Every year, half a million people who are interested in improving the appearance of their nose seek a consultation with a Facial Plastic Surgeon. Some are unhappy with the nose they were born with, and some with the way it has aged. For others, breathing may be a problem, or they suffered a nasal injury, or are dissatisfied with the result of previous nasal operations. A slight alteration of the nose can greatly improve one's appearance. Rhinoplasty (reshaping the nose), could improve one's looks, self confidence or health. As with all facial plastic surgery, realistic expectations are a pre-requisite.
The goal of rhinoplasty is to improve the nose aesthetically (without creating a “surgical” look) in order to create harmony with other facial features. Additionally, many patients have a chin augmentation in conjunction with rhinoplasty if indicated. Rhinoplasty is usually performed under general anaesthesia. Occasionally, it can be done with local anaesthetic injections.
In rhinoplasty, the majority of incisions are made inside the nose, where they are invisible. In some cases, an incision is made in the area of skin separating the nostrils. Certain amounts of bone and cartilage are then removed or rearranged to provide a newly shaped nose. If the patient has a deviated septum (cartilage and/or bone causing obstruction inside the nose), septal surgery, called septoplasty, is simultaneously performed. The incision is placed entirely inside the nose. The septoplasty removes portions of cartilage and/or bone that are causing the obstruction. The incisions are then closed with fine sutures, followed by placement of a splint which is removed a week later. The majority of the bruising and swelling dissipates two weeks after surgery.
Although discomfort is minimal, pain medication is available if required. Vigorous activity is avoided for four weeks following surgery. Sun exposure and risk of injury must be avoided. If you wear glasses, tape is used to avoid putting stress on the nose.
During your evaluation, Dr. Conrad will discuss factors that may influence the outcome of the surgery, such as skin type, ethnic background, age and degree of nasal deformity. Read about preparing for your rhinoplasty procedure.
A nose which does not “fit the face” whether due to genetics, trauma or disease.
A breathing problems associated with cartilage and/or bone obstruction inside the nose (deviated septum)
A chin implant may be needed to bring the nose and chin into better balance.