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Nose Cosmetic Surgery (Rhinoplasty)

What is Nose Job or Rhinoplasty surgery?

Rhinoplasty, nose surgery or sometimes referred to as “nose reshaping” is a plastic surgical operation to change the shape and size and position of the nose.

Nose cosmetic surgery improves the appearance and proportion of your nose, enhancing facial harmony and self-confidence. Nose surgery may also correct impaired breathing caused by structural abnormalities in the nose.

While the shape of your nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery.

Rhinoplasty surgery can change:

  • Nose size, in relation to the other facial structures.
  • Nose width, at the bridge.
  • Nose profile, with visible humps or depressions on the bridge.
  • Nasal tip, that is large or bulbous, drooping, or too upturned.
  • Nostrils that are large, wide or upturned.
  • Nasal asymmetry and deviation.

Rhinoplasty candidates:

Nose surgery is a good option for you if:

  • Your facial growth is complete and you are 13 years of age or older
  • You do not smoke
  • You are physically healthy
  • You have specific but realistic goals in mind for the improvement of your appearance
  • Nose cosmetic surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Preparing for nose surgery

Before nose surgery, you may be asked to:

  • Get lab testing or a medical evaluation.
  • Take certain medications or adjust your current medications.
  • Stop smoking well in advance of surgery.
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding.

Special instructions you receive will cover:

  • What to do on the night before and the morning of surgery
  • The use of anesthesia during your nose surgery
  • Post-operative care and follow-up
  • Your plastic surgeon will also discuss where your procedure will be performed. Surgery of the nose may be performed in an accredited office-based surgical center, outpatient or ambulatory surgical center, or a hospital.
  • You’ll need help

If your nose surgery is performed on an outpatient basis, be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.

Rhinoplasty surgery steps

1 – Anesthesia

Medications are administered for your comfort during rhinoplasty surgery. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.

2 – The incision

Surgery of the nose is 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 structure of the nose.

3 – Reshaping the nose structure

Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body.

Most commonly, pieces of cartilage from the septum, the partition in the middle of the nose, is used for this purpose.

Occasionally a piece of cartilage from the ear and rarely a section of rib cartilage can be used.

4 – Correcting a deviated septum

If the septum is deviated, it is now straightened and the projections inside the nose are reduced to improve breathing.

5 – Closing the incision

Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue are redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.

6 – See the results

Splints and internal tubes will likely support the nose as it begins to heal for approximately one week.

While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine.

During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome. Swelling may come and go and worsen in the morning during the first year following your nose surgery.

Questions to ask your surgeon about

Use this checklist as a guide during your nose surgery consultation.

  • Are you certified by the American Board of Plastic Surgery?
  • Are you a member of the American Society of Plastic Surgeons?
  • Were you specifically trained in the field of plastic surgery?
  • How many years of plastic surgery training have you had?
  • Do you have hospital privileges to perform this procedure? If so, at which hospitals?
  • Is the office-based surgical facility accredited by a nationally- or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?
  • Am I a good candidate for this procedure?
  • What will be expected of me to get the best results?
  • Where and how will you perform my procedure?
  • What surgical technique is recommended for me?
  • How long of a recovery period can I expect, and what kind of help will I need during my recovery?
  • What are the risks and complications associated with my procedure?
  • How are complications handled?
  • How can I expect my nose to look over time?
  • What are my options if I am dissatisfied with the cosmetic outcome of my nose surgery?
  • Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?

Will nose surgery results be long-lasting?

Rhinoplasty resultsIt may take several months for swelling to fully dissipate and up to a year – and sometimes longer – for the outcome of the surgery to fully refine after rhinoplasty surgery.

Although the results of nose surgery are usually permanent, cartilage may continue to reshape and move tissue that may change the outcome over time.

Ask the plastic surgeon!

dear Dr. Pataki, i contacted you some months back, i would like some minor lipo on the face, plus fat injections to the face area.

secondly. i had some lipo on my stomach area done a few years back by a discount service in poland. boy that was a mistake. they did something called "high definition" on my abs, and they not only did not complete the entire abs area, they didn't take even HALF the fat out, and now 2 years later, its still just looks worse, uneven and quite an odd shape it has given. plus i should have done my low back as well, maybe Dr. Pataki would help me with these areas.

