Rhinoplasty (nose surgery) is performed to improve the cosmetic appearance of the nose. Frequently, it is performed for both functional and cosmetic reasons. Patients who have difficulty breathing due to either congenital reasons or trauma can have improvement in air flow performed concurrent with cosmetic nasal surgery. Rhinoplasty can be performed in an open or closed manner. In an open rhinoplasty a small transverse incision is made between the nostrils, while in a closed rhinoplasty all incisions are within the nose. During rhinoplasty surgery, nasal bones may need to be fractured depending on their anatomy and cartilage may be repositioned depending on the desires of the patient. Septal deviation can be corrected and airflow improved through cartilage grafts.
Patients that are not candidates for this type of surgery include patients who currently are smoking, patients with an undiagnosed bleeding disorder.
Rhinoplasty surgery may take two to four hours depending on the degree of anatomy being addressed. Patients are typically able to return home the same day of surgery. A nasal splint is applied following surgery and is removed seven days after surgery.
Patients are asked to refrain from heavy lifting and exercise for four weeks following surgery. Bruising typically occurs over both lower eyelids and may last 10 to 14 days. A nasal splint is applied for 7 days and is removed on the first followup visit. Nasal packing is occasionally required and would be removed on the second postoperative day. Breathing difficulties may occur for a period of 6 to 12 weeks depending on the degree of swelling within the nose. The final appearance of the nose may take 12 to 18 months due to swelling of the nose. (Download postoperative brochure for rhinoplasty).
Unpleasant cosmetic result
Change in sensation to nasal tip
Deep venous thrombosis: Less than 1%
Pulmonary embolus: Less than 1%