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Nose Surgery (Rhinoplasty)
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Description

Rhinoplasty (aka nose surgery, or nose job) is a facial cosmetic procedure, usually performed to enhance the appearance of the nose or to improve and injured or misshapen nose.


Length of Surgery

1 – 2 hours


In/Outpatient

Outpatient


Anesthesia

Local or general, depending on the extent of the procedure


Back to work in…

10-14 days


Back to the gym in…

2 weeks


Treatment Frequency

Once


Risks

Allergic reaction to anesthetic, infection, excessive bleeding, blood clots, loss or reduction in sensitivity to smell, change in shape to the nose, risk of implant moving


Duration of results

Permanent



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Click links below for detail.




Rhinoplasty Surgery Costs*

The cost of a nose job will vary based on the extent of the surgery. Rhinoplasty prices are also dependent on the surgeon you choose, your location, and other factors. The American Society of Plastic Surgeons quoted the national average for Rhinoplasty surgery is approximately $4,277. This cost usually involves three fees:

  1. Surgical fee
  2. Anesthesia fee
  3. Facility fee
Each of these fees is dependent on the extent of the surgery. Ultimately, the cost of the rhinoplasty procedure will depend on your individual needs and expectations. There are various factors that can affect the cost of a rhinoplasty procedure. Each of these is taken into consideration before you are given a rhinoplasty price for your individual surgery. The other factors that influence rhinoplasty prices involve various fees for pre- and postoperative care, medication, and facility use.

The factors influencing rhinoplasty/nose job prices include:
  1. Training of surgeon
  2. Extent of surgery
  3. Services rendered
  4. Postoperative care
  5. Location
In the initial consultation with a cosmetic surgeon, you can determine the surgical procedure that’s right for you and discuss cost and financing options.

Most cosmetic surgeons and surgical clinics offer flexible rhinoplasty financing and payment options, some of which allow staggered payments or loans from VARIOUS FINANCING COMPANIES.
If you are considering having rhinoplasty/nose job but want to explore more about the financing options available before you make your decision, PLEASE CLICK HERE.

You can discuss your financial options and nose job prices with your surgeon, and find out if there are any loans of flexi-payment plans that will allow you to achieve the nose you have always desired.

To find out more about financing options for rhinoplasty please click here.

 

Am I a candidate for a rhinoplasty?

Before you decide to undergo rhinoplasty, you should be certain that it is really what you want. Your nose is the most prominent feature on your face, and changing its shape can drastically alter your appearance.

It is essential that you have realistic expectations for your rhinoplasty surgery outcome. Discussing your expectations for your desired result fully with your surgeon is very important, to ensure that your goals are compatible with what is surgically possible.

Nose surgery candidates should be at least in their mid teens, as at these ages, the nasal bone has matured and the shape of the nose has stabilized. Rhinoplasty is a highly individualized procedure and you should endure that you are doing it for the right reasons. It is not advisable to undergo a rhinoplasty procedure to please somebody else.

Before you undergo any sort of cosmetic procedure, you need to be of good health both physically and mentally. If you smoke, you will be advised to give up, as smoking can seriously slow the healing process.

You may be a good candidate for rhinoplasty surgery if you fulfill the following criteria:

  1. Your facial growth is complete and you are 13 years of age or older
  2. You are physically and mentally healthy
  3. You have specific, and, importantly, realistic goals for the results of your nose job surgery

 

What is a Rhinoplasty Procedure?

Rhinoplasty (is also known as nose surgery, or nose job) is a facial cosmetic procedure, usually performed to enhance the appearance of the nose. The term rhinoplasty means "nose molding" or "nose forming." During a rhinoplasty procedure, the nasal cartilages and bones are modified to make the nose smaller (reduction rhinoplasty), or tissue is added (augmentation rhinoplasty). The change can be made by adding or removing bone or cartilage, grafting tissue from another part of the body, or implanting synthetic material to alter the shape of the nose. Nose surgery is also frequently performed to repair nasal fractures, or if a patient has breathing difficulties due to the shape of their nose.

Most of the time, rhinoplasty is performed as an outpatient procedure. In more complicated cases, or when reconstructive as well as cosmetic work is being done, you may be admitted to the hospital for an overnight stay.

The rhinoplasty operation usually takes between one and two hours. If you are having reconstructive work or a more complicated nose surgery procedure done, the surgery may take longer. Your rhinoplasty surgeon can tell you what to expect in your particular case.

During a nose job surgery, the skin of your nose will be separated from the bone and cartilage support. This bone and cartilage framework is then sculpted to achieve the form you desire. The rhinoplasty surgeon may employ different techniques, depending upon what results you want to achieve, and your cosmetic surgeon’s preference. Once the cartilage and bone have been sculpted into their new shape, the skin is redraped over them. If the procedure requires adding to the structure of the nose, the donated bone, cartilage, or skin can come from the patient or from a synthetic source. When the rhinoplasty operation is over, the surgeon will apply a splint to help the bones maintain their new shape. The nose may also be packed, or stuffed with a dressing, to help stabilize the septum.

