Nose Surgery (Rhinoplasty)

Nose surgery involving reshaping of the nose, also called rhinoplasty, is used to improve the symmetry of facial features or modify the nasal passages to improve nasal function. In most nose surgery, surgical incisions are all located inside the nose, some more complicated procedures (for facial injury or congenital defects) will require incisions along the crease of the nose. Though some patients undergoing rhinoplasty are correcting previous injury or defect, most are seeking a “nose that fits the rest of their face.” Though the goals may be the same, a wide variety of issues can be the cause.

Because of this, there are a vast number of rhinoplasty techniques used, each tailored specifically for different situations. The best approach will be determined for you by your internal nose structure, the condition of your skin, and the goals you and Dr. Loghmanee or Dr. Cerio discuss.

Am I a good candidate for nose surgery?

One or more of the following may indicate you are a good candidate for rhinoplasty;

  • You are in good health, your facial growth is complete and you are at least 13 years of age (age 16 or older is optimal)
  • You are bothered by the shape or size of your nose
  • The overall size of your nose is too large or small in relation to your other facial features
  • Your nose profile includes visible humps or depressions on the nasal bridge
  • The tip of your nose is too wide, bulbous, drooping or upturned
  • Your nostrils are upturned or too large
  • Your nose is not symmetrical
  • You have trouble breathing (especially while sleeping) due to irregularities with your nasal passages
  • You have previous injury to your nose causing any of the aforementioned conditions

Dr. Loghmanee or Dr. Cerio will conduct an examination and discuss with you your expected outcome and determine whether your desires can realistically be achieved. You must come prepared to discuss your full medical history, including any medical conditions, previous surgeries or treatments, drug allergies, other allergies causing nasal stuffiness, current medications, and use of nasal sprays, alcohol, tobacco or illegal substances.

Considerations:

Medical conditions: This procedure is not recommended for those with diabetes, heart problems, or a weak immune system. These factors can complicate surgery and interfere with optimal recovery.
Expectations: It is important that while rhinoplasty will improve your appearance, it is not for those seeking unrealistic perfection. You must have clear goals in mind when considering this procedure. It must be for your happiness, and not to please others.

Surgery and Recovery

Rhinoplasty is commonly an outpatient surgery, performed with general anesthesia or local anesthesia and sedation. After a few hours recovery you will be permitted to go home. You may have a metal splint on your nose to aid in healing, which is removed after several days. You will be given detailed information from Dr. Loghmanee or Dr. Cerio detailing normal symptoms, signs of complication and instructions for recovery.

You should be able to walk immediately following surgery and will be up and about within a day or two after surgery. Your nose will be tender to the touch for the first few days, and you must avoid straining, bending, lifting, biting hard things, and other strenuous activity for several days. Bruising will occur, but typically resolves itself within two weeks. Swelling is most prominent in the first two days post surgery and greatly improves within two weeks but it may take several weeks for all swelling to clear. Numbness, loss of smell, or nasal whistling may occur but usually resolves within several months as the underlying structures heal. Dr. Loghmanee or Dr. Cerio will recommend follow up visits to evaluate your healing process. It is important to follow your doctor’s orders for the best outcome.