Nose Job - Rhinoplasty

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Rhinoplasty Patient 2

Nose job (rhinoplasty) surgery used to be the most common cosmetic procedure. The nose is the most prominent facial feature. People often desire a smaller nose or they want the large hump or bump removed. The tip of the nose can be made smaller and lifted to create a pointier tip. Dr. Lynam’s goal in performing nasal surgery is to understand exactly what the goals of the individual patient are and to achieve these goals as best as possible.

Candidate for Nose Job (Rhinoplasty) Surgery

The best candidates are healthy non-smokers who have a positive outlook. At the time of your consultation, your goals, the procedure, and the routine postoperative healing process will be explained in detail and all of your questions will be answered. Your medical history will be reviewed to ensure you are a healthy candidate for surgery.

Nose Job (Rhinoplasty) Surgery

Often a small incision under the nose is made to perform what is known as an “open rhinoplasty technique”. This small incision heals with an almost imperceptible scar. The benefits of the open approach include the ability to see exactly what supports the nose and what is causing the deformity that we are trying to correct. Sculpting the cartilage and soft tissue is performed and open grafts of cartilage from the nasal septum are used to support the new nose. If a hump or bump is removed, osteotomies or fracturing of the nose is performed to create a new narrower nose. Nose job (rhinoplasty) surgery is done on an outpatient basis, taking 2 hours to perform and is done under general anesthesia. Upon completion of the rhinoplasty (nose job) surgery the nose is taped and splinted with an external cast that stays on for 7-10 days. It is rare to need internal nasal packing.

After Nose Job (Rhinoplasty) Surgery

The splint is removed 7-10 days following the rhinoplasty (nose job) surgery, the nose is cleaned and may be re-taped lightly. Your nose is bruised and swollen for several weeks after surgery. 80% of the swelling goes down over the next month and the last 20% often taking six months to go away. If needed, a small amount of steroid can be injected in to the nose to help remove stubborn swelling. It is best to sleep with your head elevated (in a reclining chair) for the first 2 days after the rhinoplasty (nose job) surgery. The inside of the nose may be gently cleaned with cotton swabs and diluted peroxide solution to remove crusting. Neosporin ointment is used to lubricate and coat the incision. You should not blow your nose for several weeks to allow for proper healing. Vigorous exercise routines may resume 2 weeks following your rhinoplasty (nose job) surgery. You may return to work one week after the rhinoplasty (nose job) surgery.

The best way to determine if you are a good candidate for the rhinoplasty (nose job) surgery is to schedule a consultation. You will learn what are reasonable expectations for the goals you wish to achieve.

 
 

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