is an attractive nose ? Quite simply, it is
a nose that lifts your face. It is a natural
looking nose that achieves a harmonious balance
with your other facial features. If you feel
that your nose is not a good fit, you may benefit
from cosmetic surgery of this nose, also called
rhinoplasty. Rhinoplasty can enhance the shape,
size and general appearance of your nose.
find basic information about rhinoplasty in
this brochure. However, the best way to get
complete answers to specific questions that
relate to your individual needs is to have a
personal consultation with a plastic surgeon
certified by the American Board of plastic surgery.
rhinoplasty right for me ?
can be performed on men and women of almost
any age. However, it’s usually recommended
that young people wait until recommended that
young people wait until facial growth is complete
about age 13 or 14 for girls and 14 or 15 for
boys. If you are a teenager, having the procedure
should be your own idea.
may be a good candidate for rhinoplasty if you
have any of the following conditions :
your nose appears too large for your face
• there is a bump or depression on the
nasal bridge when viewed in profile
• the nose seems too wide when viewed
from the front
• the nasal tip droops or plunges
• the tip is thickened or enlarged
• the nostrils are excessively flared
• your nose is off center or crooked
• a previous injury has made your nose
• you have an airway obstruction that
should I expect from the consultation ?
personal consultation is the first step for
every patient considering rhinoplasty. During
this meeting, your surgeon will assess your
physical and emotional health and discuss your
specific cosmetic goals for surgery.
should arrive at the consultation prepared to
provide complete information about
• past and present medical conditions
• medical treatments you have received
• medications that you take, including
nutritional supplements and herbal remedies
• any allergies that cause congestion
or condition that cause breathing difficulties
• how often you use nasal sprays to relieve
If you feel your nose is not a good lift for
your face, rhinoplasty can enhance the shape,
size and general appearance of your nose.
b) After surgery, the patient has a straighter
bridge, a well defined nasal tip and an improved
angle between the nose and upper lip.
your physical evaluation your plastic surgeon
will examine the structures inside your nose
and the quality of your skin, as well as the
size and shape of your nose and its relationship
to your other facial features.
plastic surgeon may recommend other treatments
that can be performed along with the rhinoplasty
to better meet your appearance goals or to improve
enhance your appearance ;
*chin surgery can help improve facial balance
by making the chin more or less prominent.
correct breathing difficulties ;
A turbinectomy can open the nasal air passage
by reducing the turbinates, the internal projections
that warm and moisturize the air that passes
through the nose.
• A septoplasty can correct a deviated
septum, a condition in which the dividing wall
within the nose shifts from the middle to block
the air passages.
c) Rhinoplasty can correct a nasal tip that
droops, a dump on the nasal bridge, and other
attributes that may make someone feel their
nose is unattractive.
d) The results pf rhinoplasty enhance the balance
between the nose and other facial features.
e) Small wedges of skin at the base of the nostrils
may be removed through incisions that are hidden
in the nose’s natural creases.
is rhinoplasty performed ?
technique used for your surgery depends not
only on your surgeon’s preferences but
also on your desired results. Alterations may
be made to increase or decrease the nasal bridge,
reduce the size or width of the nose, narrow
the nostrils reshape the tip or change the angle
between the nose and the upper lip.
surgeons may perform rhinoplasty from within
the nose, making the incision inside the nostrils.
This is called a “ closed rhinoplasty
“ other times, a surgeon prefers an “open”
procedure, in which a small incision is made
across the columella, the vertical strip of
tissue separating the nostrils as well as within
through these incisions, the nose’s framework
of bone and cartilage is sculpted to the desired
shape. Your surgeon may reshape or reposition
the bones in your nose, or build up certain
areas, using either nasal cartilage or bones
and cartilage from another body site, or other
materials. The skin and soft tissue are then
redraped over the reshaped framework. If the
lower part of the nose is being narrowed or
the nostrils are being reduced, small wedges
of skin at the base of the nostrils may be removed
through incisions that are hidden in the nose’s
will I learn about the safety of nasal surgery
year, thousands of people undergo cosmetic surgery
of the nose and experience no major complications.
