Open Rhinoplasty _ Closed Rhinoplasty

The Rhinoplasty Guidebook

What is Rhinoplasty?

Rhinoplasty Surgery is a commonly performed surgical procedure to eliminate cosmetic flaws, repair the nose after a trauma and/or fix certain breathing problems. Also called a “Nose Job”, the intent is to enhance the facial harmony and proportions of the nose. We’ve created this Rhinoplasty Guidebook to answer your questions and point you in the right direction to find answers to other questions you may have.

Major types of Rhinoplasty Procedures

Rhinoplasty, or commonly called a nose job, is a procedure that defines the face better.  It is done by sculpting the internal structure of the nose, from the cartilage and bones, to make it more proportionate and fitting to the face.  But the function of rhinoplasty doesn’t stop there, it also has clinical benefits. To expand on this, lets take a closer look at the different kinds of rhinoplasty procedures and how they can affect the outcome of the procedure.Open and Closed Rhinoplasty Graphic

Open Rhinoplasty

With an Open Rhinoplasty, the incisions are made at the area around the nostrils and through the skin which separates the nostrils.  This approach is preferred by surgeons because it gives easy access and visibility to the various nasal structures. It is called an open procedure because the skin can be opened as opposed to having it entirely done internally. It is also the one used when the patient needs a nose reduction

Closed Rhinoplasty

This is the standard rhinoplasty procedure, with an incision made within the nose ensuring that no scars are visible. With the internal incisions made using a special instrument which separates the skin from the nasal structure, the surgeon can access the bone and cartilage better.  With this, the surgeon rearranges or shapes the structures better, either inserting an additional cartilage through an autologous donor or shaving off some bone. After this is done, the incision is then sutured a scar free rhinoplasty is the result. The patient still must wait a couple of weeks to months for full recovery from the swelling and bruising that can happen afterwards

Non-surgical Rhinoplasty

Sometimes nose shaping can be done without the need of surgery. A non-surgical rhinoplasty, sometimes referred to as a “15 Minute Rhinoplasty” and even the “Lunchtime Rhinoplasty” can be a great option for patients who need small changes and improvements in the way their nose looks.  Non-surgical rhinoplasty can be done as an office procedure to help camouflage the humps and bumps of the nose so that the nose can naturally blend in with the rest of the face.  This is a relatively painless procedure as it involves the use of a dermal filler such as Hyaluronic acid and can be accomplished within a couple of minutes. The injectable filler in use should be safe, approved by the FDA, time-tested and should provide immediate results. The procedure is an excellent option for patients who want the non-invasive and non-surgical procedure and are also looking for fast and satisfying results.

The procedure is not really meant for everyone. Candidates who wish to have a significant reduction on the aspect of their nose or who need an internal structural correction will be best served by a more traditional surgical Rhinoplasty. Candidates for the non-surgical procedure are those who are not ready to undergo a permanent procedure and those who are uncertain of what they are looking for.  The non-surgical Rhinoplasty before and after results are amazing in relation to the time the procedure takes. Aft the “15-minute nose job” is completed it provides the patient with a contoured and shapely nose enhancing their overall appearance and increasing their self-confidence. However, there are some risks associated with this procedure which includes the following:

  1. Pain: Compared to the surgical Rhinoplasty, the non-surgical procedure is substantially less painful. This is because the dermal fillers contain an anesthetic that is used to numb the affected area for 1 to 2 hours but there might be an initial pinch of pain when the first injection is made. The anesthetic is important in reducing any kind of pain or discomfort. Any remaining discomfort is generally mild and should subside within a few hours.
  2. Swelling: Swelling of the treated area is normal and should resolve within a couple of days. However, the last 20% of nasal swelling can take as much as a year to resolve and there is conflicting advice as to how to manage that swelling. Some surgeons advise gentle massage, others strictly forbid it.  Be sure to talk to your surgeon about the swelling and possible ill effects of nasal massage following your rhinoplasty.
  3. Infection: Although this is uncommon, as with any surgical procedure there is always a chance of things taking a wrong turn. There is a chance of developing an adverse reaction to the dermal filler such as infection, skin injury or any other form of irregularity. Proper skin disinfectants should be administered and the most appropriate dermal filler should be used to avoid any kind of infection.
  4. Bruising: There is a small chance of bruising your nose after the procedure and this can be drastically reduced by taking a homeopathic substance. It should be resolved quickly and the bruise could be covered in a small of amount of concealer if necessary. However, most people return to their homes and work places without an issue of bruises

 

The non-surgical before and after photos show a dramatic change in the shape of the nose. You should contact a specialist if you have any issue on the shape of your nose to be advised on which procedure best suits you.

Rhinoplasty to correct a Deviated Septumdeviated-septum-before-after

The process to repair a Deviated Septum is called a Septoplasty and is often included as a part of a Rhinoplasty Surgery when the patient experiences breathing problems associated to a deviated septum.  It is estimated that about 70-80% of people have a deviated septum to some degree but most are not bothered by it enough to seek surgical assistance. Those that do experience problems such as difficulty breathing and poor sleeping can be well rewarded by having the problem addressed through surgical methods.

