Rhinoplasty (Nose Surgery)
What is Rhinoplasty?
Rhinoplasty, commonly referred to as a nose job, is a popular cosmetic surgical procedure designed to reshape, resize, or recontour the nose to improve its appearance and function. This facial plastic surgery procedure can address various concerns, including a crooked nose, a bump on the bridge, and/or a deviated septum, nasal humps, a drooping nasal tip, and facial imbalance.
Nose refinement surgery can be performed on any part of the nose, to increase or reduce its size, to modify the size and shape of the nostrils, tip or bridge of the nose, or to alter the slope or angle of the nose. Rhinoplasty may also be performed to correct an injury or birth defect.
Rhinoplasty is also one of the more delicate procedures in plastic surgery. Whether the goal is to enhance facial aesthetics or to correct functional issues, rhinoplasty offers a tailored approach to meet individual needs. It can provide wonderful results, from the subtle to the dramatic, and significantly enhance self-confidence.
Rhinoplasty is not solely for cosmetic enhancements; it can also address functional concerns. Nose reshaping surgery can address certain breathing difficulties and it can enhance facial symmetry.
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What Can Rhinoplasty Do for Me?
Balance the size of the nose with the other facial features
Modify the width of the nose at the bridge
Improve the nasal profile, including removing humps or depressions
Contour a nasal tip that is too large, “boxy,” drooping or upturned
Change the angle between the nose and the mouth
Narrow and reshape the nostrils
Correct deviation or asymmetry for facial balance
Cosmetic Rhinoplasty, or nose surgery, is one of the most common facial plastic surgery procedures performed today. It can reshape, reduce or augment a person’s nose to achieve facial harmony and boost self-confidence.
Ideal candidates for rhinoplasty are those in good health, free of chronic conditions that could impair healing. Candidates should have realistic expectations about the results.
- Are at least 14 years old
- Have finished facial growth
- Are generally healthy
- Do not smoke
- Are seeking rhinoplasty for personal reasons, not pressure from others
- Have realistic goals for the procedure.
Am I a Good Candidate for Rhinoplasty?
Rhinoplasty Techniques: Open and Closed Rhinoplasty
Open and closed rhinoplasty approaches represent the two main surgical techniques used in nose reshaping surgery, each with distinct characteristics that make them suitable for different situations:
- Closed Rhinoplasty (endonasal rhinoplasty): all incisions are made inside the nose, eliminating any visible external scarring while potentially offering faster recovery times and less postoperative swelling.
- Open Rhinoplasty: involves a small additional incision on the columella (the strip of tissue between the nostrils) leaving a tiny external scar that typically heals remarkably well and becomes virtually imperceptible over time.
The decision between open and closed approaches ultimately depends on factors such as the desired changes, nasal anatomy, and the surgeon’s expertise and preference in achieving the best possible outcome.
How is the Rhinoplasty Procedure Performed?
During your initial consultation, your surgeon will assess the structure of your nose and discuss your goals for the procedure. You will be asked about your medical history, any previous surgeries, and your overall health.
Rhinoplasty procedures are usually outpatient surgical procedures performed in our fully accredited outpatient surgery center in Seattle and performed under IV sedation or general anesthesia.
The procedure duration depends on the complexity of the surgery. Our Seattle plastic surgeon, Dr. Salemy performs both a closed and open rhinoplasty. A closed rhinoplasty procedure generally takes about 1.5 to 2+ hours while an open rhinoplasty procedure can take 2 to 4 hours.
Most patients receive a closed rhinoplasty, during which incisions are made by Dr. Salemy inside the nostrils. Once the incisions are made, Dr. Salemy then gently lifts the soft tissues covering the nose. He will then sculpt the bone and cartilage to the desired shape, and if additional cartilage is needed to augment the nose, it will be taken from the septum or behind the ear.
The tissues are then re-draped and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of rhinoplasty.
Benefits of a Closed Rhinoplasty
The closed rhinoplasty technique is different from an open rhinoplasty procedure, in that the only incisions are made inside the nose, so there are no visible scars. Having a closed rhinoplasty offers several benefits:
Minimally Invasive: Since the incisions are hidden within the nostrils, closed rhinoplasty reduces the risk of external scarring. It is ideal for patients seeking subtle changes.
Shorter Recovery Time: Patients often experience less swelling and bruising with closed rhinoplasty, which leads to a quick recovery compared to open rhinoplasty.
Preservation of Nasal Structure: The closed approach provides precise control over the nasal structure while maintaining more of the original anatomy, making it suitable for less extensive modifications.
Ideal for Small to Moderate Changes: This technique works best for patients looking for less extensive changes, such as refining the nasal tip or removing a small hump from the bridge.
Less Post-Surgery Discomfort: The closed technique generally results in less postoperative discomfort due to fewer disruptions to the skin and underlying tissues.
Fast Facts: Rhinoplasty Surgery
Refine nose shape and size
Patients can see results immediately,
but it can take several weeks to
months to see final results
Procedure typically takes
1.5 - 2+ hours
Hidden inside nose
What is the Recovery from Nose Surgery Like?
Immediately after rhinoplasty, a nasal splint and bandages will be placed to support the nose as it heals. Patients will typically wear a nasal splint for about a week in the recovery process.
