If your nose has been standing between you and high self-esteem, a rhinoplasty might seem like the solution to the problem. Rhinoplasty is a type of cosmetic surgery that can enhance facial harmony and is considered a safe procedure, commonly performed as an outpatient procedure. Many patients choose rhinoplasty to achieve their aesthetic goals and improve confidence.
At Dr. Andrews Plastic Surgery, our rhinoplasty experts have the inside scoop on what to expect from your rhinoplasty. We want you to be prepared for everything preceding your surgery and during your recovery to make sure you are as confident and comfortable as possible throughout the rhinoplasty process.
Introduction to Rhinoplasty
Rhinoplasty, commonly referred to as a nose job, is a surgical procedure designed to enhance the appearance and function of the nose. Whether you are seeking to refine the nose’s shape, correct a structural issue, or improve overall facial harmony, rhinoplasty is one of the most transformative forms of plastic surgery. As a complex facial plastic surgery, rhinoplasty requires the expertise of a skilled facial plastic surgeon who understands the delicate balance between aesthetics and nasal function. The goal is to create a natural-looking result that complements your other facial features, ensuring your nose fits seamlessly with your unique facial structure. Thanks to advancements in surgical techniques, rhinoplasty is now a safe and effective procedure for those looking to improve their nose’s shape, size, or function.
It is important to have realistic expectations and understand that achieving a “perfect” nose may not always be possible. The final result of rhinoplasty may take several months to become fully apparent as swelling subsides and healing progresses.
There are different types of rhinoplasty procedures.
Just like noses, rhinoplasty comes in many different shapes and sizes. One notable fact about nose jobs is that they do not have to be only cosmetic. If you suffer from difficulty breathing or had a nasal injury and are left with nasal deformity, a rhinoplasty can help address these issues. A non-cosmetic rhinoplasty is typically known as a functional rhinoplasty, and it can either be combined with a cosmetic procedure or accomplished on its own without significantly altering the shape of your nose. These surgeries can address both functional and cosmetic concerns, depending on your needs.
From a procedural standpoint, your rhinoplasty may fall into one of two categories: an open rhinoplasty or a closed rhinoplasty. Both types have pros and cons, and we encourage you to ask your plastic surgeon about which procedure they typically offer or suggest for your needs.
Open rhinoplasty is better-suited for candidates who are seeking more significant changes. This surgery involves an external incision across the columella, the piece of soft tissue that extends from the tip of your nose to separate your nostrils. The incision allows your surgeon to see inside your nose and make very detailed changes to its structure. This approach allows the surgeon to directly visualize and modify the internal structures of the nose, including cartilage and nasal bones. This type of rhinoplasty is capable of producing very significant changes to the cartilage and bone that determine the structure of your nose. The surgeon also has the ability to specifically address functional breathing concerns in addition to making the cosmetic changes you desire. Rhinoplasty surgery outcomes are influenced by the nose’s unique anatomy, including bone and cartilage structure, which may affect the final result.
Closed rhinoplasties do not require any external incisions, which means any scarring will be hidden from view. There is also less post-operative swelling, decreasing the “downtime.” However, this procedure makes it more difficult for your surgeon to see and modify the cartilage and bone, which is required to significantly improve nasal aesthetics. Closed rhinoplasty is better suited for patients who request minor changes and have less ambitious goals.
When considering facial harmony, it’s important to note that a small chin can affect the overall balance of facial features, and chin surgery may be considered alongside rhinoplasty to achieve optimal results.
Your surgeon can create a nose that is perfect for your face.
Plastic surgeons are trained in the art of facial symmetry, and a good plastic surgeon will make sure that the nose you plan during your rhinoplasty will complement your face. This might mean, however, that the nose you think you want before your consultation is not the nose your surgeon recommends. You should be prepared to work with your surgeon to create a nose that will meet your aesthetic goals like removing a bump or narrowing a bulbous tip while also working with your existing facial features to create a sense of balance. Most patients achieve satisfying results when they maintain open communication with their surgeon and have realistic expectations about what can be achieved.
Your surgeon should be able to show you with photo editing software or marked-up images how your projected outcome will appear. If you are not completely satisfied with your surgeon’s suggestions, you should feel free to ask them if the goals you seek are achievable. In fact, we recommend scheduling consultations with more than one plastic surgeon before your rhinoplasty as you should love your new nose, so you should choose a surgeon whose goals for your rhinoplasty align with yours. Keep in mind that it can take time for the nose to heal completely and for the final outcome to be visible.
Internal splints or nasal packing can dry out your mouth.
