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Nose Reshaping[Rhinoplasty] Nasal surgery can frequently
bring about a most pleasing change in the face by producing
a balanced and softer look. Rhinoplasty can reduce the
size of the nose, reshape the tip, remove a hump, or
improve the angle between the nose and the upper lip.
Nasal surgery is also performed to correct functional
breathing problems.
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About the Procedure Rhinoplasty requires exceptional
skill on the part of the surgeon because it is the most
challenging of all facial plastic surgery procedures.
Extensive experience in Rhinoplasty surgery is essential
for the surgeon to produce consistently good results.
During the consultation, a thorough analysis of the
nose and face is performed and both the patient and
the surgeon have to communicate clearly about the desired
change. In our practice, this is almost always accomplished
with the help of video imaging which gives the patient
a very good idea of what the nose will look like after
surgery.
Some nasal operations are performed completely
through incisions made inside the nose. Sometimes the
external approach is utilized. An incision is made between
the nostrils providing the surgeon excellent exposure
inside of the nose. Certain amounts of underlying bone
and cartilage are removed, added to, or rearranged.
Bumps in the nose can be reduced or totally eliminated.
The nose can be made narrower by bringing the sides
of the nose closer together. The tip of the nose can
be made smaller or lifted to enhance the angle between
the nose and the upper lip. When an oversized nose is
made smaller, the nostrils may also need to be reduced
in size.
The tissues are then redraped over the
new framework and the incisions closed. Tape and a splint
are placed on the nose to help maintain the new shape
and protect it. Gone are the days of packing the nose
with gauze. Applying cold compresses to the area and
keeping the head elevated can reduce swelling and bruising.
These symptoms will begin to fade in a day or two. There
will be some subtle swelling for several months after
nasal surgery.
A purely cosmetic nasal surgery (Rhinoplasty)
is not covered by insurance, however, the reconstruction
portion (setoplasty) may be a covered benefit with some
insurance policies. Like most cosmetic procedures, nasal
surgery is done under "twilight anesthesia,"
(local anesthesia with an intravenous sedative.)
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