1. what KIND of lipo do you use?
2. can you do micro lipo on the face for the jowl and under the neck areas?
3. for fat reinjection, i was thinking cheekbone increase, a small amount in the cheeks themselves, to fill gaps from ache and aging, as well as some under the eyebrows to lift the brows up a little, and some in the chin to help my profile. i don't expect MAJOR changes. it just needs a little here and there.
4. ive also considered a rhynoplasty, so if you want to give me a plan for that too, i will consider it (depending on the downtime)

attached are some photos as you had requested.

i won't be back in budapest until late october or early november. And, i might only be there for a few weeks, so we would need to schedule things around that time period.

please give me an idea on appointment availabilities.

thank you, Nadine

Click here to see the answer 2017-09-10

Hello Dear Clinic,
I'm madelaine, from France. I'm 30 years old.
I've a nose bump , I want to reduct it, but keep a very natural nose.
I want to know how prices are related compared to French prices for this operation . Thanks a lot

Madelaine

Click here to see the answer 2017-07-12

Dear Dr. Pataki,

I am interested to know about the conditions for having a rhinoplasty and may be a endoscopic cheek lift (incision around temple inside the hair line) for improvement of lateral brow, minor sagging of cheek area and nasolabial fold.

I am 49 years old male, This would be my first rhinoplasty, non-smoker, never been in a hospital, no mental disorder, not on medication, occasionally a beer or two, not allergic to certain substances and don't drink herbal tea.

I used Photoshop and have modified my images to visually express what my wishes are. Pictures are attached. The image marked "1" is my current nose; the image marked "2" is the one I would like to have; and the image marked "3" is both before and after in one so you could see how much change is applied. Or maybe you have a better suggestion.

So, as you can see, my main objectives regarding the nose are as follows:

1. Correction of retracted alar, do you use cartilage graft for this? From my ear?
2. Removed hump, this is routine I guess?
3. Lowered radix (nasoforntal), is it possible to lower the Radix?
4. Deprojection
5. Finer tip contour (sharper tip, smaller radius) and more triangle and not so much boxy.

Other general questions:
- Is it possible for you to send me a two before and after picture from cases similar to mine especially with retracted ala?
- What is your error figure and how it is handled if the result didn't go according to the plan?
- Do you use graphic like Photoshop or Vectra to discuss and agree detail? Or what method do you use to visualize the plan and agreement?
- How many days before the surgery do you need me to be there?
- What is the name of the hospital where the surgery will take place?
- Could you please help me to find a good and affordable hotel close to your practice?
- Do I need to fill any form or something? Or in general, what is the procedure and what steps I shall go through?

Thanks in advance.
Best regards,
Arthur C. H.

Click here to see the answer 2015-01-25

Hello Doctor Pataki,

I am sending you photos of my Nose. I would like to get rid of the bump on the nose and generally straighten it. I am very scared of the procedure, especially that I will not like the effect.
Could you please be so kind and provide me with a consultation to know if there is anything that I should be worried about?
Kind regards,

Jack

Click here to see the answer 2015-01-23

On January 14 I visited Dr Pataki regarding a possible rhinoplasty.
I would like to have some moregeneral info on the subject so as to better make an informed decision. Also,
could you please provide me with lodging possibilities (hotels) postoperatively?

Helene

Click here to see the answer 2015-01-20

Hello,

What I want is to make the left side of my nose more similar to the right side.

Maybe move up 2mm or fix the arch on the left nostril? whatever you decide really...I`m looking to do this correction under local anaesthesia please.

I have attached more pictures so you can have a better idea.

Can you please give price?

Regards,
N.

Click here to see the answer 2015-01-20

Dear dr. Pataki,

bellow I attached some photos of my face and nose. I want to have a nose trim and I have a bit of collagen in my nose..I came from philippines and I had that collagen in philippines. And now I don't feel so happy for the result...every time I woke up in the morning it looks so big and swollen. Please, let me know about prices and possibility of procedure.
Thank you

Anna,

Click here to see the answer 2014-12-08

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