For about a week following your surgery, you will have splints or bandaging to help your nose heal correctly. The first week after surgery is critical for proper healing, so it is important to follow all post-operative instructions closely. Depending on your surgeon and your procedure, this may include splints or inside your nose. The newer splits are designed to allow you to breathe through them, improving your post-rhinoplasty experience. You may feel more comfortable mouth breathing, however. Therefore, we recommend stocking up on lip moisturizers, hydrating beverages, and foods that require minimal chewing to help ease your discomfort during this time. Pain medication prescribed by your surgeon should be taken as directed to manage post-surgical pain and minimize discomfort.
It is important to attend your one week visit, where your cast will be removed, your healing will be evaluated, and internal cleansing may be performed to improve breathing. This appointment is a key milestone in your recovery process.
You will need to be very careful about bumping your nose. You likely touch or bump your nose several times a day. Itching, blowing your nose or interacting with pets and small children are all situations where your nose may get jostled without you noticing. We take these small things for granted because typically a light bump to the nose does not produce any major sensation. But for some time after your nose surgery, bumping your nose will be at the least a little painful and at worst can compromise your outcome.
You will have bruising and swelling around your nose and eyes for one to two weeks following surgery, and your nose will be more sensitive to the touch than usual. Most surgeons recommend avoiding any contact with your nose for up to six weeks. The recovery period involves a gradual reduction of swelling and bruising, and it is important to avoid impact or strenuous activities until your surgeon advises otherwise. You will need to be especially vigilant about even small contact and specific interactions to ensure that you do not injure your nose while you are in recovery phase. You should also talk with your plastic surgeon about how to handle situations like sneezing or blowing your nose.
It can take about a year for your nose to heal fully.
Depending on the extent of your rhinoplasty, you may be able to see the most noticeable aspects of your results immediately after your splint and bandaging is removed. Visible results and reduction in swelling typically occur over several weeks, with the most significant changes happening in the first few weeks. But your nose will be slightly swollen for a few weeks after your surgery, and can take almost a year to fully return to normal. By four weeks, most swelling has subsided, but some residual effects may persist for four to five weeks or longer. Over this time, your scars will slowly diminish, residual swelling or irritation will subside, and your skin texture and tone will return to normal. The healing process involves gradual reduction of swelling and tissue adjustments, and it takes time for the nose to heal completely. For patients with naturally thicker skin, it can take up to two years for your result to be fully realized.
However, most of your visible healing should be done within the first three to six months. Changes after the six-month mark are typically subtle, and since you likely look at your face every day, you won’t notice any significant changes on a daily basis. It is best to review before and after pictures of your nose several months after the procedure; this will give you a more realistic look at the long-term changes achieved with the procedure. Keep in mind that the final result of your rhinoplasty may not be fully apparent until all swelling has resolved.
Insurance and Cost
The cost of rhinoplasty procedures can vary widely based on the complexity of the surgery and your individual needs. If your rhinoplasty is being performed to correct a functional issue, such as a deviated septum or to improve nasal breathing, your insurance may cover part or all of the procedure. However, if the surgery is purely for cosmetic reasons, insurance coverage is unlikely. It’s important to discuss your specific situation with both your insurance provider and your surgeon during the initial consultation to understand what is and isn’t covered. Many practices offer financing options to help make rhinoplasty more accessible for patients. Be sure to review all costs, payment plans, and insurance details with your surgeon so you can make an informed decision about your rhinoplasty procedure.
Risks and complications
Like any surgical procedure, rhinoplasty comes with certain risks and potential complications. While the vast majority of patients experience a smooth recovery, it’s important to be aware of possible issues such as infection, bleeding, or adverse reactions to anesthesia. Some patients may also encounter complications like nasal septal perforation, persistent nasal congestion, or dissatisfaction with the final results.
During your initial consultation, your facial plastic surgeon will review these risks with you in detail, explaining how they are managed and what steps are taken to minimize them. Choosing a board-certified plastic surgeon with extensive experience in rhinoplasty procedures is key to reducing your risk and ensuring the best possible outcome. Open communication with your surgeon throughout the process will help you feel confident and prepared for your rhinoplasty journey.
Schedule a Consultation
Your rhinoplasty experience can be simple and satisfying if you make sure that you are fully prepared for your procedure and recovery. At Dr. Andrews Plastic Surgery, we work with all of our rhinoplasty clients during their consultation, subsequent visits, and follow-up appointments to ensure that we answer all of your questions. Our goal is to meet and hopefully exceed your expectations. We know that a rhinoplasty can have a dramatic impact on your appearance and your confidence. If you are considering a rhinoplasty, we encourage you to call us today at 319-500-4072 to schedule a consultation.
