Rhinoplasty | Nose Job

Cosmetic/Functional Rhinoplasty.

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Rhinoplasty | Nose Job
Rhinoplasty medically called nasal reconstruction, is a plastic surgery procedure for altering and reconstructing the nose.

Overview

Rhinoplasty Overview

Rhinoplasty is a surgery to change the shape of the nose. Both breathing and the nose's shape are related. A rhinoplasty can be used not only to change the way the nose looks but also to improve breathing.

Purpose

  • Rhinoplasty can be performed for cosmetic reasons or to improve nasal function. It addresses issues like:
  • Nose size.
  • Shape.
  • Symmetry.
  • Can correct structural problems that impede breathing.

Procedure Details

  • During the procedure, incisions are made to access the bones and cartilages that support the nose. The nasal structure is then sculpted to the desired shape. Techniques vary based on the desired outcome and the complexity of the surgery.

Duration of Nose Job (Rhinoplasty) Results

  • Initial Weeks: Most patients experience noticeable swelling immediately after the surgery. This swelling is typically visible to others but begins to subside within the first few weeks.
  • 4–6 Months: By this time, the majority of the swelling should have diminished. Patients will see a more defined shape of their nose, and the most significant changes become evident.
  • Up to 1 Year: Although the major swelling has reduced, subtle changes and refinements continue to occur. The final shape of the nose usually settles within a year, revealing the ultimate result of the surgery.
  • In summary, while significant improvements are visible within the first 4–6 months, it can take up to a year for the nose to fully heal and the final results to become apparent.

Risks

  • As with any major surgery, rhinoplasty carries risks such as:
  • Bleeding.
  • Infection.
  • A bad reaction to the anesthesia.
  • Problems breathing through the nose.
  • Permanent numbness in and around the nose.
  • The possibility of an uneven-looking nose.
  • Pain, discoloration or swelling that may last.
  • Scarring.
  • A hole in the wall between the left and right nostrils, known as septal perforation.
  • A need for additional surgery.
  • Change in the sense of smell.

Who is a candidate for rhinoplasty?

  • To determine if you are a good candidate for rhinoplasty, you should meet the following criteria:
  • Completed Facial Growth: Your facial growth should be complete. This typically means you are an adult or a teenager whose facial bones have finished developing.
  • Good Physical Health: You should be in good physical health without any serious medical conditions or illnesses.
  • Non-Smoker: It's important that you do not smoke, as smoking can interfere with the healing process. If you do smoke, you must demonstrate the ability to stop smoking for a prolonged period before and after the surgery.
  • Positive Outlook and Realistic Goals: You should have a positive outlook and realistic expectations for the improvement of your appearance. Understanding the limitations of nose surgery is crucial.
  • Personal Motivation: You should want the procedure for your own reasons, not because someone else thinks you would look better.
  • Understanding of the Recovery Process: Candidates must be prepared for the recovery period and follow post-operative care instructions diligently.
  • Able to Pause Alcohol Consumption: Avoiding alcohol before and after the surgery is crucial for a smooth recovery process.
  • No Pregnancy or Nursing: Women who are pregnant or breastfeeding should wait until after this period to undergo rhinoplasty.

Who Is Not a Good Candidate for Rhinoplasty?

  • There are several factors that might make someone a poor candidate for rhinoplasty:
  • Specific Health Conditions That Exclude Patients from Rhinoplasty:
  • High blood pressure.
  • Heavy drinking/smoking.
  • Bleeding disorders.
  • Heart disease.
  • Lung disease.
  • Diabetes.
  • Obesity.
  • Arthritis.
  • High cholesterol.
  • Severe allergies.
  • Mental Health Considerations: Patients with mental disorders may not be able to handle the stress of surgical operations. This includes those suffering from depression or body dysmorphic disorder.
  • Age: Individuals under the age of 14 (girls) or 15 (boys) are not ideal candidates as their facial structures have not fully matured.
  • Unrealistic Expectations: Patients must have realistic goals for the surgery. Rhinoplasty cannot transform a person’s life or make them look like someone else.
  • External Pressure: If someone else is pushing the patient to undergo rhinoplasty, it is not a good sign. The decision should be personal and voluntary.
  • Life Crises: Patients experiencing significant life crises (e.g., death of a loved one, end of a relationship) should avoid elective surgeries during these times.
  • Turned Away by Another Surgeon: If another facial plastic surgeon has already deemed the patient unsuitable, it is likely for good reasons that should be heeded.

