A nose job (technically called a rhinoplasty) is surgery on the nose to change its shape or improve its function. Nose jobs can be done to change how you look or for medical reasons. For example, some people may need surgery to repair a problem with the cartilage that divides one nostril from other. Others may just want to make their nose smaller or change its shape.
Teenagers should not have a nose job until the nose has reached its adult size. This usually happens about age 15 or 16 for girls, and a year or so later for boys.
The surgeon will evaluate the structures of your nose and other facial features. After this evaluation, they can tell you if your expectations are realistic. The surgeon will also consider your overall health and should discuss with you the risks, recovery time, and costs involved. There are various techniques for reshaping the nose. Once you decide to go ahead, your surgeon should describe exactly what they propose to do.
Gain more knowledge about rhinoplasty cosmetic surgery, its procedure and other facts. Read the full article Pritish Kumar Halder
Procedure and types of rhinoplasty
Types of rhinoplasty include:
- Removing a hump on the nose.
- Straightening the bridge.
- Reshaping the nose’s tip.
- Increasing or decreasing the size of the nostrils.
- Correcting the nose after an injury.
- Opening breathing passages.
- Making the nose bigger or smaller.
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
Rhinoplasty is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.
Through these incisions, the skin that covers the nasal bones and cartilages is gently raised, allowing access to reshape the structure of the nose.
Step 3 – Reshaping the nose structure
An overly large nose may be reduced by removing bone or cartilage. Sometimes surgery of the nose may require the addition of cartilage grafts.Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Occasionally cartilage from the ear or rarely a section of rib cartilage can be used.
Step 4 – Correcting a deviated septum
If the septum is deviated, it can be straightened and the projections inside the nose reduced to improve breathing.
Step 5 – Closing the incision
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed.
Step 6 – See the results
For a few days, splints and gauze packing may support the nose as it begins to heal. Get more information about rhinoplasty results.
The decision to have plastic surgery is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks and potential complications of rhinoplasty are acceptable.
Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks or potential complications.
Rhinoplasty surgery risks include:
- Anesthesia risks
- Change in skin sensation (numbness or pain)
- Difficulty breathing
- Nasal septal perforation (a hole in the nasal septum) is rare. Additional surgical treatment may be necessary to repair the septum but it may be impossible to correct this complication
- Poor wound healing or scarring
- Possibility of revisional surgery
- Skin discoloration and swelling
- Unsatisfactory nasal appearance
These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.
During your rhinoplasty recovery, a splint and/or packing may be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing.
While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.
Swelling may come and go and worsen in the morning during the first year following your rhinoplasty surgery.
You will be given specific instructions that may include:
- How to care for the surgical site
- Medications to apply or take orally to aid healing and reduce the potential for infection
- Specific concerns to look for at the surgical site or in your general health
- When to follow up with your plastic surgeon.
Be sure to ask your rhinoplasty surgeon specific questions about what you can expect during your individual recovery period:
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery?
- When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
Look for a surgeon who is experienced in plastic surgery of the nose and who has a reputation for patient satisfaction. The American Board of Plastic Surgery (ABPS) is the most common body that certifies rhinoplasty surgeons. Meet up a meeting to talk about your goals and tell the doctor what bothers you about your nose and how you would like to change it.
It’s best to have the procedure done in an accredited facility. If you have a complication, an experienced surgeon working with a well-trained team will be able to assess and correct the situation. Keep in mind that there is no such thing as a perfect nose. Surgery, though, can enhance facial features and emphasize your unique and natural beauty. A plastic surgeon can describe the facial features that make you unique and tell you how changes would enhance your appearance.
If you have health insurance, make sure you talk to your insurer in advance so you know what’s covered and what you will need to pay for. Health insurance typically does not pay for procedures that are done only for cosmetic reasons.