Rhinoplasty

Rhinoplasty Surgery with H/K/B Cosmetic Surgery

RHINOPLASTY SURGERY IS DESIGNED TO IMPROVE THE APPEARANCE OF THE NOSE AND IMPROVE BREATHING

Rhinoplasty nose surgery is a very popular procedure at H/K/B Cosmetic Surgery with an extremely high patient satisfaction rating. This procedure utilizes techniques such as cartilage removal, nasal bone manipulation and/or nasal tip shaping to help patients achieve a look that they’re proud of.

Rhinoplasty surgery is designed to improve the appearance of the nose and, in some cases, to improve breathing. It can help bring the overall facial structures into better harmony and balance or simply modify areas of the nose that are misshapen or too large. With rhinoplasty surgery, two main techniques, closed and open rhinoplasty, are typically utilized – but most commonly, the open technique is used so that the surgeon can have optimal versatility to achieve a great result.

To learn more about rhinoplasty surgery at H/K/B Cosmetic Surgery, complete our online form today to schedule a visit.

What Happens During Rhinoplasty Surgery?

In a closed rhinoplasty technique, incisions are hidden inside the nose. This is possible when the bridge and/or dorsum of the nose are the primary concern. It can also be used in cases of a deviated septum.

The open rhinoplasty technique allows for all cartilage and bone components from top of the nose down to tip to be clearly visualized and accurately shaped. This includes an abundance of detailed procedures to correct everything from a large dorsal hump to oversized or flaring nostrils.

The scar crosses the columella – the column of skin between the nostril openings – and extends into the nasal folds. The scar is usually undetectable within six to twelve weeks. There is usually swelling following a rhinoplasty, which may persist for as long as six months, however the new shape is visible upon splint removal at approximately 5 days after your procedure. Numbness of the tip, which is temporary, may also be experienced for several weeks but will get better with time.

Questions To Ask Your Rhinoplasty Nose Surgeon

It’s important to make sure all of your questions are addressed during your consultation. Here are some subjects you may want to bring up during your personalized, one-on-one visit with your surgeon.

  • What kind of anesthesia will be provided, and by what kind of anesthesia provider?
  • Is it an advanced anesthesia provider, such as what we have at H/K/B? An advanced anesthesia provider is the gold standard in safety and care.
  • Is the procedure being performed at an accredited surgery facility? You should be sure that your procedure is being performed in an accredited facility. Accreditation Boards include AAAASF, which is the American Association for the Accreditation of Ambulatory Surgical Center, AAAAHC, the American Association for the Accreditation of Health Care Facilities, and JACHO, the Joint Commission for the Accreditation of Hospital Facilities. All of these organizations are recognized as proper certifying bodies, and the surgical facility should be certified by one of these entities.
  • Is the plastic surgeon and the staff advanced cardiac life support certified? Although this is not required, having the physician and all clinical staff certified in advanced cardiac life support, such as we have at H/K/B, ensures the highest level of supervision, evaluation, and care of all patients should there ever be an emergency.
  • May I have a tour of the surgical facility? Is it properly outfitted? Is there proper cleanliness, proper lighting, and proper space for the procedure, as well as the recovery room and overnight facilities, which are commonly necessary following important rhinoplasty nose surgery and body contouring procedures? At H/K/B, we are proud of our fully certified surgical facilities and are excited to have prospective patients tour them.
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The H/K/B Way is a collaborative effort between all of our physicians and staff. Together, we are committed to providing our patients with state-of-the-art procedures, best-in-class surgical technology, and the most advanced methods for ensuring not just optimal results, but also optimal recovery periods.

Rhinoplasty Nose Surgery Recovery

During the recovery period after a rhinoplasty nose surgery, bruising and swelling usually occur as well as nasal congestion (a stuffy nose). While this can be slightly uncomfortable, most patients are surprised by how quickly it begins to heal after a few days. Furthermore, rhinoplasty patients are often quite surprised at the low level of pain and discomfort they feel. For most patients, rhinoplasty is not a very painful procedure to experience.

Follow-up visits vary depending on the complexity of your procedure and the preferences of the surgeon, but typically range from 2- 8 visits over the course of a few weeks.

Resuming exercise will be determined by your surgeon and based on the complexity of your procedure. However, in most cases, patients can resume most physical activities within a few weeks.

Rhinoplasty Nose Surgery Cost

The cost of a rhinoplasty nose surgery is determined by many factors. This procedure is very detailed and can vary greatly in surgical approach from person to person depending on their concerns, needs and goals. Therefore, your provider and his team will develop a customized cost estimate based on a thorough consultation and physical examination.

