Category Archives: Rhinoplasty

Rhinoplasty and Aging

There are certain parts of the body that continue to grow after the rest of you stops. Your waistline is a likely culprit, but beyond that, you can expect the areas of your body that are heavily comprised of cartilage to continue to grow and expand as you age. For example, look at old men on the street as you walk by – you’ll notice that they have distinctively large ears and noses in many cases. Old women are no different – while their noses and ears are not as pronounced, they are noticeably larger in old age than they were in the prime of youth.

Rhinoplasty and Aging

The continued growth of cartilage has a distinctive meaning for those considering rhinoplasty. Unlike other areas of your body, even with the best exercise and fitness plan, your nose will continue to grow and change as you age. For many patients, this is not a deciding factor in the rhinoplasty procedure, but it is worthwhile to keep the continued growth in mind as you make decisions with your surgeon about the shape and the size of your new nose.

In a typical rhinoplasty, the surgeon will make small changes to create a nose that is suitable and natural for your face without risking too much removal of tissue. Removing too much bone or cartilage in a nose job can have devastating consequences, and surgeons are especially careful to preserve the integrity of your nose.

Discussion with Your Surgeon

If you’re concerned about the way women in your family age, be sure to have a frank discussion with your surgeon about your thoughts on aging. You may ask him to offer an opinion on the future growth of your nose. Together, you should develop a plan to ensure that your nose remains natural in appearance both now and into the future as well.

Planning a Nose Job?

Often the thought of a pretty new nose dominates the thoughts about a nose job. What will it look like? How long will it take to be the nose you’re dreaming of? Having a new nose is, of course, the goal of rhinoplasty, or a nose job. But knowing what to expect from the surgery is critical to being an informed and prepared patient. The more time you spend actually preparing for surgery, the smoother the process will likely be – especially the first unveiling after the bandages come off.

The nose job is designed to make alterations to the nose that you already have. They surgeon can’t switch out one nose for another, of course. This means that the surgeon will have to make small changes to your nose in order to create a new shape or design. While a surgeon can make a nose more narrow or remove humps and hooks, there is a limit to how much can be done at once.

Trying to make too many or an overly dramatic change can be hugely harmful to your face. Removing too much material can create the sort of results that appear unnatural or even those that collapse. This is why surgeons will advise only small, reasonable changes – nothing huge.

The small changes, however, can make a dramatic difference, however to your face. Trust the surgeon’s judgment and experience when you’re consulting about your surgery. Explain what you’d like, of course, but understand that the surgeon creates new noses almost every day – he knows what is reasonable and what is not. Of course, this is provided you pick a surgeon who has ample experience, which you should.

Planning for your surgery involves a great deal of discussion and plenty of anticipation. Being adequately prepared will make the process much simpler and satisfying.


Rhinoplasty and Pain Medication

Rhinoplasty is a full blown surgery, and as such you can expect there to be serious medication involved for pain both during and following the surgery. Prior to the surgery, the doctor will discuss the options available for pain control and anesthesia. Knowing what your options are and what to expect from the medication makes the surgery itself easier to bear both physically and mentally.

Pain Medication during Rhinoplasty

The biggest need for pain medication is during the surgery itself. As rhinoplasty can be a hard surgery in terms of bone manipulation, most surgeons opt to have the patients sleep through the procedure. This means a general anesthesia will be administered prior to the beginning of the surgery itself.

In some cases, however, usually those that don’t involve large amounts of bone work, the surgeon may allow a local anesthetic where the nose and the surrounding tissue is numb so that the patient can’t feel any pain during the procedure. The patient will still be able to hear the sounds of the surgery and the surgeon’s discussion which can be challenging.

Pain Medication Following Rhinoplasty

After a nose job, the surgeon will prescribe a pain medication to be taken during the recovery period. This medication will likely be a strong pain killer for the first days after surgery. There are side effects of these sorts of pain medications, however, and they should be discussed with the surgeon prior to the surgery. You will not be in a good position to make decisions about medication immediately following the surgery, of course.

While on serious pain medications, you will not be able to do certain things like drive a car or possibly nurse very young children. The time spent on these medications is usually short, however, as rhinoplasty pain is short-lived. Patients are able to move past pain medication usually in less than two weeks; usually just one week.


Rhinoplasty: Preparing for Surgery Day

The day of surgery is both exciting and nerve-wracking. The more prepared you are ahead of time, the better the day of surgery will be – at least this is true for the elements within your control. Rhinoplasty is a major surgery and there will be preparations to arrange before the hospital visit. Being ready both physically and mentally can help tremendously.

