American Medical Association

 

 

 


Rhinoplasty is an operation performed to reshape the nose for cosmetic reasons or to correct birth defects, deformities due to trauma, or to thin a thickened obstruction of the septum. This procedure can be performed in an outpatient facility by a plastic or ENT surgeon and can be done under a general or local anesthetic. A rhinoplasty operation generally takes 1 to 2 hours and recovery time depends on the condition of the individual.

There are two separate techniques that can be performed by the surgeon, depending on the patient's preference and situation. One technique, opened rhinoplasty, begins with an incision just inside the nostril that extends over the columnella (the post between the nostrils). The nasal skin is elevated, showing the anatomy of the nose, where the bone can be shaved and extra cartilage can be removed and trimmed. Open technique allows the surgeon to fully expose the nasal structures for better visibility. The skin is then formed and molded over the new frame, depending on the patient's desired shape. This procedure may produce a small insignificant external scar seen only from below the nose. In a closed rhinoplasty, surgeons make incisions inside the nostrils only and then perform the surgery. Following the surgery, the face will be swollen and the head and nose may ache. For discomfort, the physician will advise the patient on medications to take. For swelling and bruising, which may occur up to two weeks, apply a cold compress. If there is nasal packing, it will be removed after a few days, which will relieve pressure. After two weeks, all dressings are removed and the patient should be on their way to recovering with their "new" improvement.