Rhinoplasty, also known as nasal surgery or a "nose job," is one of the most common plastic surgery procedures performed today. It can reshape, reduce or augment a person's nose to achieve facial harmony and boost self-confidence. It may be performed as a reconstructive procedure to correct a birth defect or an injury such as a broken nose.
Nose surgery may be performed for functional rather than cosmetic reasons as well. Combining nose reshaping with septoplasty can effectively treat certain breathing problems, such as those caused by a deviated septum.
Rhinoplasty is an excellent procedure to achieve the following:
The best candidates for rhinoplasty:
Rhinoplasty is usually an outpatient procedure performed under IV sedation or general anesthesia.
At his practice in New York City NY, Dr. Schwartz will use one of two techniques when performing nasal surgery. In a closed rhinoplasty, incisions are made within the nostrils. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils. With both methods, Dr. Schwartz gently lifts the soft tissues covering the nose. He then sculpts the bone and cartilage to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum.
If the patient has a deviated septum, the surgeon will adjust the septum and the inner structures of the nose to improve breathing. The tissues are then re-draped and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of rhinoplasty. The entire procedure generally lasts one to two hours.
For a short time after surgery, patients may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Any pain or discomfort is controlled with oral pain medication. Most patients feel like themselves within two days and return to work in about a week.
The results of rhinoplasty become gradually apparent as the days pass after surgery and swelling recedes. Swelling may reappear from time to time in the first year after the procedure.
Contact lenses can be worn soon after surgery, but glasses may need to be taped to your forehead or propped on your cheeks for up to seven weeks.
Patients with realistic goals for rhinoplasty are generally very happy with the new shape of their nose. The exact results depend on the patient's nasal bone and cartilage structure, facial shape, skin thickness and age.
Complications are rare and if they do occur are minor. These may include infection, nosebleed, or a reaction to the anesthesia.
Insurance may cover rhinoplasty if it is done for reconstructive or medical reasons, but not for cosmetic purposes.
Revision or secondary rhinoplasty corrects deformities that are present in patients who have previously undergone rhinoplasty. It is typically performed at least a year after the initial procedure. It is a more difficult procedure to perform than primary rhinoplasty because there is less cartilage to work with and there may be scarring or tissue contracture (tightening). However, skilled plastic surgeons can improve both the appearance and the function of the nose.
If you are interested in learning more about Rhinoplasty in New York City, call 212-737-9090 to schedule a consultation.