Rhinoplasty - Facial Plastic Surgery
We believe that form and function go hand-in-hand when performing rhinoplasty. Our philosophy is to provide for a customized treatment plan and a natural reshaping of the nose that is in proportion with other facial features. Most importantly, rhinoplasty should also maintain nasal support and a functional nasal airway.
Rhinoplasty is generally done in the operating room under general anesthesia, although in certain circumstances moderate IV sedation is all that is needed. Incisions can frequently be hidden exclusively inside the nose; however, sometimes an external incision is needed. Your rhinoplasty surgeon will discuss this more in detail during the consultation.
Nasal operations are done to add support to a weakened nasal structure, to help relieve nasal obstruction, or to correct cosmetic deformities. Sometimes, cartilage grafting may need to be done – and this cartilage is generally harvested from the nasal septum, the ear or the rib. Harvest of ear cartilage is common, and this can be done without creating an obvious deformity or scar.
Some rhinoplasty operations are covered by insurance if the procedure is deemed medically necessary. Patients sometimes need to communicate directly to the insurance company about their procedure, but our rhinoplasty surgeons will facilitate this communication and try to streamline the process.
Rhinoplasty patients typically have mild to moderate bruising and swelling around the eyes and over the nose after rhinoplasty. Pain is mild to moderate, and most patients need narcotic pain medications for a few days. Most patients report congestion after surgery. Nasal saline spray is used to keep the nose moist and minimize crusting. Internal nasal splints (made of medical-grade plastic) are often used after surgery to support the repair and control for healing in the immediate postoperative period. A temporary external splint is also used. It is best to avoid strenuous activity and heavy lifting for 1-2 weeks after surgery, and most patients can return to work in 1-2 weeks.