Mentally Prepare for Rhinoplasty

Read about the surgery well before the consultation with the surgeon. Ask the doctor to go through the procedure with you step by step to be sure that you understand everything that will be happening to your body prior to surgery. Think about the procedure and visualize yourself going through the steps of the surgery so that your mind is at peace about the procedure itself.

Continue your musing and visualization to include the recovery period. How long will you be recovering? Where will you be during that time? Knowing what you’d like to happen will help you arrange those elements ahead of time.

Physically Prepare for Rhinoplasty

While being in good health is important for the surgery, it’s also important to have all of the physical arrangements in place prior to the surgery. You don’t want to come home after surgery to a house that is messy without a your chair being in the right place for a full rest and recovery.

Arrange your pillows on the bed so that it’s a comfortable nest to recline and rest in. Drag the recliner that you’ll be resting in during the day closer to the internet connection and the television. Find your music player and check that your phone charger is already in position. This will save you the trouble of seeking out and arranging things on the first days of recovery – when you actually can’t do much more than sitting there.

3 Reasons Rhinoplasty Should Wait

Often when you decide that rhinoplasty is right for you, you’re interested in having the surgery as quickly as possible. After all, why wait any longer than you need to? There may actually be a few reasons to put off rhinoplasty for some patients in order to have the best possible results.


The Patient Is Too Young

While it may become obvious from an early age that the nose is out of proportion with a face or is off center or unflattering, it’s not advisable for surgeons to operate on patients younger than sixteen or so. The nose continues to grow until between age fifteen and seventeen and surgeons must be sure that the patient is old enough to have the surgery without unfortunate side effects from working on a patient who is too young.


The Patient Is Looking for the Wrong Thing

Rhinoplasty is a big procedure with big consequences. Making slight changes to the nose can change the proportions and the dynamics of the face, altering your entire appearance. Patients seeking a nose job who have given the procedure a great deal of thought and consideration understand that the surgery isn’t going to change who they are or any areas of their life. They won’t become rich and famous because they have a prettier nose. Would-be patients who fail to understand this should not have the procedure.


The Patient Isn’t Well

Rhinoplasty is a major surgery that can take months to fully recover from. If a patient has long-term medical conditions or unhealthy habits like smoking or drinking heavily as well as frequent use of prescribed medications, the rhinoplasty procedure is not safe or appropriate. Patients should be healthy and free of any substance dependence for up to six months prior to surgery.

Rhinoplasty Risks and Smoking

Smoking increases risks in any surgery, but with an elective surgery like rhinoplasty, surgeons take the risks of smoking very seriously indeed. Many, in fact, won’t perform the surgery at all if you choose to smoke in the months ahead of your consultation or procedure. The risks that are commonly associated with smoking – cancer, chief among them – are important still, but they are not the primary reasons surgeons require patients to be absolutely nonsmoking. In this case, the reason is much more immediate.

Smoking and Rhinoplasty Surgery

While the incisions in rhinoplasty are very small and often inside the nose, the incisions must be precise and especially delicate. Smoking increases the chances of excessive bleeding during the surgery itself. If a patient were to start bleeding copiously, a surgeon would be hard pressed to preserve the finesse of his incisions and work while also staunching the blood flow. Patients who smoke can have additional risks associated with anesthesia as well.

Smoking and Rhinoplasty Recovery

While bleeding during surgery is critical, there are other risks associated with smoking that occur only after the surgery is complete. The risk of bleeding is still very real for patients, even after the surgery. Only this time, with the incision closed, there is a chance that the bleeding may seep from the incision, affecting scarring. There may also be bleeding under the skin, or hematomas, that must be handled by the surgeon. Finally, with smoking comes impaired blood flow – even if the patient hasn’t smoked in the immediate time frame. Patients who smoke have a far greater chance of having skin and tissue die following the surgery. Necrosis, or the death of tissue, can occur as a normal side effect, but it is a far more common side effect for patients who choose to smoke.

Teens and Nose Jobs

Nose jobs seem to be increasingly more prevalent with teens than ever, and this is an ongoing source of debate among those who feel teens should not be getting plastic surgery and those who feel that plastic surgery for teens on something as prominent as their nose will give them a boost of self esteem and affect their life in a positive way moving forward.

Teenage Nose Jobs

Most surgeons will not perform rhinoplasty, or a nose job, on patients younger than fifteen. Some prefer to wait even later. This is for several reasons, but primarily because the nose has not yet finished growing for those younger than fifteen or sixteen years of age. Even with the nose grown fully, the teenage patients may not be sound emotionally to undergo such a difficult surgery.