examples

Nose job before and after

Insights Into Rhinoplasty Results

Explore how before and after images can be instrumental in understanding the potential outcomes of nose jobs and in setting the right expectations.

Evidence of Skill

Before and after photos showcase the high quality of outcomes achievable through skilled rhinoplasty, reflecting the surgeon’s considerable expertise.

Artistic Sense

A single high-quality result demonstrates the surgeon’s aesthetic and artistic sense, which is crucial in achieving the desired natural look.

Realistic Expectations

Understanding that each result is unique, helps set realistic expectations, emphasizing the importance of personalized consultation to achieve the best outcomes.

Dorsal hump reduction. This patient’s main concerns about her nose where her side profile and the fact that she felt her nose was too large overall.

She had an open rhinoplasty procedure with reduction of the bump on the side profile

Results are shown at 6 months.

Dorsal hump reduction and tip refinement

He had an open rhinoplasty procedure with reduction of the bump on the side profile.

The patients' biggest concern was their nose, their lateral profile and the fact that they felt it was too big overall.

He had tip refinement to narrow the tip.

In addition, patients feel that their tip is drooping.

6 days post rapid recovery rhinoplasty

Tip swelling can take up to 18 months to settle fully.

Nose job without surgery

Nonsurgical Rhinoplasty:

  • Dr. Valentina Rakhimova explains that Nonsurgical rhinoplasty, also known as a liquid rhinoplasty or nose job, is a cosmetic procedure in which dermal fillers are injected to temporarily alter the shape of your nose. This is a suitable alternative for individuals who prefer to avoid plastic surgery.
  • The procedure can be completed in a single office visit by a qualified healthcare provider.
  • While the results typically last up to six months, the treatment offers minimal downtime and fewer risks compared to surgical alternatives, although the changes are less dramatic.
  • Common side effects are usually mild and temporary.

How long does a nonsurgical nose job last?

  • A nonsurgical nose job, often referred to as a liquid rhinoplasty or a 15-minute nose job, offers a temporary alternative to surgical rhinoplasty.
  • This procedure involves using injectable fillers to alter the shape of your nose without invasive surgery.
  • The longevity of the results varies based on the type of filler used and the individual’s metabolic rate.
  • Hyaluronic Acid Fillers: Commonly used in this procedure, these fillers are known for their safety and reversibility. Depending on the specific product and the individual's body chemistry, hyaluronic acid fillers can last from 12 to 18 months. Some thicker formulations may even extend their effects up to 1.5 years or more.
  • Botulinum Toxin (Botox): Although less common for structural changes, Botox can be used to adjust the nasal tip or smooth fine lines around the nose area. The effects of Botox generally last between 3 and 4 months.
  • Calcium Hydroxylapatite (CaHA): Known for its longer-lasting results, CaHA is a bio-compatible filler that not only improves the shape of the nose but also stimulates collagen production. Results can last up to 12 months or more, providing a semi-permanent filling effect.