Internal rhinoplasty involves making all incisions inside the nasal cavity. The external or "open" technique involves a skin incision across the base of the nasal columella. An external incision allows the surgeon to expose the bone and cartilage more fully and is most often used for complicated procedures.

When a local anesthetic is used, light sedation is usually given first, after which the operative area is numbed. It will remain insensitive to pain for the length of the surgery. A general anesthetic is used for lengthy or complex nose surgery procedures or if the doctor and patient agree that it is the best option.

Simple rhinoplasty is usually performed in an outpatient surgery center or in the surgeon's office. Most procedures take only an hour or two, and patients go home right away. Complex procedures may be done in the hospital and require a short stay.

Once your rhinoplasty is complete, a splint will be put on your nose to help support the new shape. Packing or soft cosmetic splints may be placed inside your nostrils to help stabilize the interior structure of your nose.

The face is a highly sensitive area and therefore after invasive surgery may require a number of weeks before swelling and bruising subsides, depending on the nose surgery procedure. Bandages and dressings are required for the duration of this healing period. Not until a few months later will the nose will be fully healed and the results clearly visible.

If the natural shape of your nose is making you very unhappy and impeding your quality of life, or if your nose is misshapen because of an accident or injury then talking to a rhinoplasty surgeon will give you a good idea about what can and can’t be done to help you.

There are certain things that a nose job can change for you:

  1. Nose size, in relation to the rest of your facial features
  2. The width of the bridge of your nose
  3. Nose profile
  4. Large, bulbous, drooping or too upturned a nose
  5. Large and/or wide nostrils
  6. An asymmetrical or deviated nose
The shape and structure of your nose is fully developed by the age of sixteen. The cosmetic surgeon can only work with the existing bone and cartilage structure, so there are limits to the extent that the shape can be altered by nose surgery.

 

Rhinoplasty Surgery Procedure Steps

The rhinoplasty operation may take place under a general or local anesthetic, depending on the amount of surgery involved, and takes one to two hours. If you are having more than one procedure, you may be required to stay overnight.

During the operation, the soft tissue is detached from the bone and cartilage. The bone may then be broken and reset and the cartilage resculpted to achieve the desired shape. The nostrils are then packed tightly with splints and medical gauze to assist healing.

Step 1 - Anesthesia

If you are nervous about the rhinoplasty operation, you may be given a mild sedative or valium to calm your nerves. Then, depending on the extent of the nose job procedure that you are getting, you will either receive intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you, taking your individual factors into account.

Step 2 - The incisions and re-shaping of the nose

  1. Closed procedure
Small incisions are made inside the nose to reach the bone and cartilage. Some is removed or re-arranged to achieve the shape you have agreed with your surgeon. The skin over your nose is left untouched and shrinks down to the new shape.
  1. Open procedure
An incision is made across the columella, the narrow strip of tissue that separates the nostrils. The soft tissues that cover the nose are gently raised, allowing the rhinoplasty surgeon access to reshape the structure of the nose.

To keep your features in proportion, it may be necessary to make your nostrils smaller. This is done by making cuts in the skin of the nostrils which will leave fine scars on each side of your nostrils.

If you are having augmentation rhinoplasty, you may need a graft of extra bone or cartilage to build up your nose. Most commonly, pieces of cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Cartilage may also be taken from your ears, and bone from the back of your elbow, a rib, the skull or the hip bone. Sometimes artificial implants are used instead.

If you have a deviated septum – a condition in which the septum (the wall inside the nose that divides it into two sides) is not located in the middle of the nose where it should be, it is now straightened and the projections inside the nose are reduced to improve breathing.

Step 3 – Closing the incision

Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and the cuts are closed with dissolvable stitches. You may also have small plastic splints inserted inside your nose to prevent scar tissue from forming and support the nose as it begins to heal.

Step 4 - The results

Initial swelling will subside within a few weeks, and you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome. This takes around a year.

 

Rhinoplasty Surgery Recovery and Healing Steps

When you come round from your nose job procedure, you will have packs (dressings) in each nostril for about a day, which will stop you from breathing through your nose. You may be asked to stay in hospital overnight, so that the packs can be removed in the morning. You will also have a splint over your nose to support it for seven to 10 days. Dissolvable stitches will disappear on their own in seven to ten days.

Rest until the effects of the anaesthetic have subsided, and take any pain medication prescribed to you to help relieve any discomfort as the anaesthetic wears off.

Ensure that before you go in for your rhinoplasty procedure you arrange for someone to drive you home, and have a friend or relative stay with you for the first 24 hours.

When you go home, you can take over-the-counter painkillers such as paracetamol or ibuprofen. You may have some minor nose bleeds for a few days.