Four Factors to Consider Before a Rhinoplasty

During the rhinoplasty, the surgeon makes an incision to gain access to the bones and cartilage that support the nose. The incisions are usually made inside the nose so they are not visible on the outside. The surgery is performed based on the requirements of the patient. A surgeon may either remove some bone and cartilage or add tissue to reshape the nose to a desired shape. After the reshaping is complete, the skin and tissue is rewrapped on the new structure of the nose. A splint is also placed outside the nose to support the new shape as it heals. A few factors a patient should consider before undergoing Rhinoplasty surgery

  1. The Surgeon: when considering a surgeon, a patient must always select a professional who is qualified to perform the Rhinoplasty. We have created an extensive guide to help you go about selecting your surgeon. A prospective patient should visit with the surgeon, the staff and the facility to ensure a high comfort level.
  2. Cost: If a nose correction is being performed for non-medical purposes, a patient’s insurance may not cover the cost. In such a case, it is important for a patient to compare costs to find a surgeon who is not only qualified but also is affordable for the patient.
  3. Risks: Risks arising during a Rhinoplasty are quite rare. It can occur that the procedure has side effects on the patient, unpredictable results or even infections. To help prevent unexpected problems, the patient should advise the surgeon of all allergies.
  4. Recovery: The period of recovery varies depending on the how extensive the surgery was. Patients may experience a certain amount of swelling in the nose for a month or so but this is completely normal.

A patient should consider these four factors as they have an effect on the eventual success of the procedure. Alongside this, they should closely follow their post-operative instructions to help ensure success and the best result.

How much does a Rhinoplasty Cost?

Nationwide, the average cost of a Rhinoplasty is right at $5,000.  $5,046 to be exact, according to the American Society of Plastic Surgeons statistics from 2016.  This cost can vary widely based on various other factors such as the anesthesia fees, medical testing, prescriptions, etc.  To see a complete breakdown of various cost factors, see this article based on actual customer feedback discussing if Plastic Surgery is worth the cost.

Will my insurance cover the cost of a Rhinoplasty?

If the results of the Rhinoplasty will be improved breathing function then there is a very good chance your insurance will cover the cost. If your Rhinoplasty is purely for aesthetic reasons and will not result in a health benefit, your insurance most likely will not cover it.

The Positive Effects of Rhinoplasty

When it comes to Plastic Surgery, or Cosmetic Surgery, a Rhinoplasty is one of the most effective ways to improve your appearance and increase your self-esteem and confidence. The nose, being the most prominent part of your face, can be profoundly affected by even the smallest of alterations.

People chose to undergo Rhinoplasty for a wide variety of reasons. This can be to correct problems with have arisen medically or to improve the patient’s self-confidence

If you are not happy with the natural appearance of your nose, a nose job can give you back your self confidence in how you look. If you look good, you’ll feel good. A small alteration to your appearance can have a massive effect on your quality of life.Nasal deformities fixed by Rhinoplasty

When a nose job is elective, meaning you want it but don’t need it, the surgeon will help you to evaluate if a Rhinoplasty is the correct surgery for you. This means they will consider the physical impact of the surgery as well as the emotional impact if may have. This sort of pre-operation care is excellent within the industry and ensures that patients are happy with the final results and the boost in confidence which the nose job can give them.

Many patients will seek a nose job to restore the natural appearance of their nose after a trauma has left it damaged. Various kinds of traumas such as car accidents or sporting injuries can leave the nose with an altered shape. IN many cases it can be visibly flattened or bent to one side. A Rhinoplasty is a very effective method to correct these kinds of situations.

In the majority of cases, a skilled surgeon will be able to correct and fully reconstruct the original form and appearance of the nose as well as restore the functions that may have been impacted while, at the same time, aesthetically enhancing the nose.

Some patients who are good candidates for cosmetic surgeries may have congenital defects which means that they were born with a part of the nose missing or misshapen. Modern cosmetic surgery has done great work to enhance the lives of patients with this type of condition. In many cases, surgeries can be carried out over a period of time that will eventually leave the patient with a nose with which they are delighted.

Deviated SeptumSome patients choose to have Rhinoplasty because they are experiencing breathing difficulties. This can normally be cured by a skilled surgeon. Whatever your reason is for considering a nose job, in all cases cosmetic surgery is effective in increasing the quality of life and confidence of the patient. The procedures are relatively simple and heal quite quickly without causing massive amounts of pain and discomfort. The methods which are used are well established and it has become a routine surgery which is simple to carry out and produces excellent results.

Surgeon requirements to perform rhinoplasty

A common question that most people ask is, “What are the surgeon requirements to perform rhinoplasty”. Cosmetic surgery, unlike other procedures, is not covered by most insurance covers. Therefore, getting duped into unsafe and non-certified procedures is quite easy. Therefore, for one to know the real ones from the quacks, here are a few pointers.

All cosmetic surgeons must be certified doctors with a degree from accredited schools. On top of that, a license is mandatory. Once a license has been obtained, a certification must be obtained from a medical specialty board. These boards include:

Rhinoplasty: Risks

Although Rhinoplasty is a common and well documented surgical procedure, it is still a surgical procedure so there are risks to be aware of.