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Costs

How Much Does Rhinoplasty (nose job)

Cost in Mexico? Find Out Now

Mexico 🇲🇽

  • Open rhinoplasty $3800 - $5500
  • Rhinoplasty (nose job) - average $4,418
  • Nose job costs $3,000 - $6,000

United States of America 🇺🇸

  • Open rhinoplasty $3800 - $5500
  • Rhinoplasty (nose job) - average $8,025
  • Nose job costs $3,229 - $20,000

Turkey 🇹🇷

  • Open rhinoplasty $2700 - $5000
  • Rhinoplasty (nose job) - average $4000
  • Nose job costs $3,000 - $4800

FAQs

Frequently Asked Questions in Rhinoplasty

People often ask questions the following questions about Rhinoplasty, also known as a nose job. Common rhinoplasty questions:

What is rhinoplasty?

  • Rhinoplasty is a surgery to reshape the nose. Rhinoplasty can make the nose smaller, reduce the bridge, narrow the nose, and shape specific portions such as the tip or nostrils. It can also improve nasal breathing. The procedure addresses both the appearance and function of the nose.

My nose is too big. Can you make it smaller?

  • Yes! Rhinoplasty can reduce the size of the nose, including the nasal tip and nasal bones, to achieve a balanced and natural appearance. Please see our photo gallery for examples.

What is a standard rhinoplasty?

  • There is no standard rhinoplasty due to the complex structure of the nose. Each procedure is unique and custom-designed to address the specific needs and structure of each patient's nose, requiring a careful and meticulous plan.

Is rhinoplasty cosmetic or reconstructive?

  • Rhinoplasty can be both cosmetic and reconstructive, often combining elements of both. Functional/breathing components are addressed in every procedure, whether performed for aesthetic reasons or not.

What is the philosophy towards rhinoplasty?

  • A conservative approach is often taken for rhinoplasty, aiming for natural-appearing results that fit each individual's character. Changes are made to ensure the nose retains its unique character and harmonizes with overall facial features.

What is the difference between “open” and “closed” rhinoplasty?

  • Closed rhinoplasty involves incisions hidden inside the nose. Open rhinoplasty includes a small incision across the columella (the bottom portion between the nostrils). Most procedures are performed through a closed rhinoplasty approach, but an open technique may be used in specific cases.

Is it possible to have a rhinoplasty without having that unnatural or “operated” look?

  • Yes! The goal of rhinoplasty is to achieve a natural, unoperated-looking result. Each element is shaped meticulously to blend and harmonize the overall appearance of the nose.

Can you improve the breathing through my nose?

  • Yes, breathing can be significantly improved in most cases. The nasal airway and airflow are carefully assessed and addressed to enhance nasal function.

Where is the surgery performed?

  • Rhinoplasty can be performed at either a surgery center or a hospital, depending on the patient's needs and preferences.

Do I have to stay overnight at the hospital after surgery?

  • No, most rhinoplasty procedures are outpatient surgeries, allowing patients to go home the same day. Arrangements can be made for out-of-town patients to stay at an after-care facility or hotel if necessary.

What kind of anesthesia is used for surgery?

  • Rhinoplasty is typically performed under general anesthesia or heavy sedation, based on the patient's needs and preferences. Most patients prefer general anesthesia to be asleep during the procedure.

How long does rhinoplasty take?

  • The duration of rhinoplasty depends on the complexity of the case, usually taking one or more hours. An estimate can be provided during the consultation.

Will there be any nasal packing?

  • Nasal packing is typically not used, with incisions closed using fine dissolving sutures. However, nasal packing may be used in rare technical considerations.

What is recovery like?

  • Recovery is usually uneventful, with patients taking about a week off from work. There is minimal pain or nausea, and swelling mostly subsides within a few weeks. Some swelling may remain for many months, with subtle changes taking up to a year to become noticeable.

Will I have bruising after surgery?

  • Bruising depends on the surgery details, skin type, and whether the nasal bones are repositioned. Most bruising resolves within 10-12 days after surgery.

Will insurance cover my surgery?

  • Insurance may cover rhinoplasty performed for functional reasons, such as correcting a broken nose or improving the nasal airway. Coverage varies by insurance company and policy. Assistance with insurance issues can be provided.

