WHAT IS NASAL RESHAPING SURGERY (RHINOPLASTY)?
Facial symmetry is an aesthetic trait that many scientific studies have highlighted as a key factor in how humans (consciously or subconsciously) assess and evaluate facial attractiveness. The shape, position and size of the nose all play an integral role in establishing whether or not a face is symmetrical. Because of this correlation, many individuals with facial asymmetry due to misshapen, crooked, or enlarged noses, suffer from low self-esteem or heightened self-consciousness.
Fortunately, when performed by a plastic surgeon, rhinoplasty (nasal reshaping surgery) procedures can improve the proportions and shape of the nose, thereby enhancing the overall symmetrical balance of the face. Rhinoplasty also offers benefits outside the realm of aesthetics. It is also a helpful procedure for patients with impaired nasal breathing, resulting from structural defects of the nasal cavity.
WHAT ARE THE BENEFITS OF A RHINOPLASTY COMMONLY KNOWN AS A “NOSE JOB”?
Some of the aesthetic improvements rhinoplasty surgery can provide include:
- Improvement of the genetic asymmetry of the nose, or nasal asymmetry resulting from an injury or accident
- Size reduction of a nose that seems too wide or large for an individual’s face
- Restoration of symmetry and balance to a crooked or off-centre nose
- Correction of a bump or depression on the bridge of the nose
- Enhancing a nasal tip that has an upturned, drooping or bulbous appearance
- Reduction of overly wide, flared or upturned nostrils
Nasal reshaping surgery is a complex procedure requiring a high level of precision and an extensive knowledge of facial anatomy and bone structure. At the private practice of Dr. Hani Sinno, you can be assured that you are in the care of a competent board-certified plastic surgeon. Dr. Sinno makes a concerted effort to stay up to date with the latest advances in the field of facial plastic surgery in order to provide his patients with the best possible medical and aesthetic results following their nasal reshaping surgery.
When considering your options for a rhinoplasty surgery, take the time to find several examples (photos or videos) of the type of rhinoplasty you would like to have. Because noses vary so much in size and shape, it is important to try to find out what exactly you like about the nose shape. This will enable you to distinguish your preferences from other noses that are similar but may not be exactly what you prefer. It will help paint a more accurate picture of your aesthetic goals.
WHAT ARE THE DIFFERENT TYPES OF RHINOPLASTY? WHAT DOES IT CONSIST OF?
Nasal reshaping surgery is typically performed in an outpatient setting under general anesthesia or intravenous sedation. During your initial consultation, Dr. Sinno will conduct a thorough medical evaluation in order to determine whether a closed or open procedure would be the best choice for your specific case.
WHAT IS A CLOSED RHINOPLASTY SURGERY?
A closed rhinoplasty surgery is best suited for patients who require only slight nasal enhancements, and involves surgical incisions that are concealed within the nasal cavity.
WHAT IS AN OPEN RHINOPLASTY SURGERY?
An open rhinoplasty is an appropriate option for patients who need more intensive nasal reshaping, and involves an incision that is made across the columella.
Both rhinoplasty techniques can involve the utilization of pieces of cartilage from the septum (the partition in the middle of the nose) to build up the existing structures of the nasal cavity, in order to create a more symmetrically balanced and proportionate nose.
Following the rhinoplasty procedure, internal nasal splints and external casts will be utilized for about seven days to support the new nasal structures. Patients can expect some post-surgical bruising and swelling around the cheeks and eyes, which should subside within one to three weeks.
Your cosmetic rhinoplasty results will be apparent immediately after your surgery, and will continue to improve over the next few months, as any remaining swelling decreases. Although your total healing time will be determined by your body’s unique capacity to heal itself, you will be advised to refrain from all vigorous physical activity for at least six weeks following your rhinoplasty.
WHAT IS ULTRASONIC RHINOPLASTY?
