Also known as rhinoplasty, nose reshaping or nose job
These are the top three pros and cons to weigh when considering nose surgery. If you want to focus on what is unique to you, please consult with your aesthetic plastic surgeon.
Are you a good candidate for nose surgery?
The following are some common reasons why you may want to consider rhinoplasty:
If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.
After numbing the area, your surgeon will make incisions to access the bones and cartilage that support the nose. There are two general techniques for making the incisions: open and endonasal (see What will my ear surgery incisions and scars be like?).
By adding or removing bone and cartilage and adjusting the supporting structures inside the nose, the size of your nose can be reduced or increased and the nose may be shortened or lengthened.
The nasal bridge can be narrowed by moving the bone inward, as shown by the arrow.
There are two main incision approaches: the open approach and the internal (endonasal) approach.
In addition to incision options, there are various methods for augmenting your nose or smoothing surface deformities.
As previously mentioned, there are two general techniques for making the incisions.
For an open rhinoplasty, the incisions are made outside the nose with a small access incision on the underside of the nose between the nostrils that then connects with other incisions hidden inside the nose.
Advocates for the open rhinoplasty approach say that it fully opens the nose, providing better visualization of the nasal structures and a more direct route for surgical manipulation; the small scar at the base of the nose is barely visible once it heals.
For an endonasal rhinoplasty, the incisions are made inside the nasal passages. Because these incisions are hidden, they are invisible after surgery.
Advocates for the endonasal approach say that it permits more limited dissection of nasal tissues, offers excellent visualization of nasal structures, and eliminates the visible scar at the base of the nose.
An open rhinoplasty requires an incision on the underside of the nostril as shown.
It’s important to choose your surgeon based on:
Members of the American Society for Aesthetic Plastic Surgery are experienced and qualified to perform your aesthetic procedure. Learn how to select a surgeon.
After finding a board-certified plastic surgeon in your area who is experienced in performing rhinoplasty, you will need to make an office appointment to set up your consultation. Generally, because of the in-depth nature of the consultation, there is a cost associated with the initial visit.
During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a candidate for rhinoplasty and clarify what nasal surgery can do for you. Once your surgeon understands your goals and medical condition, both alternative and additional treatments may be considered (see related procedures).
You should come to the consultation prepared to discuss your complete medical history. This will include information about:
Based on your goals, physical characteristics, and the surgeon’s training and experience, your surgeon will share recommendations and information with you, including:
For a general list of questions to ask your surgeon about his or her background, to find out about plastic surgery safety, and to plan your procedure, visit the Planning Toolkit.
We developed these questions to help you:
It is important for you to take an active role in your surgery, so please use this list of questions as a starting point for your initial consultation.
Your surgeon will provide thorough preoperative instructions, answer any questions you may have, take a detailed medical history, and perform a physical exam to determine your fitness for surgery.
In advance of your procedure, your surgeon will ask you to:
Rhinoplasty is usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery. If your surgery involves septal work or is a revision of prior work, it may require an overnight stay.
What can I expect on the day of rhinoplasty surgery?
Your rhinoplasty may be performed in an accredited hospital, a free-standing ambulatory facility, or an office-based surgical suite. Most rhinoplasty procedures take at least one to three hours to complete but may take longer.
You will probably be permitted to go home after a short observation period unless you and your plastic surgeon have made other plans for your immediate postoperative recovery.
Your surgeon will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postoperative care, including information about:
See options for short-term recovery locations in Aftercare and Recovery (Planning Toolkit).
Immediately after rhinoplasty
After surgery you may be asked to wear a nasal splint over your nose for support. The splint will protect your nose while you sleep and shield it from accidental bumps. You may also have a small triangular bandage beneath the tip of your nose. Nasal packing will be placed inside your nose for additional support; it acts as an internal splint to hold everything in place and to keep the airway clean and free of crusts. Many patients dislike the idea of anything being put in their noses, so adjusting to the nasal packing may be difficult. Some surgeons insert a small tube in each airway to allow the patient to breathe more freely when the packing is in place. Expect some swelling and bruising and possibly some discomfort. Your face will be puffy, and the areas around your nose and eyes will be bruised and swollen after surgery. Your surgeon may recommend cold compresses to help minimize the swelling and reduce pain. You may need to keep your head elevated and relatively still for the first few days after surgery. Your doctor may prescribe a pain medication to deal with any pain you may experience. You will have to limit your activities for a few days to weeks.
Recovery time frame after rhinoplasty
It is vitally important that you follow all patient care instructions provided by your surgeon. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals. You will need to wait for several weeks before you can engage in exercise or athletics.
The first two weeks
All surgical packing within your nose will be removed within four to seven days after surgery. The splint and bandages on your nose will be removed in a week to ten days. It takes about ten to fourteen days before most of the swelling and bruising improves. Your return to work or school depends on how much exertion your job or your school activities require. Most normal activities including exercise can usually be resumed within three weeks. You should avoid strenuous exercise, straining, bending, and lifting until cleared to do so by your plastic surgeon.
After the first two weeks
Minor swelling of your nose may persist for up to a year but most likely will not be noticeable to others. It will be a few months before you can expose your reshaped nose to direct sunlight, and it may be a number of weeks before you can wear glasses without special support, such as tape, if the bones in your nose were altered.
The results of rhinoplasty are permanent, so it is important that you have clear aesthetic goals when this procedure is planned. Rhinoplasty should only be performed on a nose that has finished growing; complete development has usually occurred by age sixteen or seventeen. If rhinoplasty is performed before development is complete, continued growth can change the outcome of your surgery and cause potential problems and complications.
Maintain a relationship with your aesthetic plastic surgeon
For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon's office for follow-up evaluation at prescribed times and whenever you notice any changes in your rhinoplasty. Do not hesitate to contact your surgeon when you have any questions or concerns.
The cost of rhinoplasty varies from doctor to doctor and from one geographic area to another.
See the national average for physician fees per procedure.
These numbers only reflect the physician/surgeon fees last year and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments, or other miscellaneous costs related to nose surgery.
Because rhinoplasty for cosmetic reasons is elective surgery, insurance does not cover these costs. Many surgeons offer patient financing plans to make the procedure more affordable. However, if your surgery is being planned to correct a deviated septum or other structural deformity, it may be covered by insurance and you should check with your plastic surgeon about this possibility.
Choose your surgeon based on quality, training, and experience—not cost.
See why ASAPS members are widely recognized for upholding the highest standards in the area of aesthetic plastic surgery by viewing their basic credentials, training, and certifications.
Fortunately, significant complications from rhinoplasty are infrequent. Your specific risks for rhinoplasty will be discussed during your consultation.
All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:
Other risks specific to rhinoplasty are outlined below:
You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your rhinoplasty.
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