Rhinoplasty, commonly referred to as a “nose job,” is a surgical procedure performed to reshape, resize, or reconstruct the nose for functional or aesthetic purposes. The specific techniques used during rhinoplasty can vary depending on the individual’s goals, nasal anatomy, and surgeon’s preferences, but the general steps involved in the procedure typically include:
1. Anesthesia: Rhinoplasty can be performed under local anesthesia with sedation or general anesthesia, depending on the complexity of the surgery and the patient’s preference. The surgeon will discuss the anesthesia options during the pre-operative consultation.
2. Incisions: Rhinoplasty can be performed using either an open or closed approach. In the closed approach, incisions are made inside the nostrils, leaving no visible external scars. In the open approach, an additional small incision is made across the columella (the strip of tissue between the nostrils), allowing better access to the nasal structures.
3. Reshaping the Nasal Framework: Once the incisions are made, the surgeon will access the underlying nasal structures, including bone, cartilage, and soft tissue. Depending on the desired outcome, the surgeon may remove, reshape, or augment these structures to achieve the desired nasal shape and proportions. Common techniques include:
– Removing or reducing a dorsal hump (bump on the bridge of the nose)
– Straightening a crooked nose
– Refining the nasal tip by reshaping or rotating the cartilage
– Narrowing the nasal bridge or nostrils
– Correcting nasal asymmetry
– Addressing functional issues such as a deviated septum (septoplasty) to improve breathing
4. Supporting Structures: After reshaping the nasal framework, the surgeon may use cartilage grafts, tissue grafts, or synthetic implants to provide additional support or structure to the nose as needed.
5. Closing the Incisions: Once the desired changes have been made, the incisions are closed with sutures, and nasal packing or splints may be placed inside the nose to support the new nasal shape and promote proper healing.
6. Recovery: After rhinoplasty, patients typically experience some swelling, bruising, and discomfort, which can be managed with pain medication and cold compresses. Nasal packing and splints are usually removed within a week, but swelling and bruising may persist for several weeks to months. Patients are advised to avoid strenuous activities and follow post-operative instructions provided by their surgeon to ensure a smooth recovery and optimal results.
Rhinoplasty is a highly individualized procedure, and the techniques used may vary based on the patient’s unique anatomy and aesthetic goals. It’s essential to consult with a board-certified plastic surgeon or facial plastic surgeon who has extensive experience in rhinoplasty to discuss your concerns, expectations, and the best approach for achieving your desired results.
