Dr. Smita Ramanadham

Dr. Smita Ramanadham

March 9, 2021

Rhinoplasty, or nose job, improves the appearance and proportions of your nose. It also can help with impaired breathing that’s caused by structural deformities in your nose.

Rhinoplasty is a popular cosmetic procedure; it was the third-most common plastic surgery procedure in 2017. It can improve your facial harmony, and can treat:

  • The size of the nose in relation to your face
  • The width of the nose at its bridge or the position and size of your nostrils
  • The profile of the nose if it has depressions or humps on the bridge
  • A nasal tip that is bulbous or enlarged
  • Nostrils that are wide, large, or upturned
  • Asymmetry of the nose

This guide details what rhinoplasty is, how it works, safety, side effects, and more.

How Rhinoplasty Works

Rhinoplasty can make a new shape for your nose or correct breathing issues with several procedures. There have been several advancements in nose job surgeries in recent years to reduce pain and improve recovery times.

Below are the common forms of the procedure.

Open Rhinoplasty

This surgical procedure opens the nose and provides your surgeon with as much access as possible to the nasal region. The surgeon will make the incision under the nose between your nostrils to help him access the cartilage and nasal bone during the procedure.

With this type of rhinoplasty, the nasal skin flaps are lifted off your nose to help the surgeon work more efficiently. The surgeon will inject local anesthesia into the surgical site before the procedure and into the septum. Next, he’ll do specific tasks on the nose related to your goals and needs.

Common reasons for an open rhinoplasty are to reshape the tip, straighten the septum or bridge, or remove a hump.

A deviated septum is usually treated with a septoplasty; this is where the middle of the septum goes to one side or is off-center.

Open rhinoplasty may also involve breaking nasal bones to give them a new shape.

Closed Rhinoplasty

This procedure doesn’t leave visible scars because they are inside the nose as the septum, cartilage, or nasal bone is altered. An advantage of this procedure is there usually is less swelling.

Close rhinoplasty also may be referred to as endonasal surgery because the plastic surgeon works via your nostrils to correct nose problems.

The procedure involves making incisions in the nasal lining that allows the surgeon to access the nasal bones without being as invasive as the open rhinoplasty.

However, note that closed rhinoplasty only has specific applications; the nasal skin will be stretched significantly, but there are limits to how much the skin and the nasal tip can be changed. This procedure isn’t usually a good option if you need revision surgery.

Closed rhinoplasty usually has less swelling and no visible scars, but the surgery is more limited because your surgeon doesn’t have complete access to the nose structure.

Endoscopic Rhinoplasty

This procedure involves a small tube with a camera and light that’s attached. It helps your plastic surgeon to see inside your nose as he corrects the problem.

Endoscopic rhinoplasty is a viable plastic procedure that usually leads to less swelling than open rhinoplasty. It’s debated among surgeons whether the method provides better results than open rhinoplasty, but talk to your surgeon to determine if it’s a good option for you.

Rhinoplasty Recovery

It can take as long as a year for the swelling from rhinoplasty to entirely subside. However, most patients will notice a gradual change over the first month as tissues heal and swelling fades.

Nose tissues usually swell longer than other body areas so that you will see a difference after a few weeks, but it could take months for the final shape to appear.

Rhinoplasty Side Effects and Risks

Rhinoplasty is a safe procedure, but some of the side effects can include:

  • Difficulty breathing
  • Anesthesia risks
  • Infection
  • Septal perforation
  • Skin sensation changes
  • Skin discoloration

Rhinoplasty Ideal Candidate

You could be an ideal candidate for this procedure if you are:

  • Healthy with no major illnesses or health problems
  • Do not smoke or can stop smoking for several months
  • Have reasonable goals for your nose’s appearance

What You Can Expect

If you think you want rhinoplasty, it’s essential to understand the entire process:

  • Consultation: Your plastic surgeon will go over your rhinoplasty goals during your first meeting. He’ll want to know why you want the procedure, what you don’t like about your nose, and what your goals are.
  • Procedure: The rhinoplasty procedure your surgeon chooses depends on your specific case. See the options mentioned above to learn more.
  • Aftermath: After your rhinoplasty, your surgeon will bandage and splint the nose for a few weeks. He also will prescribe pain medications as needed.
  • Recovery: Most rhinoplasty patients have swelling and bruising for several months, but it will subside over time. It can take up to a year to obtain your final result.

Request a Rhinoplasty Consultation

Are you interested in New Jersey rhinoplasty to enhance the appearance of your nose? Dr. Smita R. Ramanadham can help you improve your facial appearance with this cosmetic surgery procedure.

In your consultation, Dr. Ramanadham will review your rhinoplasty options with you, goals, and more to determine if you’re an ideal candidate.

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