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Nose

Rhinoplasty
The cute little button nose, the slender model nose, Cyrano's nose. No matter what the shape, the nose is one of the most noticeable facial features. And surgery to reshape the nose or rhinoplasty, continues to be one of the most popular cosmetic surgery procedures. Rhinoplasty is a procedure that changes the size and shape of the nose, either by increasing or decreasing the bridge, changing the angle, narrowing the nostrils or reshaping the tip. Although many seek a rhinoplasty simply to change the shape of their nose, others may choose nose surgery after a facial injury or to help relieve nasal obstructions. When you have surgery to correct such a functional problem, medical insurance may cover a part or all of the surgical costs.

Are you a Good Candidate
A rhinoplasty can help change unwanted characteristics of your nose, such as a bump, but it is important to remember that improvement, not perfection, is the goal. The best candidates are healthy individuals with realistic expectations. Although there is no upper age limit for nose reshaping and nasal reconstruction, most plastic surgeons prefer not to opertate on younger patients until they have finished their growth spurts, usually in the mid teens for girls and mid-to-late teens for boys. A person's social and emotional adjustment is also taken into consideration. This is especially true for teens.

Before the Surgery
It is very important to have good communication with your surgeon. During your consultation, you and your plastic surgeon will discuss what you hope to change about your nose (or any other bodily feature for that matter) and how you would like your nose to look. Your surgeon will thoroughly assess your nose and facial structure and discuss your options, given the description of your desired nose. Your general health and medical history may also be reviewed. Your surgeon can discuss the expected outcome, as well as timing and type of anesthesia recommended. You will also talk about where the procedure will be performed, the risks and costs involved and answer any questions you may have. Your surgeon will also discuss factors that can influence your surgery and results such as what medication, if any, you should avoid. You may also be asked to stop smoking at least one to two weeks before and after the procedure. Be sure to express any concerns or ask any questions you may have. Write them done before the consultation, if you feel that you may forget in the midst of the conversation. You will want someone to accompany you to and espacially from the surgery.

The procedure
Most rhinoplasties are performed on an outpatient basis and usually take an hour or two depending on the extent of the correction. The procedure is commonly performed under a local or general anesthetic, depending on the patient and surgeon preferences. Bone and cartilage are shifted or removed and the skin is redraped over the nasal framework. A low bridge and be built up using pieces of bone or catilage taken for other areas. Different surgical techniques are preferred by different surgeons given a particular case. Some surgeons will use a "closed" technique where the incisions are made inside the rim of the nostrils. Others make their incision across the base of the nostrils and nose ("open" technique), the vertical strip separating the nostrils. This technique may be used in more complicated cases, because the surgeon can more easily see the surgical area.

In either case, the soft tissues of the nose are then separated from the underlying structures allowing access to the cartilage and bone. The cartilage and bone are then altered and sculpted into shape. At the same time, internal problems such as breathing obstructions can be improved by removing the obstruction or changing the shape of the obstructing matter. Also, if the nostrils are too wide, the surgeon can remove a small wedge of skin from the base for a more harmonized look. To narrow the base to the nose, wedges of skin are removed on both sides and the nostrils are brought closer to the center, leaving minute scars where the edges were stitched together. May we point that after the surgery, a lightweight spling may be placed on the nose for several days to help maintain its new shape and for protection. Your surgeon may apply nasal packs inside the nose the stabalize the septum, the dividing wall between the air passages. You can expect bruising around the nose and eyes and swelling which will subside after a few days. If you use ice packs and keep your head elevated will reduce swelling.