Facial plastic surgery has come a long way since the early days of the “nose job.” No longer do surgeons strive to give each rhinoplasty patient the “ideal” nose, which can look artificial. Rather, they work to sculpt your nose so that it is perfect for you, accentuating your other facial features and giving your face a natural sense of balance and proportion.
Rhinoplasty is the most delicate and complex of all facial plastic surgeries. Since the procedure must be individualized for each patient, you will need to work with Dr. Goldman to plan the procedure that will best meet your expectations.
We also specialize in revision rhinoplasty, helping those patients who are unsatisfied with earlier nose surgeries.
Who Should Consider Rhinoplasty?
- People choose rhinoplasty if they would like to change the size or shape of their nose, if their nose structure impairs breathing, or if an injury has disfigured it.
- You must be fully grown—about 15 or 16 years old—before you can consider rhinoplasty, except in cases where your breathing is severely impaired.
- If you’ve undergone rhinoplasty in the past and are unsatisfied with the results, you can seek revision rhinoplasty, a more complex procedure that one of Dr. Goldman's specialties.
- If you have a receding chin, your surgeon may recommend chin augmentation in combination with rhinoplasty to improve your overall appearance. “Weak” chins can accentuate the size of the nose.
What Does the Procedure Involve?
- The patient will receive either local anesthesia and sedation or general anesthesia.
- Whenever possible, Dr. Goldman will make incisions inside the nose to access the bone and cartilage support systems of the nose. In some cases, however, a small incision may be made on the underside of the nose.
- Dr. Goldman reshapes the nose by removing, adding or rearranging the underlying bone and cartilage.
- To help the nose maintain its new shape through the healing process, Dr. Goldman applies tape or a splint to the outside of the nose typically for one week. Internal nasal splints or soft, absorbent material may be placed inside the nose to maintain stability of the nasal passages and permit breathing. Most patients don't go home with any nasal packing after surgery.
- Patients usually don’t return to work or school for a week after surgery. You should avoid light exercise for the first week after the procedure and heavy contact sports for at least four to six weeks.
- In the first few days after rhinoplasty, you will probably experience puffiness in the face and, on rare occasions, bruising or swelling in the eye area. Prescribed pain medication can help.
- You will need to avoid blowing your nose for seven days after surgery, and you should not wear glasses that rest on the bridge of your nose.
- Splints and nasal dressing are usually removed six or seven days after surgery.
- Depending on the type of the procedure, internal swelling can linger for up to four to six weeks. During this time your breathing will continually improve as the swelling fades away.
- Mild external swelling can persist for three to six months after the procedure, depending on the scope of the surgery. Cosmetic changes throughout this postoperative period will improve as the swelling lessens. The length of duration and degree of swelling will often be more significant in cases of revision rhinoplasty.