Rhinoplasty: Do You Need One?

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Author: Jay Calvert

It has been proven by studies that the nose is a center-point feature that the brain focuses on upon seeing another person's face. By measures of symmetry and proportion, the nose has been proven to be the most important factor contributing to the characteristic or beauty of a face; a deformed nose can affect a person's social life, attractiveness, and confidence highly. Reconstructive rhinoplasty refers to restoring the normal shape and function of the nose after being damaged from an autoimmune disorder, congenital abnormality, traumatic accident, intra-nasal drug abuse, previous injudicious cosmetic surgery, or cancer involvement. Septoplasty may also be performed to improve nasal breathing function. Primary rhinoplasty refers to first-time rhinoplasty whether it is performed for functional, aesthetic, or reconstructive purposes. Rhinoplasty is performed under a general or local anesthetic. There are two possible approaches to the nose: closed approach and open approach. Skin incision for an open rhinoplasty may be "v-shaped" or a "stair-step" shaped incision. This helps the surgeon attain a precise closure and camouflaging of the resulting scar. The incisions for a rhinoplasty are hidden inside the nose with a small incision across the base of the nose, depicted by a dotted line. The patient returns home after the surgery with antibiotics, pain and steroid medication mostly recommended. Though it is safe to be outdoors, most people choose to remain home for a week. External sutures are usually removed 4 to 5 days after surgery while the external cast is removed at one week. Internal stents are usually removed at four days to two weeks and the periorbital bruising usually lasts two weeks. There is moderate shifting and settling of the nose due to wound healing during the first year. Post operative bleeding is uncommon but often resolves without needing treatment. However, it is always best to report to your surgeon if bleeding occurs. Non-surgical rhinoplasty or "non-surgical nose job" refers to reshaping the nose with injectable substances. It can be performed in the outpatient setting without anesthesia. Another non-surgical and temporary option is through the use of flexible "nose inserts". They are placed in the nostril area between the nose tip and back of the nose and reshape one's nose only while worn. Although rhinoplasty is usually considered to be safe and successful, several complications can still arise like infection, adhesion which is rare but if it occurs, it needs to be cut away ASAP to avoid nasal obstruction which could affect breathing. Septal perforation can also cause chronic nose bleeding, crusting, difficult breathing and whistling with breathing. Variable degree of numbness to the nose for months can also be present if the incision is made across the collumella (open-approach). "Pig-like look", "Pinched look" "Saddle nose", "Polly break" are the names of the deformities if there is even a slight mistake done during the procedure. Certainly, there are a lot of questions playing in your mind right now. Feel free to ask us at http://www.jaycalvertmd.com. You can also ask about breast implants/augmentation, or plastic surgery in general and we'd be glad to get back to you within 24-48 hours. If you're in Los Angeles or Beverly Hills, you can make your appointment online. Stay beautiful always and have a good day! Jay Calvert, MD, FACS is a board certified plastic surgeon based in Beverly Hills and Orange County, CA. He performs all types of plastic surgery and specializes in face lifts, rhinoplasty and breast augmentation. To learn more about Dr. Calvert's aesthetic surgery practice, please visit http://www.drcalvert.com or Call 1-310-777-8800 in Beverly Hills or 1-949-644-2858 in Newport Beach to set up an appointment.