Rhinoplasty, nasal surgery, or “nose job” is one of the most common plastic surgery procedures performed today. Rhinoplasty can three-dimensionally reshape, reduce or augment the nose in order to provide facial balance. Correcting nasal deformities, such as reducing a nasal hump or refining a wide nasal tip can help achieve facial harmony and definitely boost self-confidence. Rhinoplasty in Austin is not only a cosmetic procedure, but may be performed as a reconstructive procedure to correct a birth defect, fix an injury such as a broken nose, and/or improve airflow through the nose.
What Are My Options?
Rhinoplasty may be performed for functional and cosmetic reasons. Dr. Trussler of Austin, Texas will evaluate the external nose as well as the internal nose to determine if functional correction is needed. Combining nose reshaping with septoplasty and/or turbinate reduction can effectively treat certain breathing problems, such as those caused as a result of a broken nose or deviated septum.
The best candidates for rhinoplasty:
- Are at least 15 years old in females and 17 years old in males;
- Have finished facial growth;
- Are generally healthy;
- Do not smoke;
- Are seeking rhinoplasty for personal reasons, not pressure from others;
- Have realistic goals for the procedure;
- May have had previous nasal trauma, such as a broken nose;
- May have had a previous septoplasty only;
- Breathing problems, such as mouth breathing and/or snoring;
Rhinoplasty is an excellent procedure for achieving the following:
- Balance the size of the nose with the other facial features
- Modify the width of the nose at the bridge
- Improve the nasal profile, including removing humps or depressions
- Contour a nasal tip that is too large, “boxy,” drooping or upturned
- Change the angle between the nose and the mouth
- Narrow and reshape the nostrils
- Correct asymmetry or deviation, straightening the nose
Rhinoplasty is usually an outpatient procedure performed under general anesthesia.
Dr. Trussler uses one of two techniques when performing nose surgery in Austin, Texas. In a closed rhinoplasty, incisions are made within the nostrils. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils. With both methods, Dr. Trussler gently lifts the soft tissues covering the nose and then sculpts the bone and cartilage to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum.
If the patient does have a deviated septum, Dr. Trussler will adjust the septum and the inner structures of the nose to improve breathing. The tissues are replaced over the nose and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of rhinoplasty.
The entire procedure generally lasts just over two hours.
After Care & Recovery
For a short time after surgery, patients may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two days and return to work in about a week. Dr. Trussler does place a nasal splint on the nose and silicone splints in the nose in the surgery. All splints and stitches are removed in one week. Normal activity can be resumed in 3 weeks.
The results of rhinoplasty become gradually apparent as the days pass after surgery and swelling recedes. Swelling may reappear from time to time in the first year after the procedure. It is typically more noticeable in the morning and fades during the day.
Contact lenses can be worn immediately, but glasses may need to be taped to your forehead or propped on your cheeks for up to seven weeks to avoid pressure on the nose and nasal bones.
Patients with realistic goals for rhinoplasty are generally very happy with the new shape of their nose and this can be appreciated almost immediately. The exact results depend on the patient’s nasal bone and cartilage structure, facial shape, skin thickness and age.
What is rhinoplasty surgery?
Rhinoplasty surgery or “nose job” is very common surgical procedure to help improve the form and/or function of the nose. There are two main techniques of rhinoplasty: open rhinoplasty and closed rhinoplasty. The choice of technique varies with the goal of the operation and surgeon preference. There are many components to rhinoplasty surgery including nasal bone reduction, cartilage shaping and nasal airway procedures.
What is the cost of rhinoplasty?
The cost of a rhinoplasty will vary regionally and will depend on the complexity of the procedure. A cosmetic rhinoplasty may cost between 6000 to 10000$. Some functional rhinoplasty procedures may be covered by health insurance if there is a medical benefit to the procedure.
How long does it take to recover from rhinoplasty?
The initial recovery after a rhinoplasty is about one week until the tape, sutures and splints are removed. The most common complaints during the first week after a rhinoplasty are pressure, nasal congestion and a headache. After three weeks the majority of noticeable swelling and bruising dissipates. At this point normal activity can be resumed including physical activity. Numbness and firmness may last for about 6 months with the final result visible at 1 year.
How long does rhinoplasty take?
Rhinoplasty procedure may take between one to three hours depending on the complexity of the surgery and type of rhinoplasty performed. The time spent in rhinoplasty surgery will vary with the number of components performed in the operative procedure and any variance in the surgery. Thorough surgical planning including pre-operative imaging can help streamline the operative time.
When to blow nose after rhinoplasty?
Blowing the nose after rhinoplasty can typically resume at the three week point. Gentle saline spray can be utilized before this time with light nasal care. Nasal irrigation like the “neti-pot” could be started at the 3 week point as well.
- Janis JE, Trussler AP, Ghavami A, Marin V, Rohrich RJ, Gunter JP. The Lower Lateral Crural Turnover Flap. Plast Reconstr Surg. 2009 Jun;123(6):1830-41.
Whether you have a question or would like to setup a consultation, Dr. Trussler and his staff are here to help. Please fill out our contact form, or call our office at 512-450-1077 to schedule an appointment. Start your journey to not only looking, but feeling better today!