Is this procedure commonly performed?

  • Yes, rhinoplasty is a commonly performed procedure.

Is rhinoplasty taught to residents and fellows at teaching institutions?

  • Yes, rhinoplasty is taught to residents and fellows at teaching institutions, often involving lectures and hands-on training in both Plastic Surgery and Otolaryngology departments.

I have had a rhinoplasty before and I am unhappy with my result. Can this be fixed?

  • Revision rhinoplasty varies depending on the patient's anatomy and previous procedure. Some cases require minor touchups, while others need major revisions. Expectations and possible outcomes are discussed during the consultation.

Can results be guaranteed for rhinoplasty?

  • No physician can guarantee results for rhinoplasty or any other medical procedure. However, meticulous care is taken to achieve the best possible outcome, although complications can occur.

Can other cosmetic surgeries be performed at the same time as rhinoplasty?

  • Yes, other cosmetic procedures can be performed simultaneously, such as chin augmentation to improve facial harmony. Each case is evaluated individually, and options are discussed during the consultation.

Why do surgeons sometimes move the chin forward or place a chin implant during rhinoplasty surgery?

  • Moving the chin forward or placing a chin implant can better balance the nose's relationship with the rest of the face, enhancing overall facial harmony.

What is rhinoplasty for?

  • Rhinoplasty can address cosmetic concerns, improve nasal function, or correct trauma-related deformities, enhancing both appearance and breathing.

How long do rhinoplasty results last?

  • Rhinoplasty results should last a lifetime. While aging may cause slight changes, the overall structure of the new nose remains permanent.

Is rhinoplasty painful?

  • Rhinoplasty recovery can be uncomfortable, but pain levels vary. Most people rate their pain between 0 and 4 out of 10 the day after surgery, and pain usually lasts 36 to 72 hours. However, the nose may remain sensitive to touch for up to three months.

What is the rhinoplasty success rate?

  • Rhinoplasty has a high success rate of 80–90%, meaning that most patients are pleased with the results. However, it's important to note that the surgery can go wrong if it's not performed by a skilled and experienced surgeon.

Why is rhinoplasty so popular?

  • Improvements in technique and technology have made rhinoplasty more popular. Patients are more comfortable during and after surgery, the risk of complications is lower, and results tend to be more in line with patient expectations.

Can rhinoplasty reduce nostril size?

  • Yes, a rhinoplasty procedure called alar base reduction (or alarplasty) can reduce the size of the nostrils. This technique reshapes the nostrils to create a smaller opening, resulting in a more balanced nose with smaller, less flared nostrils.

What is the difference between a nose job and rhinoplasty?

  • There is no difference; 'nose job' is a colloquial term for rhinoplasty.

Risks and potential complications

  • Common risks include, but are not limited to, bleeding, infection, poor wound healing, and unsatisfactory aesthetic results. Severe complications are rare.

Will rhinoplasty help me breathe better?

  • If your rhinoplasty procedure includes correction of any internal nasal obstructions such as a deviated septum, it is likely to improve your breathing.

When can you exercise after rhinoplasty?

  • Light walking can be resumed immediately, but strenuous activities should be avoided for at least 4-6 weeks after surgery to prevent bleeding, swelling, and other complications.

How long is the surgery?

  • Rhinoplasty typically lasts between one to three hours, depending on the extent of the procedure.

What can a rhinoplasty fix?

  • Rhinoplasty can fix aesthetic concerns of the nose, functional issues due to anatomical defects, and injuries that have altered the nose's appearance and function.

Does piercing prevent nose surgery?

  • Nose piercings generally do not prevent rhinoplasty but must be removed during the surgery and may need to remain out during the healing process.

What can rhinoplasty accomplish?

  • Rhinoplasty can improve the appearance and proportion of your nose, enhancing facial harmony and self-confidence. It can also correct impaired breathing caused by structural defects in the nose.