Rhinoplasty is surgery to change the shape of your nose. Rhinoplasty is also known as a "nose job" or "nose reshaping." It's a cosmetic surgery, but it can also be done for medical reasons if you have breathing problems like chronic nasal congestion or recurring sinus infections.

There are two main types of rhinoplasty. The first is closed rhinoplasty, where incisions are made inside the nose to reshape the nasal cartilage and refine the tip. This type of procedure takes about one hour to complete and can be done under local anesthesia with no sedation. The second option is open rhinoplasty, which involves making an incision along the columella (the ridge between the nostrils) or on top of your nose to expose your nasal passages so that they can be repaired and any bone grafts can be performed safely. This type of surgery requires general anesthesia due to its lengthier procedure time (usually around two hours).

Most rhinoplasties involve the removal of cartilage and bone in order to change the shape of the nose.

  • The surgeon will remove any excess tissue from your nose.
  • If you have a bump or hump on your nose, this can be shaved down.
  • The nasal tip is reshaped by removing excess cartilage and skin if it's too large or asymmetrical. This can also fix an upturned or drooping tip if necessary.
  • A bridge graft is used to support any sagging created during surgery while ensuring that there's enough remaining material for further procedures later on (if needed).

Rhinoplasty is a major operation, but it's often safe when done by experienced surgeons. The surgery involves cutting and reshaping the bone structure of your nose to create a new shape. While rhinoplasty can be performed as an outpatient procedure, it is still major surgery and requires some recovery time to complete the healing process.

It's important to find a surgeon who is experienced in rhinoplasty if you're considering this surgery for yourself or someone close to you. Your doctor should have completed at least 100 rhinoplasties before performing one on you or anyone else in your family.

  • A nose that is too large or too small
  • A nose that is crooked
  • A nose that is too flat
  • A nose that is too wide
  • A nose that is bulbous
  • Nose asymmetry or bumpiness

When you choose to have rhinoplasty, you'll need to decide whether or not you want the surgery to be performed under general anesthesia or local anesthesia.

Local anesthesia involves numbing only a small part of your face and surrounding tissues, such as where the doctor will make incisions. General anesthesia means that you're entirely unconscious during the procedure—you won't feel any pain at all while it's happening.

You may be wondering: Which is better? That's a personal decision that depends on many factors, including your tolerance for pain and how much time off work or other obligations your recovery requires.

  • The surgeon makes incisions inside the nostrils to cut and reshape the cartilage.
  • The skin is closed with stitches that dissolve over time. In some cases, absorbable suture material may be used for the closure.

  • You should avoid strenuous activity for two weeks after your procedure.
  • You'll likely experience some swelling and bruising, though this will subside within one to four weeks.
  • Your nose may be splinted or cast for the first two to four days after rhinoplasty surgery. It's important that you follow your surgeon's instructions on how to care for this splint or cast while it's in place, as they can hinder proper healing if not followed correctly. The splint or cast will be removed at your scheduled follow-up appointment with the surgeon, but it may stay in place longer than necessary if there is any swelling present.
  • Dressings will be placed over each nostril after surgery; these need to remain dry throughout the healing process so that they don't absorb any secretions from inside the nose (this could cause infection). To ensure this doesn't happen, you'll need to keep away from hot tubs or swimming pools during recovery time and wear an eyeglass strap around your head when showering since water could get into places where dressing material isn’t covering properly yet. Generally speaking, there are very few restrictions during recovery except those related directly back to avoiding physical activity which may increase the risk of bleeding within nasal cavities due to impact trauma occurring via exercise intensity levels being too high during the early stages post-surgery period (which would result in potentially damaging tissue integrity).

Revision rhinoplasty is a second surgery to fix problems with the first surgery. The revision procedure can be done at any time after your initial surgery, but it's more complex than your first procedure and requires more time in the operating room.

If you have been unhappy with your results after rhinoplasty and are considering revision rhinoplasty, talk with your surgeon about what might be possible to improve the appearance of your nose. Your doctor may recommend going back into surgery only if they think they can repair or improve upon their original work—and only if you want them to do so.


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