Nose surgery, also called a “rhinoplasty” or “nose job”, is a procedure designed to improve the shape, size, and contour of the nose. Rhinoplasty is one of most common procedures performed at Gilpin Facial Plastics. The nose plays a significant role in determining overall facial harmony, and is the central focal point of the face. Rhinoplasty helps create a balanced-looking nose by correcting aesthetic problems that occur secondary to genetics and challenges from nose injuries.
A rhinoplasty can also correct breathing problems and challenges associated with the nasal passage.
How does rhinoplasty work to improve my nose?
Rhinoplasty can improve your self-confidence and help to balance the nose with the rest of your face. The best surgical candidates are those patients looking for refinement and improvement, rather than ‘perfection’, of the nose.
A rhinoplasty procedure can help to achieve the following:
- Reduce the size and position of the nose
- Smooth out bumps and/or depressions on the bridge and/or tip of the nose
- Narrow the bridge of the nose for a refined, aesthetic look
- Change the size or shape of the tip of the nose
- Widen or narrow the size of the nostrils
- Adjust the angle between the nose and upper lip for symmetry
- Straighten the septum to improve breathing
- Performed under general anesthesia
- Incision is hidden under the nostrils, across the columella
- The cartilages and bones that make the nose are reshaped and contoured
- When the final look is achieved, the incision is closed with fine sutures (stitches)
- A nasal splint (cast), is placed over the bridge of the nose for protection and support
- No nasal packing is used after the procedure
Q. How long does it take to recover from a rhinoplasty? Will I be in pain afterwards?
A. Most of our patients report minimal pain after the procedure, and the most common concern is nasal congestion and ‘stuffiness’ because of post-operative swelling. Most patients will need about one week of downtime to recover from rhinoplasty. After the first 5-7 days, they generally feel good enough to return to work and their daily activities. However, strenuous exercises and physical activities should be avoided until Dr. Gilpin determines that your nose has healed properly at a follow-up appointment.
Q. Will I be able to go home after the surgery is complete?
A. Yes, after surgery is complete you will be able to go home. Rhinoplasty is usually performed on an outpatient basis. As a caveat, you will still be under the effects of anesthesia after surgery, so you will need someone to drive you home afterwards.
Q. Where are the incisions made during a rhinoplasty?
A. The incision is made across the columella, which is the bridge of skin and tissue between the nostrils. The remainder of the incisions are all made on the inside of the nose. At the conclusion of the case, Dr. Gilpin meticulously closes the columellar incision with fine suture, which leaves almost no trace of the incision.
Q. When will the stitches be removed?
A. Stitches are typically removed six or seven days after surgery.
Q. On the internet, I have read about ‘open’ versus ‘closed’ rhinoplasty? What is the difference?
A. Dr. Gilpin performs the open rhinoplasty procedure, primarily. The term ‘open’ rhinoplasty simply describes the technique used to perform the operation, in which the underlying cartilages and bone of the nose are opened, easily seen, and reshaped. Dr. Gilpin trained with one of the pioneers of this technique and has a vast amount of experience with this. Dr. Gilpin will be happy to explain all aspects of the rhinoplasty procedure at your consultation, as well.
Q. When can I expect to see results?
A. The results of nose surgery will become more evident as swelling goes down over the coming weeks and months. It may take up to a year to see the final results of your rhinoplasty. When you come for your consultation with Dr. Gilpin, you will have a chance to review before and after photographs of patients who have had surgery with Dr. Gilpin, and who have given us permission to share them with you.