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Nose Surgery (Rhinoplasty) FAQ

 

Frequently asked questions about nose reshaping (rhinoplasty)?

What is a nose reshaping (rhinoplasty)?

What are the indications for nose reshaping (rhinoplasty)?

Can breathing problems be corrected at the same time as nose reshaping (rhinoplasty)?

What kind of anesthesia is used with nose reshaping (rhinoplasty)?

What techniques are used for nose reshaping (rhinoplasty)?

What is meant by “realistic expectations” for nose reshaping (rhinoplasty)?

Where should I get information about nose reshaping (rhinoplasty)?

How does the process work to get nose reshaping (rhinoplasty)?

Will I have swelling or bruising after nose reshaping (rhinoplasty)?

How much postoperative discomfort is present with nose reshaping (rhinoplasty)?

When can I go back to work after nose reshaping (rhinoplasty)?

Do I have to go to the hospital to get nose reshaping (rhinoplasty)?

When can I drive after nose reshaping (rhinoplasty)?

What is a nose reshaping (rhinoplasty)?

Nose reshaping (rhinoplasty) is a procedure that changes the size and shape of the nose by changing the internal structures of the nose. In general terms, the shape of the nose is determined by the internal structures that support the nasal skin. These structures, consisting of cartilage and bone, are altered to change the appearance of the nose. Nose reshaping (rhinoplasty) has changed dramatically over the years, and a large number of techniques are used to achieve the desired results.

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What are the indications for nose reshaping (rhinoplasty)?

The choice to get nose reshaping (rhinoplasty) is a personal one. Patients that seek nose reshaping (rhinoplasty) sometimes say that their nose does not fit their face. When considering nose reshaping (rhinoplasty) three general dimensions are considered which include the length of the nose, the width of the nose, and the projection of the nose. These dimensions are considered in relationship to the sex of the patient, and the general shape of the face.

Common concerns of the patient seeking nose reshaping (rhinoplasty) include:

  • Bump on the top of the nose (nasal dorsum)
  • Tip of the nose is too wide (bulbous tip)
  • Tip of the nose sticks out too far (overprojection)

By changing the internal support structures with the nose reshaping (rhinoplasty) procedure, the concerns of the patients can be addressed. Dr. Herring will discuss any concerns at your consultation, and how they can be corrected with nose reshaping (rhinoplasty).

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Can breathing problems be corrected at the same time as nose reshaping (rhinoplasty)?

Yes. Breathing problems can sometimes be corrected at the same time as nose reshaping (rhinoplasty). If breathing problems are present, it is usually considered a medically necessary procedure. The nose reshaping (rhinoplasty) procedure is generally considered an elective surgery, meaning that it is not medically necessary.

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What kind of anesthesia is used with nose reshaping (rhinoplasty)?

Nose reshaping (rhinoplasty) can be done with a combination of intravenous sedation and local anesthesia (numbing medicine). For very minor corrections, nose reshaping (rhinoplasty) can be done with oral sedation and local anesthesia (numbing medicine). Most nose reshaping (rhinoplasty) procedures can be done with sedation and local anesthesia. For very complicated rhinoplasty procedures, general anesthesia is sometimes used, which means the patient is completely asleep and monitored by a trained anesthesia professional.

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What techniques are used for nose reshaping (rhinoplasty)?

There are two techniques that are used for nose reshaping (rhinoplasty) based on the type of incision. The first is the “closed” technique that uses incisions inside the nose. The second is the “open” techniques that uses incisions inside and on the outside of he nose. For more complicated nose reshaping (rhinoplasty) procedures, some surgeons prefer the “open” technique because they feel that full field direct vision (being able to see all the nose structures at the same time) is helpful. In some cases, additional small incisions are used inside or outside the nose to change the appearance of the nose. As most procedures in Plastic Surgery, the techniques used vary from patient to patient. So that the surgical plan exactly fits the specific concerns of the patient.

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What is meant by “realistic expectations” for nose reshaping (rhinoplasty)?

Realistic expectations mean that the nose reshaping (rhinoplasty) procedure can change the shape of the nose. It does not mean that your nose will look exactly like anybody else’s nose, including your family members. It does not mean any other problems will be solved by getting nose reshaping (rhinoplasty). It does mean that your nose will have a different shape, but that a completely new nose is not created. The nose reshaping (rhinoplasty) simply changes the appearance of the nose you were born with.

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Where should I get information about nose reshaping (rhinoplasty)?

Information on nose reshaping (rhinoplasty) is widely available from many sources. The best place to get information about nose reshaping (rhinoplasty) is from a Plastic Surgeon. The Plastic Surgeon is trained to diagnose the cause of nasal appearance concerns, and further, to correct those problems with surgical techniques. Most importantly, the Plastic Surgeon can explain what can be changed with nose reshaping (rhinoplasty) and the specific techniques that are appropriate for your specific situation.

The best source for information on nose reshaping (rhinoplasty) is from a Plastic Surgeon trained to perform the procedure.

Dr. Herring will review the details of the nose reshaping procedure (rhinoplasty) at the time of your consultation.

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How does the process work to get nose reshaping (rhinoplasty)?

The first step in getting nose reshaping (rhinoplasty) is an in person consultation with the Plastic Surgeon trained to perform this procedure. During the consultation, Dr. Herring will listen to your concerns and discuss the nose reshaping (rhinoplasty) options. In most cases, a rhinoplasty “worksheet” is helpful to plan surgery and explain exactly what will be done. The “worksheet” is a diagram that shows the structures of the nose and how they are altered to change the shape of the nose. After the consultation with Dr. Herring, the surgery can be scheduled, usually within two weeks of the consultation.

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Will I have swelling or bruising after nose reshaping (rhinoplasty)?

The amount of swelling and bruising with nose reshaping (rhinoplasty) varies from patient to patient. There is always some swelling after any surgical procedure including nose reshaping (rhinoplasty). In some patients there is severe bruising after nose reshaping (rhinoplasty), and in others there is no bruising. If there is bruising after nose reshaping (rhinoplasty), it will usually go away in about one week. The swelling after nose reshaping (rhinoplasty) goes away gradually, most of it going away after several weeks. The final part of the swelling takes longer to go away, and that is why the final shape of the nose is not seen immediately after the nose reshaping (rhinoplasty) procedure.

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How much postoperative discomfort is present with nose reshaping (rhinoplasty)?

In most patients, there is very little discomfort after nose reshaping (rhinoplasty). Patients have a sensation of “stuffiness” after nose reshaping (rhinoplasty) which usually goes away after one week. The amount of discomfort is also related to how much surgery is done during the nose reshaping (rhinoplasty) procedure, which varies from patient to patient.

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When can I go back to work after nose reshaping (rhinoplasty)?

It is possible to go back to work about two days after surgery. However, because nose reshaping (rhinoplasty) is obvious immediately after surgery, some patients will take about one week off so that most of the bruising and some of the swelling has gone away. If the work involves extreme exertion, then some patients will stay out of work longer then one week. As with any surgery, including nose reshaping (rhinoplasty) if the patient is taking strong pain medicine, then it is important not to drive while taking that medicine.

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Do I have to go to the hospital to get nose reshaping (rhinoplasty)?

Most patients getting nose reshaping (rhinoplasty) can have surgery in an office setting. In a small number of patients, surgery in the hospital is more appropriate. After nose reshaping (rhinoplasty), most patients can go home after the surgery.

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When can I drive after nose reshaping (rhinoplasty)?

Most patients are able to drive in a couple of days after nose reshaping (rhinoplasty) as long as he/she is not taking prescription strength pain medicine.

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