Nose
Surgery (Rhinoplasty)
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Rhinoplasty (Nose Surgery)
Overview
What is rhinoplasty?
Rhinoplasty, commonly referred to as a nose job, is a cosmetic and functional surgical procedure that reshapes the nose to improve aesthetic appearance and/or breathing function. The procedure can:
- Refine nasal shape, size, and proportions.
- Correct asymmetry or irregularities.
- Improve breathing by addressing structural issues (such as a deviated septum).
Rhinoplasty is one of the most complex facial surgeries, requiring precision and artistry to achieve natural-looking, harmonious results that complement the patient’s facial structure.
How does rhinoplasty improve nasal appearance and function?
This procedure can:
- Reduce or refine the nasal bridge (hump removal).
- Adjust the size and shape of the nostrils.
- Enhance tip definition and projection.
- Correct nasal asymmetry.
Improve airflow by addressing structural concerns like a deviated septum.
How common is rhinoplasty?
Rhinoplasty is one of the most requested plastic surgery procedures worldwide. According to the American Society of Plastic Surgeons, over 200,000 rhinoplasties are performed each year, making it a top facial enhancement procedure.
Who is a good candidate for rhinoplasty?
The ideal candidate for rhinoplasty:
- Is dissatisfied with the appearance of their nose and wants to improve symmetry or proportions.
- Has difficulty breathing due to nasal obstructions, deviated septum, or trauma.
- Is in good overall health and has realistic expectations.
- Is at least 16–18 years old, as nasal growth should be fully developed.
- Does not smoke or is willing to quit before and after surgery.
Procedure Details
Types of Rhinoplasty Procedures
Rhinoplasty is a highly customized procedure that varies depending on the patient’s goals and nasal anatomy.
1. Cosmetic Rhinoplasty
- Focuses on enhancing the nose’s appearance while maintaining or improving function.
- Common cosmetic concerns addressed:
- Dorsal hump (bump on the bridge of the nose).
- Wide or asymmetrical nasal bridge.
- Bulbous, drooping, or upturned nasal tip.
- Large or flared nostrils.
2. Functional Rhinoplasty
- Addresses breathing issues or structural problems.
- Often combined with septoplasty to correct a deviated septum or nasal valve collapse.
3. Revision Rhinoplasty (Secondary Rhinoplasty)
- Corrects unsatisfactory results or complications from a previous rhinoplasty.
- More complex due to scar tissue and changes in nasal structure.
4. Non-Surgical Rhinoplasty (Liquid Rhinoplasty)
- Uses dermal fillers to temporarily correct minor imperfections (such as a dorsal hump).
- Results last 6–12 months but cannot make the nose smaller.
Open vs. Closed Rhinoplasty
Rhinoplasty can be performed using two main techniques:
- Open Rhinoplasty
- Incision is made across the columella (the tissue between the nostrils).
- Provides greater access and precision, especially for complex cases.
- Preferred for revision rhinoplasty, major reshaping, or tip refinement.
- Closed Rhinoplasty
- All incisions are made inside the nostrils, leaving no visible scars.
- Best for mild to moderate changes without major tip work.
- Shorter recovery time compared to open rhinoplasty.
What happens before rhinoplasty surgery?
Before surgery, patients must:
- Consult with a board-certified plastic surgeon to discuss their goals and expectations.
- Undergo a nasal examination and possible imaging (CT scan or digital morphing) to plan the procedure.
- Stop smoking and avoid medications that increase bleeding risk.
Plan for recovery, as swelling and bruising will last several weeks.
What happens during rhinoplasty surgery?
Rhinoplasty is performed under general anesthesia or local anesthesia with sedation and typically takes 1.5–3 hours, depending on complexity.
The general steps include:
- Incision Placement – The surgeon makes either open or closed incisions.
- Reshaping the Bone and Cartilage – Nasal bones may be gently reshaped, repositioned, or narrowed.
- Refining the Nasal Tip – Cartilage may be trimmed, reshaped, or reinforced for tip refinement.
- Correcting Breathing Issues – Deviated septum or nasal obstructions are adjusted if necessary.
- Closing the Incisions – Sutures are placed, and a nasal splint is applied to support healing.
Risks / Benefits
What are the benefits of rhinoplasty?
Rhinoplasty offers both cosmetic and functional improvements, including:
- Balanced and proportional nasal shape.
- Improved facial harmony by refining the nose-to-face ratio.
- Enhanced nasal symmetry and definition.
- Better breathing function, especially for patients with nasal obstruction.
Boosted confidence and self-esteem.
What are the risks of rhinoplasty?
While rhinoplasty is safe and effective, potential risks include:
- Swelling and bruising – Common in the first few weeks.
- Temporary breathing difficulty due to swelling.
- Scar formation (rare) – More likely with open rhinoplasty.
- Minor asymmetry – The nose may heal unevenly, requiring minor touch-ups.
- Numbness or temporary loss of sensation in the nasal tip.
- Possible need for revision surgery if healing is unpredictable.
Choosing a board-certified plastic surgeon with expertise in rhinoplasty helps reduce risks and improve aesthetic and functional outcomes.
Recovery and Outlook
How long does recovery take after rhinoplasty?
Recovery depends on the extent of reshaping, but general timelines include:
- First 1–2 weeks – Swelling, bruising, and congestion are common. Nasal splints and bandages are worn for 7–10 days.
- Weeks 3–6 – Swelling improves, and most normal activities can resume.
- Months 3–6 – Swelling continues to decrease, and results become more defined.
- 1 Year – Final results are fully visible as all residual swelling subsides.
How long do rhinoplasty results last?
Rhinoplasty results are permanent, but the nose will continue to age naturally. Proper post-surgical care and avoiding trauma to the nose help maintain results long-term.
Can rhinoplasty be combined with other procedures?
Yes! Many patients combine rhinoplasty with:
- Chin Augmentation (Genioplasty) – Enhances facial balance and profile.
- Septoplasty – Corrects deviated septum for improved breathing.
- Facelift or Brow Lift – For a comprehensive facial rejuvenation.
Final Thoughts on Rhinoplasty Surgery
Rhinoplasty is a highly individualized procedure that enhances both facial aesthetics and breathing function. Whether performed for cosmetic or functional reasons, it reshapes, refines, and balances nasal proportions for a natural, harmonious appearance.
At BodEvolve, our board-certified plastic surgeons specialize in customized rhinoplasty techniques, ensuring precise, natural, and long-lasting results.
If you are considering rhinoplasty, schedule a consultation today.
Call (214) 831-6182 or request an appointment online.