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Nose Job (Rhinoplasty)

When the nose is misshapen, disproportionate to the rest of the face, or simply not the size you would like, it can greatly affect your quality of life.

Correcting aesthetic problems with the nose is a fine and delicate process, and Dr. Nelson has extensive experience perfecting the “nose job” procedure (also called rhinoplasty). Whether you desire an aesthetic change or correction of an injury or defect, Dr. Nelson can create a customized surgical plan that will allow you to breathe easier with more confidence in the way you look.

Rhinoplasty May Be Right for You if…

  • You have a large or disproportionately sized nose

  • You suffer from a nasal hump or wide bridge

  • You have a drooping nasal tip

  • Your nostrils are disproportionately sized or flared

  • You have breathing abnormalities caused by a deviated septum

  • You experienced poor results from a previous rhinoplasty

Rhinoplasty Procedure Types

Primary Rhinoplasty

  • A primary rhinoplasty is a surgery to correct the aesthetics of a nose that hasn’t undergone any previous surgical correction.

  • The shape, size, and projection of the nose can be improved to restore a more balanced facial appearance.

  • Cartilage is added, repositioned, or removed to carefully sculpt a new nasal appearance.

  • Septoplasty can be combined with rhinoplasty to correct functional abnormalities, such as a deviated septum.

Secondary Rhinoplasty (Revision)

  • A secondary rhinoplasty is performed on a previously corrected nose, where the primary surgery yielded unsatisfactory or unnatural results.

  • Most patients seek out revision rhinoplasty when their new nose fails to improve their appearance and, in some cases, makes their nasal structures worse.

  • A revision rhinoplasty can be a more difficult procedure to perform because incisions must be made through scar tissue, and occasionally there is not enough cartilage to work with.

  • Some patients may require cartilage transfer from the ear or rib.

Rhinoplasty Techniques

    Open

  • A small incision is placed at the base of the columella.

  • The outer layer of skin is separated from the underlying nasal structures.

  • Less commonly performed because it can leave a small scar at the base of the nose.

  • However, some patients benefit better from an open technique depending on the type of correction required.

    Closed

  • All incisions are placed inside the nasal cavity.

  • Commonly preferred because it doesn’t leave any visible scarring.

  • However, not every patient is a good candidate for the closed technique.

  • The decision to use a closed technique will be determined based on your aesthetic needs and goals.

Choosing Your Doctor

When choosing a doctor for your rhinoplasty, it is important to choose a surgeon that has your best interests at heart. Dr. Nelson believes in providing each of his patients with custom-tailored results that best highlight their facial features. He combines in-depth discussions about your wants and desires with 3D digital imaging to best realize your ideal nose. Dr. Nelson has an extensive photo gallery showing the beautiful results of his real-life patients to help you better envision the results he can provide for you. It is important to view before and after photos to gain a better understanding of your surgeon’s skill and to evaluate what type of nasal appearance you desire.

Frequently Asked Questions

A minor rhinoplasty procedure can be performed using a local anesthetic. However, most rhinoplasties will require the use of a general anesthetic to ensure patient safety and comfort.
Immediately following your rhinoplasty procedure, you will experience some facial bruising and swelling. Nasal splints and tubes are placed to help support the nasal structures during the initial healing process, which may affect the comfort of your breathing. When you arrive home, you will need to rest for several days with your head elevated to prevent excess swelling. Most patients can return to work two weeks following their procedure and can resume their regular exercise routine after four weeks. Most major swelling will subside after six weeks.
Anesthesia is used to ensure that there is no pain during your surgery. Numbing blocks are placed while you are asleep, which will prevent you from feeling any pain for a few hours following your surgery. When the blockers wear off, you may begin to feel discomfort that can be alleviated using pain medication.
For some patients, a weak or receding chin can cause the nose to appear larger. These patients may benefit from combining a chin implant with their rhinoplasty to restore a better facial balance.
Rhinoplasty typically provides lifelong results. However, complications post-surgery or poor healing may make a revision rhinoplasty necessary.

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