Rhinoplasty

Rhinoplasty is among the most highly requested plastic surgery procedures. The anatomy of the nose is complex and delicate, making it important to choose an experienced and qualified plastic surgeon. Dr. Christian Paquet offers rhinoplasty for patients in Phoenix, Arizona.

What is a Rhinoplasty?

A rhinoplasty is a surgery that changes the shape of the nose, either for the purpose of improving the appearance, improving breathing, or both. Often, a rhinoplasty is referred to as a “nose job.” There are generally two primary reasons behind choosing on a rhinoplasty: cosmetic and functional.

Cosmetic

Generally, patients choose a cosmetic rhinoplasty if they are unhappy with the overall appearance of their nose shape, size, or profile. Many patients consider a cosmetic rhinoplasty for a while before deciding on having the surgery.

Functional

If you have breathing problems caused by a structural issue, a functional rhinoplasty may be the right choice. Common reasons behind a functional surgery are a deviated septum, sinusitis, nasal deformity, narrow nostrils, chronic congestion, snoring, headaches, and more. Dr. Paquet’s unique experience with otolaryngological surgeries and needs makes him uniquely qualified in providing functional relief via rhinoplasty.

Am I a Candidate for Rhinoplasty?

Most people who are unhappy with the shape or size of their nose or who have difficulty breathing due to issues such as a deviated septum are good candidates for a rhinoplasty. Typically, patients must be at least 16 years old before pursuing a rhinoplasty to ensure that the facial anatomy has completed development. Patients should also be generally healthy overall and should be nonsmokers.

During a consultation, Dr. Paquet will review your health history and examine your nose to determine whether a rhinoplasty is a suitable and safe option for you. You should be prepared to share any health conditions or medications that you take during your consultation. Those who have suffered facial trauma or who have had previous rhinoplasties may require a more complex surgery referred to as a revision rhinoplasty. Dr. Paquet can review these options with you during a consultation.

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Types of Rhinoplasty

The two primary types of rhinoplasty are referred to as an open rhinoplasty or closed rhinoplasty.

Closed rhinoplasty involves all the incisions and changes being made inside the nostrils. This type of surgery has no visible scarring as the procedure is performed entirely on the inside of the nose. A closed rhinoplasty is best for smaller adjustments.

Open rhinoplasty involves a tiny incision made in the skin between the nostrils, and the skin is then pulled back to reveal the underlying structure. There is generally a small visible scar as a result of this surgery. It would be best to choose this surgical option for complex nose reshaping or revisions.

Before Your Rhinoplasty Procedure

Before your rhinoplasty, you’ll want to be sure to quit smoking (if you are a smoker), and avoid alcohol and blood thinner medication for several weeks prior to your surgery. You will need to arrange for a friend or family member to drive you to and from surgery and may want to ask them to stay for a day or two after your surgery if they do not already live with you in case you need assistance. Be sure to come to your appointment with a clean face. You’ll also want to pick up any prescriptions beforehand and meal prep to prepare for the recovery process.

The Rhinoplasty Procedure

Most rhinoplasties are performed under general anesthesia, though IV sedation may also be available. Open and closed rhinoplasties differ in a lot of ways, including incision type and location, scarring, suitability, cost, and overall aesthetic goals.

Open Rhinoplasty

In an open rhinoplasty, incisions are made across the columella, which is the tissue that separates the nostrils. This is typically chosen when more extensive changes are desired, as it allows the surgeon greater access to the tissues within the structure of the nose.

Closed Rhinoplasty

In a closed rhinoplasty, incisions and all changes are made internally within the nose. This ensures there is no visible external scarring. This surgical type is often less expensive.

Surgical Steps

In either an open or closed rhinoplasty, the tissues of the nose are then reshaped to create the desired shape or correct defects such as a deviated septum. This may involve making changes to the cartilage or bone within the nose, depending on the desired results.

Once the underlying structure of the nose has been appropriately reshaped, the skin is redraped as needed, and the incisions can be closed with sutures.

After Your Rhinoplasty Procedure

Most rhinoplasties are performed on an outpatient basis, meaning you can return home the same day as the procedure. You should arrange for a trusted family member or friend to drive you home and care for you in the early stages of your recovery.

Immediately after your rhinoplasty, you can expect swelling as well as some bruising, redness, or soreness. Dr. Paquet can prescribe pain medication to keep you comfortable through the recovery process. In some cases, you may be required to wear a splint or have the nostrils packed with gauze during the early stages of recovery.

Most patients feel well enough to return to work or other routine activities within a week or two after their rhinoplasty. A majority of swelling should subside within several weeks, though residual swelling can persist for up to a year. This should be relatively unnoticeable.

What If I Need Revisions After My Rhinoplasty?

If revisions are needed, Dr. Paquet is more than happy to ensure you love your results. Your happiness and satisfaction is our number one priority. That’s why we offer revision rhinoplasty at our Phoenix and Tempe, AZ offices.

Frequently Asked Questions