It is important to keep the head elevated and relatively still during the initial recovery to promote healing and minimize discomfort. It’s also important to avoid strenuous activity and follow post-surgical instructions to minimize risks and promote healing.
Shortly after rhinoplasty, patients might experience puffiness, and a dull headache, along with some swelling and bruising, and minor bleeding. Most people begin to feel like themselves again within two days and usually return to work in about a week. During this initial phase, it’s important to follow your surgeon’s post-operative care instructions closely to ensure a smooth recovery. Keeping the head elevated and applying cold compresses can help reduce swelling and discomfort. Patients are advised to avoid strenuous activities and exercise for a few weeks to prevent complications and allow for proper healing. It’s also common to experience some nasal congestion as the internal tissues heal, but this typically subsides over time.
As the weeks progress, the swelling will gradually decrease, revealing the refined shape of the nose. It’s crucial to attend all follow-up appointments with your surgeon to monitor the healing process and address any concerns. While most of the swelling resolves within a few weeks, the final results of the nose surgery can take up to a year to fully manifest as the nasal tissues settle into their new shape.
Post surgery, as the swelling recedes, the results of rhinoplasty will become more noticeable as the days progress. In the year after surgery, swelling may recur occasionally, but will gradually subside.
You can wear contact lenses right away, but glasses might need to be secured to your forehead or supported on your cheeks for up to four weeks.
How Much Does Rhinoplasty Cost in Seattle?
Rhinoplasty costs in Seattle can differ depending upon several factors, for example, surgeon experience, the complexity of your operation, and the specific cosmetic changes you desire.
Opting to combine surgical procedures can be more cost-effective, as it reduces the need for multiple anesthesia sessions and minimizes recovery time for patients. Here’s a breakdown of the typical costs a patient might encounter:
1. Surgeon’s Fee: The surgeon’s fee is the primary cost for rhinoplasty and depends on the surgeon’s expertise, experience, availability, and location. Fees may be higher for highly skilled surgeons and particularly complex procedures.
2. Anesthesia Fee: Anesthesia is required during rhinoplasty and this cost depends on the type of anesthesia (local or general) and the duration of the procedure.
3. Facility Fees: This includes the cost of using medical facilities and depends on where the procedure is performed (e.g., private clinic, hospital, or surgery center).
4. Pre-Operative and Post-Operative Care:
- Consultation Fees: The initial consultation with the surgeon will incur a fee.
- Medical Tests/Clearances: Any necessary lab tests or imaging (such as X-rays) may incur a fee.
5. Medications and Supplies: Patients can expect costs arising from post-surgery medications (pain relievers, antibiotics) and medical supplies (bandages, splints).
6. Travel and Accommodation Costs (if applicable): If the patient needs to travel to another city for surgery, additional costs for flights, hotel stays, and meals should be considered.
It’s always advisable to understand the full scope of treatment and associated costs. Our office will provide a detailed cost estimate and payment or financing options before proceeding with any treatment.
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Rhinoplasty Frequently Asked Questions
Will I like the results of my cosmetic rhinoplasty?
Patients who have realistic expectations for their rhinoplasty are typically very satisfied with the new appearance of their nose. The specific outcomes are influenced by factors such as the patient’s nasal bone and cartilage structure, facial shape, skin thickness, and age.
Additionally, the skill and experience of the plastic surgeon play a crucial role in achieving the desired outcome. It’s important for patients to have a thorough consultation with their surgeon to discuss their expectations and understand the limitations and possibilities of the procedure.
Post-operative care and adherence to the surgeon’s instructions are also vital in ensuring optimal results. Patients should be aware that the final results may take time to manifest until the swelling subsides and healing is complete. However, once the healing process is complete, most patients find that their new nose complements their other facial features, enhancing their overall facial balance and boosting their self-esteem.
Does insurance cover rhinoplasty?
Rhinoplasty may be covered by insurance if it is performed for reconstructive or medical purposes, such as correcting a deviated septum. However, if the procedure is solely for cosmetic reasons, insurance is unlikely to cover it.
When is nasal packing removed after Rhinoplasty?
Nasal packing is typically removed 24 hours after rhinoplasty, though the exact timing can vary based on the surgeon’s preference and the specific techniques used during surgery. While some surgeons opt to remove the packing the day after surgery, others may wait additional time in cases requiring more extensive internal work. This early removal helps reduce patient discomfort while still allowing the packing to serve its primary purposes of controlling bleeding, providing internal support to nasal structures, and preventing adhesions from forming during the initial healing phase.
How long will I need to wait to resume normal activity?
Patients generally need to restrict physical activity for about 6 weeks after rhinoplasty, following a graduated return to normal activities over these several weeks. While you can usually return to light desk work or school within 1-2 weeks after surgery, more strenuous activities require longer waiting periods. Most surgeons recommend avoiding heavy lifting, bending, and vigorous exercise for 3-4 weeks to prevent increased blood pressure and potential bleeding. Contact sports or activities that risk nasal injury should be avoided for at least 6 weeks or more, depending on the activity. It’s crucial to follow your specific surgeon’s post-operative instructions, as individual healing times can vary based on the extent of surgery and your body’s natural healing process.
