Rhinoplasty, or a “nose job,” is one of the most common plastic surgery procedures performed today. It can reshape, reduce or augment a person’s nose to achieve facial harmony and boost self-confidence. While the shape of your nose is usually a result of heredity, rhinoplasty may be performed as a reconstructive procedure to correct a birth defect or an injury such as a broken nose.
Rhinoplasty may be performed for functional rather than cosmetic reasons as well. Combining nose reshaping with septoplasty or endoscopic sinus surgery can effectively treat certain breathing problems, such as those caused by a deviated septum or nasal passage obstructions. Many people who require a functional rhinoplasty will also choose to have cosmetic changes made at the same time.
Rhinoplasty is an excellent procedure for achieving the following:
Am I a good candidate for rhinoplasty?
The best candidates for rhinoplasty:
Rhinoplasty is usually an outpatient procedure performed under IV sedation or general anesthesia.
Surgeons use one of two techniques when performing nose surgery. In a closed rhinoplasty, incisions are made within the nostrils. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils. With both methods, the surgeon gently lifts the soft tissues covering the nose. Dr. Fiorillo then sculpts the bone and cartilage to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum.
If the patient has a deviated septum, Dr. Fiorillo will adjust the septum and the inner structures of the nose to improve breathing. Then the tissues are re-shaped and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of rhinoplasty.
The entire procedure generally lasts one to two hours.
For a short time after surgery, patients may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two days and return to work in about a week.
The results of rhinoplasty become gradually apparent as the days pass after surgery and swelling recedes. Swelling may reappear from time to time in the first year after the procedure. It is typically more noticeable in the morning and fades during the day.
Contact lenses can be worn immediately, but glasses may need to be taped to your forehead or propped on your cheeks for up to seven weeks.
Complications are rare and, when they occur, minor. These may include infection, nosebleed, or a reaction to the anesthesia.
Revision or secondary rhinoplasty corrects deformities caused by a previous operation on the nose. It is a more difficult procedure to perform than primary rhinoplasty because there is less cartilage to work with and there may be scarring or tissue contracture (tightening). However, skilled plastic surgeons can improve both the appearance and the function of the nose.
Dr. Fiorillo has partnered with The Plastic Surgery Center Internationale’s rhinoplasty expert Dr. Giampapa at his Pearl River, NY and Montale, NJ offices to bring you the absolute best in facial reshaping.
You can visit us at one of our two convenient locations in New York and New Jersey. To schedule an appointment or consultation, contact us via email or call (866) 971-7705.