  • Anesthesia: Any time a patient is “put under”, there are risks since everybody’s reaction to anesthesia is different and, at times, unpredictable. The risks here are small but important to understand and if you’ve ever had surgery before that resulted in anesthesia related problems, this is an area to discuss with your surgeon at length.
  • Infection: Any time a patient is cut open in any way, there is risk of infection.
  • Scarring: The skill of the surgeon, the quality of the post-operative care and the quality of the healing process all contribute to how much or how little scarring is evident after the procedure

Who is the right candidate for a Rhinoplasty?

Who is the right candidate for a Rhinoplasty procedure? Anyone who is past the age of facial growth and in good health of the body and facial tissue and consider having the procedure.  This must be coupled with realistic expectations of the outcome to be had

The Rhinoplasty procedure can correct odd looking or unattractive noses and nasal tips and make the face more attractive. It goes without saying that the nose is the most prominent element of the face and one of the foremost contributors to its attractiveness. A disproportionate nose or a lumpy nasal tip could mar an otherwise well shaped facial structure

The  Rhinoplasty Process – how it works.

Rhinoplasty, or cosmetic nose surgery, should be performed at a state of the art [LINK} surgery center that employs proven techniques and high tech sculpting technologies to sculpt an aesthetically attractive nasal shape. This is carried out in a manner suiting the individual requirements and the unique facial and nasal structure of each patient. Since aesthetic perception vary between individuals, the following usually applies

  • Every Rhinoplasty surgery is preceded by a consultation session where the existing nasal and facial structure is examined along with assessing the individual’s general aesthetic perception and expectations from the procedure
  • The Rhinoplasty surgeon explains all aspects of the procedure and even provides a computer simulation of the expected appearance resulting from the cosmetic nose surgery
  • The patient can choose whether to go ahead with the procedure

Unique Approach and Results with Rhinoplasty

Since each Rhinoplasty procedure is unique and based on individual facial proportions and expectations, the results are unique as well.  Sometimes with the patient’s consent, Rhinoplasty may be combined with a chin surgery or other facial procedures to complete the perfect aesthetic look. Rhinoplasty also has a medical reason in cases where patients experience troubled breathing due to narrow or deformed nasal cavities

Rhinoplasty Recovery

When you go home from your procedure, you may still have packing and/or a splint inside your nose as well as a splint or bandages on the outside to help support the new structures during the early healing days.

Swelling should subside in the first couple of weeks but it may take as long as a year for your nose’s new nasal contour to fully materialize. During this year, you’ll notice gradual changes in the outline of your nose.

Rhinoplasty: The procedure from end to end

  1. Anesthesia: Your surgeon will provide guidance as to whether your best option is sedation or a general anesthesia. Many patients prefer to be sedated via IV during the procedure
  2. Incision: Depending on if your procedure will be an Open or a Close Rhinoplasty, the surgeon will make the appropriate cut and then lift the skin that covers the bones and cartilage.
  3. Reshaping: At this point, cartilage can be added or removed depending on the desired outcome. This is also the point at which a deviated septum can be repaired if necessary
  4. Closing: Once all the inside work is complete, the surgeon will re-drape the skin and tissue and close the incisions.

The Right Candidates for Rhinoplasty

The right candidates for Rhinoplasty is anybody whose facial growth is complete.  This usually means a minimum age of 18 for men and 16 for women. The surgeon will be the best one to make that determination

Rhinoplasty can correct a wide range of problem areas for the right patients

  • Individuals with a drooping, plunging thick or enlarged nasal tip.
  • Wide nasal profile
  • Disproportionately large nose
  • Convex nasal side profile because of a bump on the nose bridge
  • Off center or crooked nose as a result of an accident, surgery or birth defect
  • Flared nostrils
  • Narrow nostrils making breathing difficult

The right candidate will also have realistic expectations regarding the procedure and, importantly, the outcome. You should expect a natural appearance and subtle changes that gel with overall facial contours rather than a drastic overhaul.

Rhinoplasty Revision Surgery

As a textbook definition, Revision Rhinoplasty is done to improve upon or revise the results of a previous Rhinoplasty surgery. You may hear it referred to as Secondary Rhinoplasty.  Revision Rhinoplasty is performed to correct deficiencies as well as breathing concerns that were caused by or weren’t addressed in the previous surgery.

It is not unusual for a single customer to have multiple Revision Rhinoplasty surgeries to address a single problem.  The reason behind this is simply because Rhinoplasty is the most difficult and unforgiving of any cosmetic surgery.  The procedure itself is technically challenging, the nasal area is complex and individual healing considerations are varied and equally complex.  It’s been said that surgery in other areas is a game of inches while Rhinoplasty is a game of millimeters. Given this, it’s critical that you find a surgeon that has experience in this area.  The statistic is that about 15-18% of Rhinoplasties will end up needing some form of Revision Rhinoplasty surgery and this has led way to Revision Rhinoplasty Experts.