Of course, patients who understand the limitations and recovery that will come with the procedure are able to benefit from the surgery at a very complex time in their life. The teen years are formative, and those who have unattractive features can struggle not just with their peer group, but with the own identify and self-worth. Often making a small change to the appearance of the nose can make a difference in how not only the teen looks, but in how he or she feels and acts.

Balancing Teen Nose Jobs

Ultimately it boils down to the preferences of the teen and the parents arranging the surgery. If the parents, surgeon and the teen are all comfortable with the surgery and the rationale behind it, once the child is of an age when the nose is fully formed, there is no reason to not proceed with the rhinoplasty if it can make a difference in the life of the child, especially in the long term.

Broken Nose and Rhinoplasty

While nobody likes to experience a broken nose, for some it is a stroke of good luck – especially if they were considering a rhinoplasty procedure. For the majority of rhinoplasty procedures, the nose must be broken and then reset to give the nose its new contour. In some cases, a broken nose from a car accident, a sports injury or just an accident at home is a good starting point for discussion rhinoplasty.

Moving Quickly

If you’re considering rhinoplasty after experiencing a broken nose, the doctor will likely encourage you to move quickly. The broken nose will need to be set correctly and any changes made before it has a chance to set properly. If the nose begins to heal before the surgery date, it will have to be broken again. This can complicate a procedure, but in others it may be necessary or even beneficial if the break caused a deviated septum or an unattractive appearance.

The Rhinoplasty Procedure

One the patient arrives for surgery, a general anesthesia is used and the surgery begins. The doctor is able to reset the nose correctly and make small changes to the shape of the bridge or the tip of the nose as necessary to give the patient a more attractive appearance. Then the nose is carefully protected with packing and a split before the patient is released. In a normal hospital, the patient’s nose would simply be set as best it could be, protected and the patient released.

Following a broken nose, the patient’s insurance helps pay the cost of the procedure under regular coverage. While cosmetic surgery is not normally covered on medical insurance, a portion of the cost of the rhinoplasty may be covered thanks to the necessary setting of the bones following the break as well.

The Rhinoplasty Healing Process

Healing from rhinoplasty is easy, but also can be long. The rhinoplasty recovery process starts almost immediately after surgery.

Following Rhinoplasty

For the rhinoplasty procedure, the patient was almost certainly under the effects of general anesthesia. This means that the first hours following surgery will be under observation in the hospital or surgery center. The patient may be shaky or nauseous as the anesthesia works its way out of the body.

The nose may start to throb during this time, and the surgeon will prescribe pain medication to ease the discomfort. Most pain will be acute on the first days following surgery, but easily managed with medication. In the weeks following surgery, the pain will fade quickly as the body heals.

At Home

Once the patient is home from the surgery, he or she will be groggy from the procedure and encouraged to rest. The nose will be filled with packing to help maintain the new shape, but it will be swollen as well from the procedure and this will cause additional discomfort. Patients should sleep in a reclining position to help the body drain away fluids and improve the recovery process.

Over the weeks following surgery, rest is critical to helping patients heal properly. After the first few days, the packing will be removed and a splint put into place to maintain the shape of the nose. That split will be in place for some time after surgery to help protect the nose and encourage healing.

After two weeks, the nose will be on its way to permanent healing. All pain will be gone although bruising and swelling may persist past that time as the body continues to heal itself. Using clever make-up techniques, most patients return to most mild, normal activities after two to three weeks of recovery.

Rhinoplasty: Three Things Patients Must Consider

Rhinoplasty, or a nose job, is a popular procedure with patients thanks in no small part to the huge amount of difference a small change can make in appearances. While a nose job is tempting for anyone who struggles with aspects of their facial appearances, all prospective rhinoplasty patients should understand the procedure and what to expect from it.

Rhinoplasty Changes Your Nose

While your nose is a prominent part of your face, reducing it is size or reshaping your nose won’t change anything about how close together your eyes are or if the size and shape of your lips. Reducing your nose may make your other features more prominent changing the proportions of your face, but rhinoplasty makes changes onto your nose; it is not a means to make changes to your face overall.

Rhinoplasty May Not be Perfect

Rhinoplasty is a combination of surgery and art. The surgeon performing the procedure has tools to make small adjustments to your face in order to present you in your best light, but he may not have the skills to match your nose to a picture you saw in a magazine once. Instead of considering a dream nose, think of what you’d like to change on your own nose to make it more satisfactory – change the tip? Narrow the base? Remove the hump? That way you’re approaching the surgery realistically.

Recovery Takes a Long Time

Surgery to your nose can have a long recovery process. While you won’t be in pain or experience discomfort for more than a few days, swelling and bruising may persist for months at a time. Some swelling, particularly in the tip of the nose, may last up to a full year. The long-term benefits, however, far outweigh the irritation with the longer recovery period.