About This Procedure
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 good results.
During the consultation, a thorough analysis of the nose and face is conducted.
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.
nasal operations are performed 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. Bone and
cartilage are removed, added to, or rearranged. Bumps in the nose can be
reduced or completely 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 a nose is
made smaller, the nostrils may also need to be reduced in size.
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 help to 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.
cosmetic 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” (a local anesthesia with an intravenous sedative.)