Rhinoplasty recovery times are very much an individual process; however there are some tips for a speedy recovery from nose surgery:

  1. Keep your head up as much as possible to reduce the risk of too much bleeding
  2. Don't have a hot bath or drink alcohol for a week or two
  3. Don't use any nasal sprays or decongestants, no matter how bunged up you feel. Sleeping propped up on several pillows will help to relieve congestion.
  4. You will need to breathe through your mouth for the first few days which can lead to dry lips. Use lip balm on your lips to soothe cracked lips
  5. Don’t blow your nose for at least a week. If you need to sneeze, cough it out
  6. Keep checking your temperature – a raised temperature may indicate an infection
Contact your doctor immediately if you develop any of the following symptoms:
  1. Persistent bleeding that doesn't stop within 10 to 15 minutes
  2. Difficulty or inability to drink or swallow normally
  3. High temperature
  4. Increased pain
It will take several months before your nose settles into its new shape.

 

Rhinoplasty Side Effects and Surgery Risks

If you choose a highly-skilled, well-trained, experienced cosmetic surgeon for your rhinoplasty, complications are infrequent and what complications do arise are usually minor.

As with any surgery, a rhinoplasty side effect is the possible risk of infection and of having a reaction to the anesthetic. Following your doctor's advice will usually help to minimize these risks. Rhinoplasty is commonly performed and generally safe. However, in order to make an informed decision and give your consent, you need to be aware of the possible rhinoplasty side-effects and the risk of complications of this procedure.

Likely side effects as a result of nose job surgery are:

  1. Soreness, swelling and bruising, particularly around your eyes - this can last up to a month
  2. Stiffness and numbness, particularly at the nose tip - numbness can last a few months but stiffness may be permanent
  3. Inability to breathe through the nose - this should ease as the swelling settles
  4. Scarring – though you should have little or no scarring on your nose, you will have permanent scars on your hip or chest if you have bone taken from your rib or hip.
There are a number of risks and complications specific to rhinoplasty. They are:
  1. Red spots on your skin's surface. These are caused by burst, small blood vessels.
  2. The red spots are usually temporary, but may be permanent.
  3. Scarring - When rhinoplasty is performed from inside the nose, the scars won't be visible, but you may be able to feel them for a while after surgery.
  4. The open nose surgery procedure may give you a small scar on the underside of the nose.
  5. Revision rhinoplasty - In around one case in ten, the patient needs to have additional minor surgery to correct a slight deformity.
Most people are not affected by complications during and after the rhinoplasty operation, however, the possible complications of any operation and rhinoplasty risks include an unexpected reaction to the anaesthetic, infection, excessive bleeding or developing a blood clot, usually in a vein in the leg (deep vein thrombosis, DVT).

Complication specific to rhinoplasty are uncommon but can include:
  1. Chest or nose infection - treatable with antibiotics
  2. Heavy nose bleed either shortly after the operation, or after a week to 10 day
  3. Temporary loss or reduction in sensitivity to smell - this may be permanent
  4. Changes in the shape of the nose as scar tissue matures
  5. Damage to the septum
  6. If you had an implant, it's possible it may push through the lining of your nose and need to be removed
If you are concerned about any of these complications, speak to your doctor.

You may also not be completely happy with your appearance after the operation.

 

Questions to Ask a Surgeon About a rhinoplasty procedure

Knowledge is power so arm yourself with the facts before making any decision about rhinoplasty here is an essential check list to help you find the right Perfect Yourself Surgeon.

  1. Am I a good candidate for rhinoplasty surgery?
  2. Are my described expectations realistic?
  3. Where is the surgery performed?
  4. How long will the procedure take?
  5. What kind of anesthesia is used?
  6. What is your experience in performing rhinoplasty surgery?
  7. Can I see your qualifications?
  8. Ask to see any rhinoplasty before and after photographs of recent surgeries
  9. What percentages of your rhinoplasty patients have had significant post-surgical complications? (surgeons should disclose this information to you)
  10. Who will be assisting my surgery? Can I see their qualifications?
  11. How much will my rhinoplasty surgery cost?
  12. Do you offer patient financing? (Flexible payment schemes for your surgery)
  13. Will you repeat/correct procedures if the agreed goals are not met? If this is the case, will I be charged again?
  14. Ask to observe the exact procedure you are considering before you decided to have surgery if you are unsure (this could be on videotape or in real life).
  15. What is the recovery and healing period for rhinoplasty? When can I resume full normal activity?
  16. Have you ever had your malpractice insurance coverage denied, revoked, suspended
  17. Ask for and follow up on patient references (these can be invaluable to finding out what your surgeon is really like and the level of customer satisfaction he/she has received in the past)

Surgeon Checklist

Surgeon Checklist

Knowledge is power so arm yourself with the facts before making any decision about Rhinoplasty procedures; click here for an essential check list to help you find the right Perfect Yourself plastic surgeon.



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