NOSE SURGERY (RHINOPLASTY)
Cosmetic surgery of the nose, known as rhinoplasty, is a procedure to improve the appearance of the nose. Specific features addressed include nose size, width, profile (humps or depressions), shape of nasal tip (enlarged, bulbous, upturned or hooked), wide nostrils and nasal asymmetry. These features are usually caused by heredity but they can be a result of injury. Surgery may also correct impaired breathing caused by structural defects in the nose. When nose surgery is performed to improve breathing function in patients with obstructed airways the procedure is considered reconstructive and may be covered by insurance. In some cases facial implants may be used in conjunction with rhinoplasty to achieve overall facial balance and harmony.
Dr. Taylor feels that good candidates for this surgery are healthy, non-smokers with specific goals in mind. Surgery can be performed when facial growth is complete, usually beginning around age 15.
Dr. Taylor performs this surgery under general anesthesia in accredited hospitals and surgical centers in about 1-2 hours. The surgery can be performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils. Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the contours. Once nasal structures are sculpted to the desired shape, skin and tissue are redraped and incisions closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.
Splints and packing will likely support the nose as it begins to heal. Initial healing may include some swelling, bruising, headache and discomfort. Pain is controlled with prescribed oral medication and antibiotics are also taken to prevent infection. Swelling will subside within a few weeks but it may take up to a year for it to fully refine. Within a week the packing is removed, however, the splint may need to be worn for an additional week or two. Most patients are ready to return to work at this time. Cosmetics can camouflage any bruising or redness that remains. Patients must protect the nose from injury during any physical activity for the following 6 months in addition to continue diligent sun protection.
If you feel your nose is out of proportion with the rest of your face, if its features make you feel self-conscious or if your breathing is impaired by structural nasal defects you can discuss your surgical options with Dr. John Taylor. Call the office today to schedule your personalized consultation.