An ultrasonic Piezo machine precisely targets the nasal bone and cartilage while safeguarding delicate soft tissues, including skin, mucosa, and tender cartilages like the upper and lower lateral cartilages. Notably, the highly accurate fracture lines created by piezoelectric inserts (PEIs) eliminate the risk of radiating fracture lines found with traditional rhinoplasty instruments. This results in significantly reduced recovery time and an impressive 80% reduction in post-operative swelling and bruising compared to conventional rhinoplasty techniques.
WHAT IS REVISION RHINOPLASTY?
Revision rhinoplasty is a facial plastic surgery procedure to correct and enhance the results of previous nose surgeries. It’s more complex than primary rhinoplasty due to altered nasal anatomy and scar tissue. Surgeons like Dr. Sinno, who perform these types of surgeries, require exceptional precision to address aesthetic and functional concerns while customizing each procedure based on the patient’s unique needs.
HOW TO PREPARE FOR RHINOPLASTY CONSULTATION?
To make the most of your rhinoplasty consultation, collect images of noses that resonate with your desired aesthetic. This visual aid will help Dr. Sinno understand your preferences. Additionally, consider your goals for the surgery, whether purely for aesthetic reasons, functional improvement, or a blend of both. Clear communication about your objectives ensures we can provide you with a more informed assessment and personalized recommendations during the consultation, leading to a more successful outcome.
WHAT ARE THE PROCEDURAL DETAILS OF RHINOPLASTY?
Rhinoplasty surgery is typically performed as an outpatient procedure under intravenous sedation or local anesthesia and lasts between two and five hours. During your nasal reshaping surgery, Dr. Sinno will make incisions in and or on your nose, taking great care to ensure that your incisions will be as inconspicuous as possible. The specific details of each individual’s rhinoplasty can vary significantly and depend upon the patient’s unique nasal features and surgical goals. Your nasal reshaping procedure may or may not include the correction of a deviated septum (Septorhinoplasty) and enlarged turbinates to help you improve your breathing.
Day Surgery OR Overnight Stay?
After your rhinoplasty surgery, you may be released (depending on your medical condition and health state) to a friend or family member and may return home to continue your recovery. In some cases, Dr. Sinno may decide to keep you overnight to help you have a safer and more comfortable post-operative recovery.
HOW LONG IS RHINOPLASTY RECOVERY?
The length of your post-surgical recovery period will depend upon the capacity of your body to heal itself, the level of surgical correction performed and the number of procedures you have undergone. Elevating your head will help reduce post-surgical facial and nasal swelling and bruising, which typically peaks during the first 24–48 hours and subsides within two to four weeks.
However, overall health, adherence to post-operative care, and individual healing responses influence recovery time. While most noticeable changes manifest within several weeks, complete healing and the final results may take up to a year.
Rhinoplasty recovery photos day-by-day
To gauge your progress, consider taking daily photos for comparison. This day-by-day visual record allows you to detect subtle daily changes that might otherwise go unnoticed.
WHAT IS THE POST-OPERATIVE CARE AFTER RHINOPLASTY?
Rhinoplasty recovery typically involves wearing a cast for one-week post-op and then at night for an additional week. You may experience some swelling and minor bruising during this time, and the duration may differ depending on the patient and the extent of the rhinoplasty.
You will be expected to be able to see visible aesthetic improvements in your nose immediately following your rhinoplasty. These results should continue progressing over the following weeks as the incision site heals and the swelling decreases.
Dr. Sinno advises his patients that final results should be expected at the one-year point post-operative period when all scars and incisions should be mature.
For an optimized healing process, consider following these general healing tips following your rhinoplasty procedure.
When Can The Bandages Come Off After Rhinoplasty?
Dr. Sinno and his team will apply a special nasal splint and a “mustache” dressing. He will also use initial bandages that should be kept dry and clean until your scheduled follow-up, which is generally under a week. The mustache dressing can be changed as needed. It is expected that there will be some bleeding and secretions from the nose and down the throat for the first few days after your surgery. At your follow-up visit, the bandages will be removed, and your post-operative state will be evaluated.
Ice packs can be applied on top of your nasal splint and cheeks to help reduce facial swelling. It is important NOT to apply the ice for more than 15 minutes at a time. Ice can be applied every hour while awake.
