Nose Surgery (Rhinoplasty)

The goal of an artistic rhinoplasty is to bring your nose into harmony with your face – not someone else’s face, yet maintain its functionality for breathing well.

Pictures of other people’s noses give you an overall sense of what proportions are pleasing to you, but the best rhinoplasty is the one that looks like you were born with the natural looking nose proportional to your face.

A primary rhinoplasty can be thoroughly planned out with the patient using technology in the consultation by taking photographs of the patient’s profile and morphing their nose to guide the patient in virtually comparing the project “before” and potential “after” appearance. This gives the patient and the surgeon an idea of how the surgically sculpted nose may appear.

A secondary rhinoplasty is also usually possible and more complicated to correct any previous defects or retouching certain concerning aspects that are unsatisfactory to the patient. Possibilities of reconstruction are intricately planned and discussed with the patient, and if cartilage support is needed for the framework structure of the nose, it can be harvested from the nasal septum or the ear.

Possibilities of reconstruction are intricately planned and discussed with the patient, and if cartilage support is needed for the framework structure of the nose, it can be harvested from the nasal septum or the ear.

Any deformities or concerns in the nose can be addressed adequately with the appropriate technique after a thorough assessment during consultation to simulate a surgical plan.

Corrections for:

  • Dorsal Hump / Bird-beak

  • Saddle nose / C-shaped nose

  • Wide nasal bridge or Crooked nose

  • Bulbous nasal tip

  • Large wide flared Nostrils

  • Drooping Columella

  • Over-projected peaking tip

  • Asymmetrical tip

  • Flat nose

  • Nasal breathing obstruction – Deviated septum / Hypertrophic turbinates

Incisions/scars for the rhinoplasty are nearly invisible

Two approaches

  • Closed technique (the incision is hidden inside the nose)

  • Open technique (a 3mm external W-incision for complex tip-work)

The procedure can be done under local or general anesthesia

 

Post-Operative Rhinoplasty Recovery:

  • Swelling around the eyes and mild drops of blood from the nose are expected

  • Depending on the procedure, nasal packing or cotton gauze may be inserted for a couple days only

  • A protective nasal splint will be placed over the nose for 8 days

  • Overlapping tape will be put to compress the swelling over two weeks

  • Swelling around the eyes usually diminishes after one week.

  • Residual bruising then fades thereafter.

  • No heavy lifting or strenuous activity for 1 month after the surgery to minimize the risk of bleeding.

  • No blowing of the nose is permitted to avoid bleeding, therefore hypertonic saline nasal wash sprays are given to slowly alleviate the congestion and debris.

  • Minimal to no pain.

  • Sutures for hidden incision dissolve on their own, external sutures are removed after 6 days.

  • The nose is a very delicate centerpiece of the face, and its shape remains partially swollen for several months as the tissues remold and heal and the post-operative appearance does not finalize until 6 months to 1 later.