has a greater impact on how a person looks than the size and shape
of their nose. Because the nose is the most defining characteristic
of the face, a slight alteration can greatly improve one's
As with all facial plastic surgery, good health and realistic
expectations are prerequisites. Understanding nose surgery is also
critical. Since there is no ideal in rhinoplasty, the goal is to
improve the nose aesthetically, making it harmonize better with your
other facial features.
Skin type, ethnic background, and age are important factors to be
considered in discussions with your surgeon prior to surgery. Before
deciding on rhinoplasty, ask your facial plastic surgeon if any
additional surgery might be recommended to enhance the appearance of
your face. Many patients have chin augmentation in conjunction with
rhinoplasty to create a better balance of features.
Many facial plastic surgeons are trained in both; ear, nose, throat
and cosmetic surgery, which provides you with the highest level of
training and expertise. You can expect a thorough examination of the
structure of your nose, both externally and internally. Your surgeon
will explain how the nasal structures, including bone, cartilage and
skin can be sculpted to reshape the nose.
majority of incisions are made inside the nose. The skin is lifted
from its underlying bone and cartilage support system. Next, certain
amounts of bone and cartilage are removed or rearranged to provide a
newly shaped structure. If the tip of the nose is too large, the
surgeon can sculpt the cartilage in this area to reduce its size.
The angle of the nose can also be altered for a more youthful look
or to correct a distortion. The skin is then re-draped over the new
frame and the incisions are closed.
Immediately after your surgery, a small nasal splint will be placed
on your nose to protect it and to keep the structure stable for 5-8
days. Absorbable sutures are used that do not have to be removed.
Your face will feel puffy, and you will experience some bruising,
swelling and congestion in the immediate days following surgery. It
is crucial that you follow your surgeon's directions. Some
activities will be prohibited in the weeks after the procedure. Sun
exposure, exertion, and risk of injury must be avoided. If you wear
glasses, special arrangements must be made to ensure that the
glasses do not rest on the bridge of your nose.
Follow-up care is vital for this procedure to monitor healing.
Obviously, anything unusual should be reported to your surgeon
immediately. It is essential that you keep all of your follow-up
Successful facial plastic surgery is a result of a good rapport
between patient and surgeon. Trust, based on realistic expectations
and exacting medical expertise, develops in the consulting stage
prior to surgery.
Gregory C. Roche, D.O., Bloomfield
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