Rhinoplasty

What is a Rhinoplasty?

A rhinoplasty is a surgery which 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.”

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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The Rhinoplasty Procedure

Most rhinoplasties are performed under general anesthesia, though IV sedation may also be available. Several techniques may be used depending on your desired results from the procedure. The two primary types of rhinoplasty are referred to as an open rhinoplasty or closed rhinoplasty.

In an open rhinoplasty, incisions are made across the columella, which is the tissue which 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. In a closed rhinoplasty, incisions are made internally within the nose.

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.

Rhinoplasty Recovery

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.

Frequently Asked Questions