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Imaage Cosmetic Surgery Center in Louisville Kentucky

Cosmetic Rhinoplasty Surgery

What is cosmetic surgery of the nose?

Introduction

Cosmetic surgery of the nose, or rhinoplasty, is a procedure to improve the appearance of the nose. Specific features addressed in cosmetic surgery of the nose, and strictly for appearance enhancement, include:

  • Nose size, in relation to facial balance
  • Nose width, at the bridge or in the size and position of the nostrils
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is enlarged or bulbous, drooping, upturned or hooked
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry

These features are generally caused by heredity; however, they can be caused by injury. In some cases, the characteristics of the nose are not the only factors contributing to facial imbalance. The facial structure – especially a small chin, weak cheeks and/or lower jaw – may also contribute to imbalanced facial proportions.

In these cases, surgery of the nose may be performed in conjunction with placement of facial implants or other procedures to achieve overall facial harmony.

Surgery of the nose is best performed when facial growth is complete, beginning around age 15. Good candidates are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals in mind for improvement

Where to begin

A consultation with Dr. Haas is the first step to learn how surgery can improve the appearance of your nose and facial harmony. A consultation is designed to fully educate you in a non-pressured environment and will include:

  • A discussion of your primary concerns and an evaluation of your individual case
  • The options available for surgery of the nose
  • The likely outcomes of surgery and any risks or potential complications
  • The course of treatment recommended

Dr. Haas and our experienced staff will answer your questions.

Evaluation

Overall health and personal outlook can greatly impact the outcome of surgery of the nose. These will be carefully evaluated in consultation. Be candid about your desire to improve your appearance, your medical history, prior surgeries, allergies, and medical treatments. The success of your procedure, safety and overall satisfaction requires that you:

  • Honestly share your concerns,
  • Fully disclose health history, current medications, the use of vitamins, herbal supplements, alcohol, tobacco, and drugs
  • Commit to following all of Dr. Haas’ instructions precisely

Safety

By making the decision to consult with a plastic surgeon and following all the instructions given, you are taking important steps in helping to assure your safety.

Dr. Haas is certified by The American Board of Plastic Surgery. This certification designates surgeons who are specifically trained in plastic surgery of the face and entire body.

Your nose surgery

Cosmetic surgery of the nose is an individualized procedure that takes into account all the specific characteristics that contribute to the overall appearance of the nose and its relation to other facial features. Dr. Haas will carefully evaluate your individual case and goals for improvement to determine specific features to address through surgery of the nose. Appropriate techniques will then be defined and may include:

  • Alteration of the nasal bridge
  • Reshaping the nasal bridge
  • Reducing the shape or width of the nose
  • Reshaping the nasal tip
  • Reducing the width or size of the nostrils
  • Adjusting the angle between the nose and upper lip

If you desire a more symmetrical nose, keep in mind that everyone’s face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion. Facial augmentation with implants of the chin, cheeks and jaw may further enhance your outcomes.

Surgery of the nose is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils. Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose.

Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body. Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.

Splints and packing will likely support the nose as it begins to heal. While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.

cosmetic surgery
of the nose
Rhinoplasty figure 1: Shaping Procedures

Surgery of the nose is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils. Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose

Rhinoplasty figure 2: The Incisions

Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body. Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.

Rhinoplasty figure 3: Healing

Splints and packing will likely support the nose as it begins to heal. While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.

Preparing for surgery

Dr. Haas and our staff will carefully explain the surgical procedure recommended for your specific case. Prior to surgery, you will be given specific instructions that may include:

  • Pre-surgical considerations, diagnostic testing and medications
  • Day of surgery instructions and medications
  • Specific information related to the use of anesthesia
  • Postoperative care and follow-up

In addition, you will be asked to sign consent forms to assure us that you fully understand the procedure and any risks or potential complications.

The risks associated with surgery of the nose include infection, nosebleed or rupture of small surface vessels of the nose. Surgery of the nose is a procedure in which aesthetic outcomes can be unpredictable, and in some cases a second procedure may be necessary to fully achieve your goals. These risks and others as well as those associated with anesthesia will be discussed prior to your consent.

It is natural to feel some anxiety, excitement for the anticipated outcome or preoperative stress. Please discuss your concerns with Dr. Haas or any member of our team.

What to expect

Surgery of the nose may be performed in our JCAHO-accredited, office-based surgical facility, an ambulatory surgical facility or a hospital. The decision for anesthesia will be based on the requirements of your specific procedure and personal preference.

Dr. Haas and the assisting staff will fully attend to your comfort and safety.

Following surgery

Once your procedure is completed, a splint and/or packing will likely be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing. Before you are released following surgery, you and an accompanying family member, friend or caregiver will be given specific instructions that may include:

  • How to care for the surgical site
  • Medications to apply or take orally to aid healing and reduce the potential for infection
  • Specific concerns to look for at the surgical site or in your general health
  • When to follow up with our office

Progress and healing

Initial healing may include some swelling, bruising, headache and discomfort that can be controlled with medications and cold compresses. These are all common conditions.

You will be instructed to keep your head elevated at all times until swelling has subsided and to keep any nasal packing in place at all times. Following all postoperative instructions carefully is essential to the success of your outcome. A return to light, normal activity is possible as soon as you feel ready, usually within a few days of surgery.

Any packing or splints will likely be removed after the first week, although you may need to wear the splint for an additional week or two. You will be ready to return to work and normal activity at this time. Cosmetics can camouflage any bruising or redness that remains. Healing will continue for several weeks as swelling continues to dissipate and the improved appearance of your nose begins to become apparent.

Diligent sun protection is recommended as you continue to heal. You must also protect your nose from injury during any physical activity for the next four to six months.

Results and outlook

The outcome of your nose surgery will appear gradually over time. At a minimum, a year is considered normal for the outcome of surgery of the nose to fully refine. In general, the results of nose surgery are permanent; however, cartilage, the main supporting structure of the nose, is continually growing and moving tissue that may change the outcome over time.

You should be pleased with the improved balance among your facial features resulting from surgery of the nose. Achieving your personal goals for an enhanced appearance will likely increase your self-confidence.

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