However, it is important for you to be informed
of the risks as well as the benefits one of
the most important parts of your consultation
is the discussion that you and your surgeon
will have about the possible complication of
nasal surgery. In addition to listening carefully
to what your surgeon tells, you be sure to raise
any question that you may have about the safety
of the procedure.
following your surgeon’s advice and instructions
carefully both before and after surgery you
can do your part to minimize some of the risks.
can I do to prepare for my surgery ?
the date for your procedure has been set, your
plastic surgeon will provide you with specific
instructions for the days immediately before
and after surgery a number of points may be
covered, including :
avoiding certain medication that may complicate
surgery or recovery
• stopping smoking for a period of time
before and after surgery
• arranging for help and care following
will I be cared for on the day of my surgery
surgery may be performed in an outpatient surgery
center, an office based surgical suite or a
hospital. If you are admitted to a hospital
or surgery center, your stay will be a short
one, perhaps just one night.
are administered to keep you comfortable during
the surgical procedure. Local anesthesia and
intravenous sedation may be used for patients
undergoing rhinoplasty although general anesthesia
may be desirable in some instances. Your plastic
surgeon will monitor your physical status throughout
the operation and during your recovery.
will I look and feel right after surgery ?
the surgery is completed, you’ll be taken
to a recovery area. Any discomfort that you
feel will be controlled with medication prescribed
by your surgeon. A splint may be applied to
the bridge of your nose to protect the nose
and hold the tissue in place until they have
stabilized. You may also have a small, triangular
bandage beneath the tip of your nose and packing
inside the nostrils especially if work has been
done to improve your breathing .
everyone heals at a different rate, you can
expect that your recovery will follow this general
time line :
In this early stage of healing, you should rest
with your head elevated to help minimize swelling
• Activity must be kept to a minimum
• You may experience a small amount of
bleeding and stuffiness.
10 days :
Swelling reaches its peak and then begins to
• Bruising will begin to diminish
• You can safely use makeup to conceal
• Stitches and packing will dissolve or
• You may discontinue wearing the splint
( near the week’s end )
• You may return to school or a nonstrenuous
you may resume exercise and most of your normal
• most of the swelling will subside
• numbness will diminish; however, some
loss of sensation may persist for several months
• you may resume wearing eyeglasses normally.
( In the early stages of healing, patients often
use tape to keep their glasses from resting
on their healing noses )
the months following surgery, it is important
to keep your nose shielded from direct sunlight.
Wearing sun block lotion is essential for protecting
should I know about my results ?
normal to feel a bit anxious while you are adjusting
to your new look and waiting to see the true
result of your surgery. However, you are likely
to begin enjoying your new look within weeks
as each month passes, you’ll notice gradual
improvements until healing is complete.
Most patients who have nasal surgery are very
pleased with their results, you may find that
you have a brighter out look, or that you feel
less self conscious and more confident. The
result of rhinoplasty are permanent, expect
for changes that may occur with the aging process.
Occasionally, a touch – up procedure may
be desired to futher improve the results.
long will I continue to see my plastic surgeon
the initial healing period, you will return
to your plastic surgeon’s office for a
postoperative follow-up visit so that your healing
and progress can be evaluated in the following
months, your surgeon may ask you to return for
periodic checkup. It’s important to keep
these appointments so that your surgeon can
assess your long term result and address any
question or concerns you may have.
a qualified surgeon
matter what type of plastic surgery you’re
considering. One of the most important factors
in its success is the surgeon you choose. Although
it may seem hard to believe, some of the physicians
who are performing cosmetic surgery today have
no formal surgical training at all.
advisable to consider the following points before
scheduling a consultation :
out if he or she is certified by the American
Board of plastic surgery (ABPS) surgeons with
this certification have completed a minimum
of five years of surgical training following
medical school, including a plastic surgery
residency program. During this intensive program,
surgeons learn to perform surgical procedures
for the entire body and face. At the same time,
they develop their technical skill and aesthetic
judgement. After training a surgeon must pass
comprehensive oral and written exams before
being granted certification. The two professional
organization that have prepared this brochure,
the American society of plastic surgeon and
the American society for aesthetic plastic surgery
require their members to be certified by the
American Board of plastic surgery.
about the surgeon’s hospital privileges
if you are planning to have your surgery in
your doctor’s office or at a surgery center.
It is important to find out if your surgeon
has operating privileges in an accredited hospital
for the same procedure you would like to have
performed before granting privileges hospital
review committees evaluate a surgeon’s
training and competency for specific procedures.