A rhinoplasty is surgery to change the shape and/or size of the nose. It can be done to correct an injury to the nose or a birth defect but it’s very often done for cosmetic reasons. That’s because many people don’t like the look of their nose. The nose might be too big for them, have a bump, have a shape that they don’t like or have a bulbous tip. Rhinoplasty or “nose job” surgery is one of the few cosmetic procedures our board-certified plastic surgeon, Mark Pinsky, MD, can perform that can completely change the look of a person’s face.
Rhinoplasty is usually an outpatient procedure, which means that the patient can go home soon after the operation has been done. However, some people may need to stay in the hospital overnight. Depending on how extensive the operation is, the anesthesia used can be general or local with sedation. General anesthesia puts the patient to sleep, while local anesthesia and sedation allows them to be awake but numbs the area of the nose that’s being worked on.
A rhinoplasty can be a fairly complex procedure as the nose is a surprisingly complex structure. Resculpting a nose can take as much artistry as it can skill. Dr. Pinsky can operate from within the nose, which will hide any scarring or he or she can make an incision through the flesh that separates the nostrils. This can reduce the look of the scarring. Bone and cartilage are then resculpted and removed till the shape and size of the nose the patient wants has been acquired. The doctor may need to add grafts to the nose for it to be able to achieve the right shape and size. These grafts can come from the patient’s own body, so there’s no chance of rejection.
After the operation, the nose is sutured, packed and bandaged.
The patient should expect to feel some discomfort after the anesthesia wears off. The patient will also feel as if his or her nose is congested. However, the doctor will prescribe pain medications to ease the patient’s discomfort. Another way to ease the discomfort and help in the healing after the surgery is for the patient to sleep with his or her head elevated for a while. There might be a drainage of blood and other fluid.
The packing that is applied after the rhinoplasty will then be removed after a few days, though the patient will notice that the bruising and swelling around his or her nose may last from two to three weeks. This might make it difficult for the patient to see any good results from the surgery. Though it might be tempting to do so, ice packs shouldn’t be placed on the nose to reduce the swelling.
During his or her recovery, the patients should not engage in any strenuous activity. He or she shouldn’t blow his or her nose and opt for baths instead of showers to keep the dressings on the surgical site dry. *Sometimes it takes as much as a year for the nose to settle into its final shape. Despite all of this, most people who have rhinoplasty are very happy with the final results.
*Individual Results May Vary