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“Rhinoplasty” comes from Greek words that mean Nose and Shaping. (Think of rhinoceros and plastic.) It’s a type of facial plastic surgery that can remove the hump on a nose or a bulb from the end of it, change the overall shape, increase or reduce the size, correct an injury or a birth defect, narrow the width of the nostrils, and sometimes open the breathing passages to increase ease of breathing.

The procedure takes anywhere from 1 to 3 hours, depending on what exactly is being done. It’s usually an outpatient procedure done under general anesthesia.

If you decide you want rhinoplasty nose surgery done, be sure and talk to your plastic surgeon in detail about what you expect or hope for, and listen to his advice as to what he thinks is possible. Your doctor will assess your whole face, your skin and bone structure, and factoring in your age and hopes, will explain what he can do. Be sure you understand what the plan is, the risks of this surgery, and how you can optimize your recovery time. Your plastic surgeon will tell you how to get ready and will advise you as to food, smoking, medications and vitamins, and cleaning your face.

Your doctor will choose either a closed procedure or an open one, depending on what needs to be done. Those terms refer to where he makes the incision. In a closed procedure, the incisions will be inside the nostrils and in an open one an additional incision will be made across the columella (the little strip of flesh between the nostrils). Discuss with your doctor about the different approaches and you and he will decide which one is best for you.

Most patients are able to return to work after a week. You will have nasal stuffiness for several weeks, but most of the pain will be gone after several days. Most of the bruising and swelling will subside after 2-3 weeks. It takes a full year for all of the swelling to resolve and for you to see the final result, but you should see a significant change in your nasal appearance after one week.

The only visible scar is the additional one used with the open approach; however, it is usually hardly visible after a short period of healing.

The complications associated with rhinoplasty are similar to those associated with any surgery: infection, bleeding and abnormal scarring. In addition, specific risks include numbness of the nasal skin, development of small blood vessels around the nose and a nasal contour that you may not be totally happy with.

The cast is removed approximately 7 days post-operatively. You may feel a slight stiffness in the upper lift as the swelling “moves downward”. This will subside in a matter of hours. you must be very careful not to bump it as it is vulnerable to breakage. It isn’t a bone china figurine but it isn’t as strong as your nose was before the rhinoplasty either. Don’t worry, the bones will completely mend within 2 months. If you had a rhinoplasty where the nostrils were narrowed (in the case of flared nostrils) your sutures will get absorbed.

The nose will be very sensitive for approximately a month and a half. The patient will start to see a difference immediately but it will still be swollen. The swelling starts to generally disappear about a week after the cast is removed. Approximately 80% of the swelling and 100% of the discoloration are usually gone by 2 weeks after surgery. 90% of the swelling is gone by two months after surgery and the rest slowly disappears over the next year. Although the nose is still swollen after the first month, most people would not recognize this fact. The patient will not notice this swelling. Instead the patient will notice that the nose becomes more refined with better definition over the first year. The inside of the nose may be swollen for approximately three weeks after the surgery. Nasal breathing may be difficult during this time. If surgery is performed to straighten the nasal septum, an improvement in breathing will be appreciated at about 3 weeks.

Most patients report a little tenderness when the cast is removed, but if your surgeon uses a cotton swab saturated with alcohol to help remove the adhesive from the tape and glue you should be okay. Although it really shouldn’t cause you great discomfort. The sutures that may be removed may hurt when someone else removes it due to them not actually being able to tell when they are hurting you. They also may snip your flesh slightly when the scissors are used to cut the actual suture. This isn’t as rare as it as it should be and solely depends upon the surgeon’s meticulous nature.

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