Nose Reshaping (Rhinoplasty)
What is nose reshaping?
Cosmetic nose reshaping is also known as rhinoplasty. This surgery can change the shape of the nose, and also fix some breathing problems. Rhinoplasty involves the resculpting of the bone and cartilage. This procedure can:
Reduce or increase the size of the nose
Narrow the span of the nostrils
Change the angle between the nose and upper lip
Change the tip or bridge of the nose.
Rhinoplasty can be done as a closed or open procedure:
Closed procedure. The surgeon works from inside the nose by making a cut or incision inside the nose.
Open procedure. The surgeon works from the outside by making a small incision across the tissue that divides the nostrils.
Any surgery has risks. Possible complications of a rhinoplasty may include the following:
Repetitive (or revision) surgery. In rare cases, a second surgery may be needed to fix a minor defect that occurs because of the initial surgery.
Surgery complications. As in any surgery, there is a risk of infection or reaction to the anesthesia. Nosebleeds can also occur after surgery.
Burst blood vessels. Sometimes small blood vessels may burst, causing tiny red spots on the nose. The spots are often minor in appearance but can be permanent.
Scarring. With the open procedure, scarring on the base of the nose is possible.
About the procedure
Each procedure will vary. But nose reshaping surgery generally follows this process:
Location options may include:
Surgeon's office-based surgical facility
Outpatient surgery center
Anesthesia options may include:
Local anesthesia with IV or intravenous sedation that allows you to stay awake but relaxed
Average length of procedure:
About 2 hours
You will usually be up and around in a few days
You will usually return to school or desk work in a week or so
Your surgeon will provide guidelines for resuming normal activities
Some possible short-term side effects of surgery:
A splint may be placed on your nose to help keep the new shape
Nasal packs or soft plastic splints may be placed in your nostrils to stabilize the septum
Your face will feel puffy
Your nose may ache
You may have a dull headache, and swelling or bruising around the eyes
A little bleeding is normal in the first few days
Small burst blood vessels may appear as tiny red spots on the skin's surface
Healing is slow and gradual. You may have some swelling for months, especially in the tip of the nose. Final results of nasal surgery may not be apparent for a year or more.
If you have traditional open surgery, or surgery to narrow flared nostrils, small scars will be located on the base of your nose. The scars usually are not noticeable. Scarring is not visible when rhinoplasty is done from inside the nose.
March 21, 2017
Lickstein, David, MD,Sather, Rita, RN