What is Nose Surgery?
Nose surgery, also known as Rhinoplasty, in Boston and Worcester, Massachusetts, is a procedure that improves the proportion and harmony of the face through correcting the size and/or shape of the nose. This procedure can also be done to correct medical issues, such as impaired breathing due to structural defects like a deviated septum.
Am I a good candidate for nose surgery?
Ideal candidates for nose surgery are physically healthy men and women whose nose is completely done growing, and individuals that have realistic goals for the surgery. Individuals who smoke may not be ideal candidates for any surgical procedure.
Rhinoplasty – Patient 119
following a nasal fracture playing basketball in high school. Although his fracture was apparently reduced at the time he had almost complete obstruction of both sides of his nose, with his nasal septum collapsed like a accordion. He is shown before and again, 6 weeks after an extracorporeal septoplasty/open rhinoplasty. In a case like this the septum is removed completely, straightened on the surgical table and attached to a pds plate ( a dissolvable plastic like material) to stabilized it and then placed back into the nose. Spreader grafts were placed at the same time. He is shown 6 weeks after surgery and not only is he able to breath normally again, but his nose is much straighter.
Rhinoplasty – Patient 118
A 16 year followup on a woman after an open rhinoplasty and chin augmentation using a silicone Flower’s mandibular glove implant. She had her original surgery in her 20’s. She remains thrilled with her dramatic and yet still natural improvement.
Rhinoplasty – Patient 117
A student in her late teens who was referred by her ENT because of severe nasal obstruction. She was struck with a dodgeball in the nose a year early, and had had significant trouble breathing through her nose ever since. She snored at night and would wake up with a dry mouth in the morning, She is shown 8 weeks after a reconstructive rhinoplasty with correction of her deviated septum and bilateral spreader graft placement. ( like a “breath rite” strip inside the nose). We improved her small dorsal hump and bulbous tip at the same time. The nose appears much straighter and in better balance. The tip definition will typically continue to improve for 3 years after surgery. She is already thrilled with her early result and able to breathe through her nose now.
Rhinoplasty – Patient 116
A 10 year followup on a secondary rhinoplasty. Our patient had initially had a rhinoplasty in California 16 years before and did well until her young infant accidently “head-butted” her in the nose and it collapsed, making it difficult for her to breath. There was a technique called the “Goldman tip” where the cartilages were cut through to give more definition of the tip. Unfortunately, this tends to weaken the nose and was prone to pinching of the tip and collapse, as we have seen here. In my training at the University of Michigan we were taught to strengthen the nose, added grafts were needed and performing “non-destructive” tip rhinoplasty, where the structure of the nose is strengthened and not weakened at the time of surgery. He nose had collapsed inside and she needed an open rhinoplasty with placement of cartilage grafts harvested from the septum to rebuild the lower alar cartilages, as well as to hold open the upper lateral cartilages (like an internal “breath rite” strip) to support the breathing. Although her external appearance has not changed drastically, this corrected the internal collapse of the nose and corrected her breathing difficulties. She stopped by to see us today for another unrelated problem and was kind enough to consent to us using her photos and story.
Rhinoplasty – Patient 115
A woman in her mid 20’s who is bothered by a “hump” of her nose. She is shown before and again, 6 weeks after an open rhinoplasty.
What are my options for nose surgery?
There are two main techniques used for rhinoplasty today: the open procedure and the closed procedure. A closed procedure involves hidden incisions made inside the nose, while an open procedure entails an incision outside of the nose, or along the slim strip of tissue that separates the nostrils, called the columella.
Depending on the patient’s goals for the outcome of the surgery, bone or cartilage can be removed to reduce the size of the nose, while cartilage grafts may also be required.
What should I expect during recovery?
Typically, it takes about 10 to 14 days for most of the swelling and bruising to heal following nose surgery, and a nasal splint is often placed for the first week. Bruising under the eyes and brief nausea from anesthesia are normal side effects. Patients are advised to avoid straining, bending and lifting, as well as wearing eye glasses immediately after the procedure.
In most cases, patients return to work within two weeks, once the bruising has depleted. However, more strenuous activities should be avoided for about six weeks. Although the results are immediate after surgery, the overall contour continues to improve for two to three years. As with any invasive procedure, there are risks involved with nose surgery. Ruptures of small surface vessels on the nose, infections, and poor wound healing are all complications that can arise.
How long will results last?
Rhinoplasty results are permanent. However, rhinoplasty revision surgery is also an option.
“Dr. Hall and his staff are great. They are friendly and made me feel comfortable. Dr. Hall is very knowledgeable and put me at ease regarding my surgery.”
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