Surgery to change the shape of the nose for esthetic reasons has been performed routinely for almost 100 years. Presently it is one of the most popular aesthetic surgery procedures in the United States. Although most of the patients are young, there are no contraindications based on age. Unlike many aesthetic procedures, rhinoplasty is not performed fo rejuvenation, but to fundamentally change appearance. Modern techniques have made the operation safer and more predictable, but revisions are not uncommon. The modern trend is to avoid extensive surgery and keep changes to a minimum. By these means secondary problems can be minimized.Most patients undergoing rhinoplasty will receive a general anesthetic and go home the same day. Broadly there are two types of rhinoplasty: open and closed. Many surgeons favor one over the other, while others, like me, perform both – the decision resting on the indications. I find that the open approach is excellent for secondary rhinoplasties, the twisted nose and in those cases where tip work is potentially complicated.The operation is performed through the nostril and takes place in the layers between the skin and lining of the nose. The bone and the cartilage are trimmed and reshaped, with the expectation that the skin will redrape to the new form. Often this means ‘breaking’ the nasal bones, but this is done in a controlled way using very fine chisels. Judicious trimming of the cartilage and tiny cartilage grafts are also employed. If there is a breathing problem further work will be required, often on the nasal septum. The patient will generally wear a splint for a week and retain nasal packs for 24 hours.
At your initial consultation, I shall take a detailed history and perform a thorough examination with the object of defining the esthetic problem, establishing your goals, formulating a treatment plan and ensuring that any pre-existing medical conditions may be appropriately managed to minimize risk at the time of surgery. It is important to determine whether you have an associated breathing problem and to plan for its correction. You will have ample time to ask questions and discuss your options in a professional yet friendly setting. The surgery itself will be carried out in a safe environment (a hospital or an accredited ambulatory surgery center) and you will have a board certified anesthesiologist giving the anesthetic. You should be able to return to work in about two weeks or even sooner if you can tolerate visible bruising around the eyes.
For more information about having rhinoplasty surgery in Manhattan Beach California – contact Dr Boyd today at 310.597.4734
Before surgery, these rhinoplasty patients have large, slightly hanging noses, with a hump and an enlarged tip.
After surgery, the patient has a smaller nose, a straighter bridge, a well defined nasal tip, and an improved angle between the nose and upper lip.