Rhinoplasty is the name of the procedure commonly known as the “nose job”. Its goal is to improve the appearance of the nose. Rhinoplasty can affect the shape of the nose in many different ways, reducing or increasing the size of the nose, changing the shape of the tip or the bridge, narrowing the span of the nostrils, etc. It may also correct congenital or traumatic deformities. In certain group of patients, it can improve the breathing and straighten a deviated septum. Depending on the start point, changes achieved by rhinoplasty may be subtle or dramatic. The goal of aesthetic rhinoplasty is to create a natural improvement in the appearance of the nose so that it is in balance with the rest of the face. Septal surgery to improve the nasal breathing may be covered by the insurance.
The Preoperative visit
Rhinoplasty consultation consists of a thorough discussion of the patient's desires and concerns. Dr. Soltanian will perform an extensive evaluation of the patient's nose including photographs. The balance between the patient's chin and nose is also evaluated. The available surgical options and Dr. Soltanian’s recommendations will be reviewed, including the limitations and risks of surgery. Additional material is given to the patient for review at home. Before the surgery, all the remaining questions are answered.
Ideal Candidates
The best candidates for rhinoplasty are patients who are looking for improvement, not perfection, in the appearance of their nose. If you're physically healthy, and realistic in your expectations, you may be a good candidate.
The Procedure
In most cases, rhinoplasty is performed as an outpatient procedure in the hospital under general anesthesia. Dr. Soltanian modifies the procedure based on each patient’s needs. Rhinoplasty involves remodeling and manipulation of the nasal bone and cartilage framework as well as the overlying soft tissue. At the completion of the surgery external and internal nasal splints may be used. These are removed at about one week after surgery. The location of incisions and stitches varies and are reviewed with the patient during preoperative visit.
The Recovery
Discomfort following surgery varies depending on the extent of surgery. Every patient is discharged home with both verbal and written postoperative instructions. Patients will be seen within a week after surgery and for periodic visits for up to one year after surgery. Bruising usually lasts for about one week. Swelling may persist for several months. The final result can be assessed in six to twelve months. Patients usually are able to return to school or work about 10 days after surgery with certain restrictions. Additional surgery may be necessary in some cases.
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