Rhinoplasty for reshaping and enhancement of the nose is a highly popular surgery. In this surgery, the nose can be redesigned and refined while preserving the overall harmony of the face. The nose is the central piece of the face, and bears a strong influence on the overall appearance of the face both in frontal and side views. This aesthetic surgery may be done in conjunction with medical rhinoplasty in which a deviant airway through the nose is corrected. This surgery is suitable for both women and men alike. At times, the nose may take on a distorted shape after trauma to the area, and must be treated via rhinoplasty. This surgery is not recommended before the ages 16-17. Needless to say, rhinoplasty may significantly increase the self-confidence of the patient.

During the pre-surgical consultation, the nose is examined both externally and internally in order to strategize the desired surgery. During this consultation, the stages of surgery are elucidated, and the anticipated outcome is discussed.

Rhinoplasty is most often performed under general anesthesia. Duration of surgery is approximately one hour to one and a half. In most cases, the remaining scars are within the nose and thus inconspicuous to others. In a minority of cases, surgery is performed in the “open” approach, necessitating an incision at the base of the lower nose (columellar region). In cases that necessitate narrowing of the nostrils, the remaining scars are well hidden within the natural lines and contours of the face.
The surgery involves reconstruction of the skeleton of the nose—a framework made up of both bony and cartilaginous elements, and enclosed by the overlying skin. The sutures placed are absorbable, and there is not need to have them removed.

At the end of surgery, the patient is bandaged with a specialized nose cast that is to remain in place for one week. Nasal packing with tampon gauzes may or may not be necessary, however if placed, must remain within the nose for three days after surgery. The goal of internal bandaging is to reduce swelling, absorb any exudate, and minimize bleeding by applying pressure that aligns the mucous layer back in place.
The initial recovery period may be accompanied by increased tenderness of the area, local swelling and edema, and facial skin bruising that passes after approximately 2 to 3 weeks. The final structure of the nose takes shape only after several months, once all swelling has subsided.

Complications of surgery are rare, and may include:

  1. Bleeding that may necessitate drainage in the operating room
  2. Local infection that in most cases can be treated conservatively
  3. Asymmetry
  4. Necessity of an additional operation for repair or improvement (if indicated)
  5. Temporary or permanent loss of sensation in the area
  6. Disruption of airflow in the nose
  7. Unsatisfactory result

More details regarding this surgery will be available during the pre-surgical consultation.

»To view pictures “before and After” Rhinoplasty surgery»