Rhinoplasty

Reshaping the nose is called rhinoplasty. Rhinoplasty is typically performed for patients who have a nose that is too large for their face or have an enlarged nasal bone or hump deformity. Many patients also have an enlarged or wide nasal tip or a droopy or unsupported nasal tip. Cosmetic rhinoplasty can make your nose look smaller, softer and well proportioned to fit your face.

“Is there anything I can do to reshape my nose so it looks softer and less prominent. Also, I would like to breathe better.”

Patients who have breathing trouble may either have a deviated septum or a collapsed nasal valve. These issues, which are sometimes covered by insurance, can be corrected at the same time for an overall improved nose that breathes, functions and looks great.

Did You Know…

Some parts of a rhinoplasty procedure may be covered by insurance. If you have any difficulty breathing caused by a deviated septum or a closed or depressed nasal valve, this may be something your insurance may cover. Insurance does not cover anything that changes the cosmetic appearance of the nose. Because both functional and cosmetic procedures can often be performed at the same setting, an insurance benefit can greatly reduce the overall cost of your rhinoplasty procedure.

Rhinoplasty Before & After

Rhinoplasty is a surgical procedure that reshapes the nose, improves breathing function, and resolves nasal trauma. Sometimes called a “nose job,” rhinoplasty is one of the most popular cosmetic surgery procedures performed at the Sandel Duggal Center for Plastic Surgery.

Rhinoplasty Surgical Technique

A majority of patients undergo what is sometimes called open or external approach rhinoplasty. This technique is a more modern technique that allows greater access to the tip of the nose for superior results. While most incision are made inside the nose, the external approach requires a small incision between the nostrils. This small incision will virtually disappear in about a week after your procedure. Using this approach, Dr. Sandel has the ability to add cartilage grafts, taken from your nasal septum, in order to support any changes that are made during surgery. This support helps breathing and keeps the nose supported for life. Closed approaches to the nose performed many years ago have been shown to lose support over time. Thus requiring revision surgery years later.

Endonasal rhinoplasty or closed rhinoplasty is well suited for minor changes to the tip of the nose or cartilage. In this technique, the incisions are made entirely on the inside of the nose. There are limitations in using this technique, as described above.. and many patients who need revision surgery may have had this procedure done years ago.

Rhinoplasty is typically performed as an outpatient procedure under general (light) anesthesia, monitored by a board certified anesthesiologist. An incision will be made either inside the nose or between the nostrils, to expose the bone and cartilage support system. Next, Dr. Sandel will reshape the nose by removing, adding to, or rearranging the structure.

Once the reshaping is complete, Dr. Sandel will reshape the tissues over the new framework and close the incisions. A splint may be used to support the newly shaped nose.

Rhinoplasty Recovery Time

The splint is typically worn for about one week to help the nose retain its new shape. Minor swelling and bruising is normal in the weeks immediately following the surgery. Most patients notice a gradual decrease in swelling, with full healing in about one to three months. In general, patients return to work after one week when the splint has been removed, though it is possible to return to work sooner.