Who is a candidate for rhinoplasty?
Rhinoplasty may be performed for functional reasons, such as obstructed breathing, or it may be done to improve the aesthetic relation of your nose with your facial features, such as the shape and projection of your chin. Common areas of concern are a prominent nasal bridge, a broad or large nasal tip or a nose that appears under or over projecting. The goal of rhinoplasty is to produce a nasal contour and size that restores facial balance while preserving and protecting the important functions of the nose.
What is involved in rhinoplasty?
Nasal surgery is usually performed under general anaesthesia and on an outpatient basis. Incisions are made inside the nostrils, and occasionally a small incision is made on the columella (the portion of skin between the two nostrils). Most often the hump on the bridge of the nose is removed and the sides are brought closer to the midline making the nose appear narrower. A large or drooping tip is corrected by reshaping the cartilage. Of course, the exact surgical plan is tailored for each individual. At the end of the surgery, both nostrils may be packed with gauze, and a splint is applied to help your nose maintain its new shape. The packing will be removed within 48 hours and the splint after one week. Swelling and bruising around your eyes usually peak after two or three days and virtually disappear within the first 10 days. Most patients are back to normal activities within 10-14 days but vigorous physical activity should be avoided for six weeks. Healing after a rhinoplasty is a slow and gradual process. Some subtle swelling may be present for months, and the final results may not be apparent for up to one year.
Risks and Complications
As with all surgery, there is always a possibility of complications, including infection, bleeding or an adverse reaction to the anaesthesia. In a small number of patients, a second procedure may be required to further refine the shape of the nose. Fortunately, this is rarely necessary. Dr. Brown will discuss these issues with you in detail at the time of your consultation.