Rhinoplasty

Definition

Many people do not like the shape of their nose. They feel it may be too big or that there is a hump on the top. The goal of nasal surgery is to achieve an improved but natural contour while correcting any internal problems that may be causing breathing difficulties. Surgery of the nose improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Each year 300,000 people choose to have their nose reshaped according to statistics from the American Society of Plastic Surgery.

The best candidates for rhinoplasty are those who have a specific nasal feature they find unappealing, such as a broad base, a large hump on the dorsum, or an overly large tip. The nose can be reshaped by removing the hump from the bridge of the nose, narrowing the base, rotating the tip either up or down or altering the size of the nostrils. The end result creates a nose that appears smaller and fits the shape of your face.

Some people have a nose that has become misshapen due to an injury when they were younger and a rhinoplasty can help restore the nose to a more normal shape.

Breathing problems from nasal obstruction are also addressed with a rhinoplasty. The most common is a deviated septum and this can be straightened at the same time as the nasal reshaping.

Rhinoplasty is a procedure to change the size or shape of the nose. It can be used to reduce or increase the size of the nose, change the shape of the tip or the nasal bridge, narrow the opening of the nostrils, change the angle between the nose and the upper lip, correct a birth defect or injury, or help relieve some breathing problems. If you are unhappy with the appearance of your nose, rhinoplasty can produce effective, permanent results that will bolster your self-esteem and improve your self-image.

Consultation

I like to know what things about your nose you want to have changed. This helps insure these issues are addressed during the consultation and subsequent surgery. I will tell you what I think can help improve your nasal shape but I also want to know your concerns. A picture of a nose you think is attractive can help in the consultation but you must realize I cannot make one person's nose look exactly like another individual's. I will also want to know about breathing problems you may have related to your nose.

Rhinoplasty is a procedure that demands a great deal of planning and detail from the surgeon. Everyone's nose is different and I plan each rhinoplasty specifically for that person. I do not use a computer to plan the surgery. Rather, I use a custom hand drawn plan because it is much more accurate. A pleasing nose falls within certain measurements and angles to itself and to the face. I use these measurements to judge what will be the most pleasing change for a rhinoplasty and as a guide in the operation itself. I will show you this process at the consultation.

The Procedure

The operation for a rhinoplasty can vary in length. Usually, it is around 2 – 3.5 hours. It is an outpatient procedure so you will go home after the surgery. A rhinoplasty requires a general anesthetic so you will be unaware of the surgery. You will receive numbing medicine to the nose area after surgery so there is minimal discomfort. The recovery time is about 10 – 14 days to allow the bruising and swelling to subside and a splint is worn over the nose for a week after surgery. However, the final results of a rhinoplasty will not show for 6 to 12 months after the procedure. That is not to say the swelling lasts 6 months, but the subtle definition of the tip of the nose can take that long to become evident.

I do not "break" the nose in a rhinoplasty. I also do not pack your nose after a rhinoplasty so you will be able to breath after the surgery. I use sutures (stitches) that dissolve and you will be able to go home after your surgery.

What Rhinoplasty Can Change

  • Nose size, in relation to the other facial structures
  • Nose width, at the bridge
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is large or bulbous, drooping, or too upturned
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry and deviation

However, your nose cannot be made to look like someone else's.

What is the Earliest Age at which a Rhinoplasty can be Performed?

It is best if a rhinoplasty is performed after a majority of the growth of the nose is completed. This is generally sooner for girls (14 – 17) than for boys (17- 20). Otherwise, changes in the nose due to growth after the rhinoplasty can change the result obtained from surgery.

Why Beautologie?

Brett Lehocky is a board certified plastic surgeon that specializes in surgery of the face. His reputation is for careful reshaping of the nose and attention to details. He has had extensive experience with difficult nasal surgery especially during his time working at Loma Linda University. He treated children with difficult nose deformities from cleft lip deformity and people who had problems with their nose due to accidents or cancer. He is the one to turn to for revisions of noses from previous failed rhinoplasties.