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Rhinoplasty FAQS

These are important questions to ask when considering rhinoplasty nose surgery. Rhinoplasty is a very complex procedure and needs to be performed in an accredited facility with highly trained personnel led by a skilled plastic surgeon. These important questions will help ensure that you have a successful high quality outcome.

It is imperative to have your rhinoplasty procedure with surgeon that is board certified by the American Board of Medical Specialties and also a member of the ASPS (American Society of Plastic Surgery) and has performed a large quantity of rhinoplasty procedures.

Yes! All noses have their own distinct features. Even after performing surgery, you will still have a nose unique to yourself. No nose is perfect, and no two noses are alike.

We use digital imaging to demonstrate to patients what is a reasonable expectation of the nose’s appearance postoperatively. While it is certainly never a guarantee of results, it is a useful tool for discussing surgery goals and achieving a mutual goal of a beautiful and harmonious nose.

During the consultation, we will discuss your concerns and goals to determine the best plan. Think about which areas and aspects you hope to address in your nose during your consultation.

Our pre-operative department will contact you in the weeks and days leading up to surgery and give you information regarding any medications you will need to take or stop taking prior to surgery. Please follow eating/drinking time restrictions. Adequate rest will help ensure that you are ready for surgery. Please notify us if you are experiencing any change in health in the weeks leading up to surgery.

Rhinoplasty is often a reconstructive surgery where the structures of the nose are altered to improve its appearance. In addition, there are many maneuvers that can be performed to improve the nasal valve and airway by changing the nose’s structure. 

Physical examination of the nose is vital in determining if you have a deviated septum. In many instances, septoplasty is performed to help correct the deviated septum. Often, septoplasty is performed to harvest septal cartilage, which is used during rhinoplasty. Septal cartilage is a very useful cartilage grafting material during rhinoplasty.

Open and closed rhinoplasty describes how we access the structures of the nose. An open approach uses a columellar incision as well as incisions inside the nose. A closed approach uses only incisions inside the nose.

General anesthesia is typically used during rhinoplasty. Modern general anesthesia is very safe. Use of general anesthesia helps protect your airway during surgery, which is very important.

When rebuilding the structure of the nose, either cartilage or bone is used to help contour and shape the nose. These grafts can be taken from the nose itself, the patient’s own rib or ear, or through cadaver cartilage.

Rest and relax. Avoid salty foods and alcohol. Keep your head upright. Take the medications as prescribed. Keep the nose clean. We will cover all of these topics pre and post operatively.

External sutures are typically removed between 3 to 5 days during one of your in-office visits.

Splints are removed between 5-7 days after your procedure. Your new nasal contour will be immediately visible, however, swelling will still be present for many months.

No, we do not use nasal packing as it was classically used in the past. We use splints inside the nose that are typically in place for a week after surgery. Splints do not fully obstruct the nose but can make breathing more difficult during that first week.

You will have a cast on your nose, splints possibly on the inside of the nose, and perhaps some sutures at the columella and inside your nostrils. You will have swelling, and some level of bruising can be expected. Nasal congestion is common immediately after rhinoplasty surgery.

We ask that patients take it easy for the first week. Patients have a cast on the noseand potentially splints on the inside of the nose for the first week. These are typically removed one week postoperatively. Ease back into normal exercise after two weeks postoperatively. 

In general, after 1 week the cast and sutures are removed. Many patients are comfortable returning to work at that time, depending on the nature of the work. Some prefer to take a bit more time prior to returning to work. 

Walking is recommended after surgery. Ease back into normal exercise after two weeks postoperatively. The risk of bleeding in the nose is most present after surgery for the first 1-2 weeks. Keeping blood pressure down, and keeping physical exertion limited is advised to avoid any postoperative bleeding.

Our preop department requires that patients quit smoking tobacco and nicotine products weeks prior to and weeks after surgery. Smoking causes prolonged healing and potentially worsened scarring.

Revision rhinoplasty is more challenging than primary rhinoplasty for a variety of factors. There is additional scarring to contend with during surgery and the postoperative period. Often, there is deformity or lack of the existing cartilages in the nose, thus requiring additional cartilage sources for reconstruction. There is increased risk of asymmetries as well as tissue loss with revision cases. 

It is normal to have some discomfort after rhinoplasty. You often have splints and casts in place, as well as sutures, which can all cause discomfort during the initial healing phase. There can be some tenderness and soreness of the nose and facial areas after rhinoplasty. However, pain medication is provided and often helps alleviate pain. Often, patients are surprised by how little pain there is after surgery. In all cases, any pain significantly improves over the first few days and is greatly reduced after the first week.

There are risks inherent to any surgery. Some of the more commonly discussed risks for rhinoplasty include: Hematoma. Septal perforation.  Infection. Scarring. Asymmetries. Numbness. Prolonged swelling. 

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