How To Tape The Nose After Rhinoplasty?
Taping is recommended as it helps support your nose’s new shape and reduces swelling, contributing to a smoother and more successful recovery. Our qualified nurses will tape your nose after cast removal at the one-week mark and show you how to properly tape it yourself while applying the right pressure.
What To Avoid After A Rhinoplasty?
Dr. Sinno recommends that patients refrain from all activities that may increase their heart rate or blood pressure, including exercise, sexual activity, stressful situations, etc. Patients should also avoid wearing glasses on their noses, sneezing with their mouths closed, blowing their noses, and engaging in any other physical activities that could potentially harm or traumatize their noses. These precautions help safeguard the delicate healing process and minimize post-operative complications to ensure a smoother recovery.
When Can I Resume Normal Activity And Exercise After A Rhinoplasty?
It is recommended that patients walk and perform their usual activities within the limitations of the medical advice given and their tolerance to their comfort. No lifting more than 10 lbs. (4 kg) is recommended for at least two weeks after the surgery.
For the first week, sleeping on your back is preferred, with the head of the bed elevated to at least 45 degrees to help reduce post-operative swelling.
Patients are also advised to always keep their heads above their hearts and to refrain from bringing their heads down below the shoulders. Patients are advised to bend their knees and go down to put on or take off footwear, etc. so that the head is not suspended lower than the chest level.
When Can I Resume Showering And Washing After A Rhinoplasty?
The bandages are usually removed before the week after surgery. Dr. Sinno recommends that all bandages should remain dry and clean after your surgery until your first follow-up appointment. Showers should be avoided until authorized by Dr. Sinno. This is usually done after all the bandages are removed at the first post-operative visit. Until then, sponge baths are recommended.
White, non-scented shampoo and soap are recommended to be used along with running water on the incisions after the bandages are removed and when given medical authorization to do so.
When Can I Wear Glasses After Rhinoplasty?
You can typically wear glasses again after approximately 6 weeks following rhinoplasty. However, during this period, patients can use tape to secure the glasses to the forehead to avoid putting pressure on the healing nose.
Our team will provide you with specific instructions during your pre-surgery visit to ensure a safe and comfortable recovery.
When Can I Resume Driving After A Rhinoplasty?
It is recommended that patients not drive when taking narcotic pain medications and when having bulky dressings that may hinder their normal reflexes and reactivity.
WHAT ARE SOME OF THE RISKS AND POTENTIAL COMPLICATIONS THAT COULD ARISE FROM A RHINOPLASTY (NOSE JOB)?
All medical and surgical procedures have inherent risks and potential complications associated with them. It is imperative that you understand the potential risks, complications and consequences that can arise after the medical or surgical procedure you undertake. This understanding will better allow you to be able to provide informed consent based on the comparison to the potential benefit of the desired procedure.
Although the materialization of inherent risks is rare and developing complications is unlikely, these are real events that can occur. Dr. Sinno will help you to understand the risk/benefit profile of your desired cosmetic surgery procedure.
HOW MUCH DOES A RHINOPLASTY COST?
You could consider rhinoplasty surgery for various reasons. Whether to decrease the size of your nose, correct asymmetries, straighten your dorsal hump or regain your confidence back, most patients agree that rhinoplasty surgery was worthwhile.
The type of materials used and level of work necessary to achieve your ideal results all contribute to the price of the procedure. It is also important to take into account the experience, training and reputation of the surgeon and support staff.
The average cost of a rhinoplasty procedure range between $9,400 and $12,350 plus applicable taxes.
WHAT IS NON-SURGICAL RHINOPLASTY?
Non-surgical rhinoplasty, or liquid rhinoplasty, is a minimally invasive cosmetic procedure that enhances the nose’s appearance without surgery. It involves using hyaluronic acid fillers to add volume, reshape, or correct minor imperfections in the nose. This non-permanent solution offers a shorter recovery time than surgical rhinoplasty, making it a popular choice for those seeking aesthetic improvements with fewer procedural risks. A liquid rhinoplasty lasts between 12–18 months.