Nose Reshaping (Nose job or Rhinoplasty)
Some people are unhappy with the noses they were born with, and some with the sagginess of their nose due to ageing. For others, an injury may have broken the nose, or the goal may be improved breathing. But artists agree on one thing: nothing has a greater impact on how a person’s face look like than the size and shape of their nose. No wonder that a slight nose alteration can greatly improve one’s appearance.
The goal is to artistically reshape the nose, so as to make it harmonize better with other facial features.
Skin color, ethnic background, other facial anatomy, and age are important factors to be considered in discussions with your surgeon prior to surgery. Before the nose is altered, a young patient must reach full growth, usually around age fifteen or sixteen. Exceptions are cases in which breathing is severely impaired.
The best candidates for Rhinoplasty
Nose reshaping can enhance your appearance and your self-confidence, but it won’t change your life or cause other people to treat you differently.
The best candidates for nose reshaping are people who are looking for significant improvement, not perfection, in the way they look. If you’re physically healthy, emotionally stable, and realistic in your expectations, you may be a good candidate.
Did you know that the nose “grows” from age 17 till 70 by one centimeter or 20% more of its original length? It does not really grow but it droops due to skin sagging with age.
Planning your surgery
Clear and honest communication between you and with our physician is essential. In our initial consultation, the surgeon will ask what bothers you about your nose and discuss the possibilities with you. The more precise you can be the more our doctor can help you.
In some cases, the appearance of your nose may also be influenced by some weakness in the features that surround it, such as flat cheeks, a week chin, thin lips, a recessed forehead, a double chin, etc. Such imperfections can be corrected at the same time or shortly after nasal surgery to optimize the final appearance of your nose.
In the case of revision surgery when the nose has undergone one or more previous unsuccessful operations, improvement is possible but the surgery is technically more difficult and the results more limited than in the case of a virgin nose.
Be sure to tell your surgeon if you’ve had any previous nose surgery or an injury to your nose, even if it was many years ago. You should also inform your surgeon if you have any allergies or breathing difficulties; if you’re taking any medications, vitamins, or if you smoke.
What are the possible complications?
When nose reshaping is performed by an experienced surgeon, complications are infrequent and usually minor. We have many plastic surgeons in our Centers but only a few are allowed to preform rhinoplasty. Nevertheless, there is always a possibility of complications, including infection, nosebleed, or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon’s instructions both before and after surgery.
In about one case out of ten, a second procedure may be required-for example, to correct a minor deformity. Such cases are unpredictable and happen even to patients of the most skilled surgeons. The corrective surgery is usually minor and is frequently performed under local anesthesia.
What is the procedure of the surgery?
“Nose jobs” are the most sophisticated of all cosmetic surgeries, the reason being that the nose is a completely hollow structure. The surgeon has to change the shape of the nose, while preserving intact both its support (outside walls) and its breathing function (inside wall).
Nose surgery consists of removing the excess cartilage and gently filling down the excess bone. The scars are usually hidden inside the nose. If it is necessary to decrease the size of the nostrils, a tin scar is left at the base of each nostril. All stitches are absorbable. On average, nose surgery is performed within one to one and a half hour.
After Your Surgery
At the end of the operation, a small plaster cast is applied to the nose. After a week, the cast is painlessly removed. Most of the swelling and discoloration around the eyes tend to disappear within the following week. While we can correct a deviated septum at the same time, there is no guarantee that your breathing will actually improve although frequently it does.
Your nose will continue to improve for at least six months following surgery. Therefore, do not expect to see your final result when the cast is removed. Do not be alarmed if the shape of our nose keeps changing during the first few months. On average, you are presentable and may return to work ten days after surgery.
Numbness of the upper teeth and mild nasal blockage may be experienced for a few days to a few weeks following surgery. Thick nasal skin makes the surgery more difficult, limiting somewhat its final result and prolonging recovery.
This is because thick skin does not shrink as much as think skin (therefore the nose cannot be made much smaller). If you have thick nasal skin, your nose may be improved by surgery, but you must be patient while awaiting the final result and realistic in your outlook.
How to choose your nose surgeon?
We have a nose plastic surgeon who has done thousands of nose surgeries and does one every day. The average cosmetic surgeon is lucky to perform two or three per month. Remember: Practice Makes Perfect. This is especially true with nose surgery where bad results cannot be covered up by cloth, make up or glasses.
While we do not guarantee perfect results, we sure try to give you the best advice, best surgeon and the best surgical and anesthesia team.
You fees cover not only the lab work and hospital stay, but any procedure you may need to fix any problem resulting from the nose surgery in the next three months after surgery. In our hands, problems are rare enough we can offer such a service.
Your new nose
In the days following surgery, when your face is bruised and swollen, it’s easy to forget that you will be looking better. In fact, many patients feel depressed after a while after plastic surgery-it’s quite normal and understandable.
Rest assured that this stage will pass. Day by day, your nose will begin to look better and your spirits will improve. Within a week or two, you’ll no longer look as if you’ve just had surgery.
Healing is a slow and gradual process. The final results of rhinoplasty may not be apparent for six months to a year although most patients can see significant improvement in three weeks.
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