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Rhinoplasty is commonly known as a nose job. It is a surgical procedure that improves the aesthetic proportions of your nose. The goal is to improve facial harmony and balance. Rhinoplasty, like all cosmetic procedures, is a very personal decision. During your consultation, plastic surgeon Robin Evans, MD will discuss your specific cosmetic goals with you.

There can also be a functional component to rhinoplasty. Correction of the airway can also help improve breathing and comfort.

How is a Rhinoplasty Performed?

A rhinoplasty is a surgical procedure that is done in the operating room with you asleep. There are two main approaches, closed and open rhinoplasty. A closed rhinoplasty is done with incisions on the inside of the nose. A open rhinoplasty uses an incision at the base of your nose to open up the nose and change it. Dr. Evans will determine in your consultation which would be best for you.

rhinoplasty candidateAm I a Good Candidate for a Rhinoplasty?
Dr. Evans will discuss your specific goals with you during your consultation. Having clear goals and expectations is critical to a successful operation. It is important that your facial growth is complete and that you are otherwise healthy. Being a non-smoker is also very important to optimize healing.

What is the Best Way to Prepare for a Rhinoplasty?
Having a healthy lifestyle and clear goals is the best preparation for a rhinoplasty. Being a non-smoker is important as the nicotine can decrease wound healing give worse outcomes. Dr. Evans will review your medications with you and discuss stopping aspirin or other anti-inflammatories that may increase your risk of bleeding. Sometimes Dr. Evans will prescribe a saline nasal rinse to be performed before and after your surgery.

What is Recovery After a Rhinoplasty Like?

The first week you have a nasal cast in place and you will be taking pain medications. Some people have splints in place inside their nose that stays in for the first week. These are easily removed in the office. Bruising can continue for the first 3 weeks. Typically swelling can take 6 months to completely resolve but most swelling is gone in the first 6 weeks.

What are the Risks of a Rhinoplasty?
The appearance of your nose is a very personal thing. Dr. Evans will take the time with you to understand your specific goals and come up with a plan to help you achieve them. Sometimes multiple stages or revision surgery/treatments are necessary. Other risks include poor wound healing, scarring, infection, changes in skin sensation, and swelling. If work is being done on your septum, there is always a risk of a hole developing in the septum (nasal perforation). This is a difficult complication to treat. Although the goal is to improve breathing, having difficulty breathing through your nose can occur.