The nose is one of the most prominent features of a person's face. Men and women who are dissatisfied with the shape or size of their noses can improve their appearance through a procedure called rhinoplasty....also commonly called a 'nose job'. Nasal reconstruction or rhinoplasty was one of the first cosmetic procedures ever developed and is among those most frequently performed today. Rhinoplasty is a surgical procedure in which deformities of the nose are corrected by removing, rearranging or reshaping bone, cartilage, or soft tissues.
Common requests for rhinoplasty surgery are to improve the width of the nose, reduce the size of the profile of the nose or remove a bump, to give the tip of the nose more definition, or a combination of these. These conditions may be the result of genetic predisposition, natural causes, or previous external trauma to the face. Both your profile and frontal face views can be altered through rhinoplasty. Dr. Kayem can be perform this surgery alone, or in conjunction with other procedures designed to relieve nasal obstructions and to compliment your new look. Rhinoplasty is not recommended until a person has reached the mid-teenage years, when growth is nearly complete. This is usually around the age of 15 for girls, and 17 for boys.
Prior to Rhinoplasty or Revision Rhinoplasty surgery, a medical history is taken in order to evaluate the general health of the patient. A careful examination is also conducted. Dr. Kayem will discuss with you how the nose should look in relation to your other facial features. It is important for you to understand that the goal of the surgery is not to achieve perfection but rather to improve the appearance of your nose. Photographs of the nose will be taken to evaluate the appropriate procedure to achieve the desired results. Dr. Kayem will also discuss the type of anesthesia to be used, the procedure, and possible risks and complications.
Pre-surgery instructions include the elimination of certain drugs, which contain aspirin, in order to minimize the possibility of excess bleeding.
The Rhinoplasty Procedure
Rhinoplasty can be performed in the doctor's office, an outpatient surgical facility, or a hospital, depending upon the physician's and patient's preference. It can be done under general anesthesia with the patient asleep or local anesthesia in which the area is numbed and the patient remains awake. Premedication may be administered to relax the patient.
The specific rhinoplasty procedure to be performed is determined by the type of correction to be made. In most cases, the procedure involves a reduction in the size or shape of the nose, the removal of a hump, or the improvement of an angle. Incisions are usually made only inside the nose. Working through these incisions, Dr. Kayem is able to trim excess bone, cartilage, or other tissues, to reshape the nose.
In some cases, it is necessary to narrow the base of the nostrils. This procedure involves removal of skin from both sides of the nostrils at the center. In order to improve the contour of the nose of some patients, it is sometimes necessary to add tissue. These procedures can last from one and a half to two hours or more depending upon the extent of Rhinoplasty surgery.
After Rhinoplasty or Revision Rhinoplasty Surgery
Following surgery, a lightweight splint is applied to maintain the new shape of the nose. The splint is usually removed within a week. Dr. Kayem will let you know when you are able to start gently blowing your nose.
Rhinoplasty surgery creates minimal pain after the procedure, and this can be controlled with oral medication, if needed. Bruising around the eyes occurs but begins to fade within a few days. Discoloration usually disappears in two to three weeks. Swelling around the treated areas slowly diminishes and can be reduced by keeping the head in a slightly elevated position when reclining. Cold compresses may be recommended. Though most of the swelling will go down in the first few months, some slight swelling may be present for as long as twelve months after the surgery.
During the healing process, great care must be taken to protect the nose from injury. Eye glasses should be adjusted in order to minimize pressure on the nose. Although patients are usually up and around a day or two after the procedure, strenuous exercises, particularly those which might elevate blood pressure, must be avoided for several weeks. Dr. Kayem will discuss with you when normal activities can be resumed.
How Much Improvement Can Be Expected From Rhinoplasty?
The amount of improvement is individual and depends upon the extent of Rhinoplasty or revision Rhinoplasty surgery. In some cases, as when a badly misshapen nose is reconstructed, dramatic results may be obtained. On the other hand, the removal of a slight bump may produce very subtle yet satisfying results. Final results may not be apparent for up to one year.