tolerance and headaches. Occasionally, insurances may pay for the septum and turbinate surgery to improve your breathing.
What to expect from Nose Surgery
Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. It is most commonly performed under general anesthesia, but local anesthesia and sedation is also an option. During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape.
The Rhinoplasty Procedure
Dr. Dahan performs rhinoplasty from within the nose, making his incision inside the nostrils. Sometimes an “open” procedure is required, especially in more complicated cases; a small incision across the columella (the vertical strip of tissue separating the nostrils) is made. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.
After surgery, particularly during the first 24 hours, your face will feel puffy, your nose may ache, and you may have a dull headache. You can control any discomfort with the pain medication prescribed by your surgeon. Plan on having your head elevated for the first few days. You will be asked not to blow your nose for a week and avoid wearing eyeglasses for a couple of weeks. If you have nasal packing, it will be removed after 1-3 days and you’ll feel much more comfortable. By the end of 7-10 days, all dressings, splints, and stitches should be removed.
Most rhinoplasty patients are up and about within 1 to 2 days, and able to return to school or sedentary work within 7 to 10 days following surgery. It will be a couple of weeks, however, before you feel completely normal. You will have to avoid contact sports for at least 6 weeks and should protect your nose from the sun.
Rhinoplasty Side Effects
You’ll notice that the swelling and bruising around your eyes will increase at first, reaching a peak after two or three days. Applying cold compresses will reduce this swelling and make you feel better. In any case, you’ll feel a lot better than you look. Most of the swelling and bruising should disappear within one to two weeks. A little bleeding is common during the first few days following surgery, and you may continue to feel some stuffiness for several weeks.
Scheduling your Rhinoplasty
For more information about Rhinoplasty surgery, please contact Dr. Dahan’s office at (775) 826-4477.