Rhinoplasty is a surgery that changes the shape and look of your nose. It is also called a nose job. The nose is made of bone, cartilage, and skin, and a rhinoplasty procedure can address each of these areas. Depending on your needs, it could be a combination of one, two, or all three.
Patients consider rhinoplasty for multiple reasons. For some, it could be cosmetic with the goal of reshaping their nose to build confidence. For others, it is necessary for health and breathing reasons. Or it might be a combination of both.
Types of Rhinoplasty
Dr. Moelleken uses multiple surgical techniques to improve the function and appearance of the nose. Whatever your needs, there is likely a rhinoplasty that fits them.
PRIMARY NOSE JOB
This refers to procedures on that nose that have not had any prior surgeries or trauma. This surgery aims to resize, reshape, or reposition the tip, profile, or nostrils. It can fix common problems such as small humps or a bulbous tip. It can also address the angle between your nose and mouth or the shape of your nostrils.
REVISION NOSE JOB
This is also referred to as secondary rhinoplasty. It aims to correct issues from a previous operation. Revision is more difficult as there is less cartilage to work with, and there may be scarring or tightened tissue. This surgery can help with the appearance and function of your nose.
FUNCTION NOSE JOB
This is performed purely for health reasons. It aims to help relieve nasal obstruction. A common cause of this is a deviated septum, which may result in breathing problems. This can be corrected with a septoplasty. It provides a more balanced appearance as well.
RECONSTRUCTIVE NOSE JOB
This repairs any deformities caused by injury, congenital disabilities, or aging. It can also remove external skin tumors or internal nasal tumors. This surgery requires extra precision and should only be performed by an experienced surgeon like Dr. Moelleken. Aesthetic reshaping can also be done during this surgery.
The nasal tip is the furthest point on your nose from your face. Though small, it is considered a significant factor in the appearance of the nose. This surgery modifies the tip, giving your nose more definition. Results are often subtle yet beautiful.
Plastic surgery is no longer tailored only to meet Caucasian standards. African-American, Asian-American, and Latino patients can now undergo procedures to change the appearance of their nose while maintaining their ethnic identity.
Candidates for Rhinoplasty
The primary qualifications for a candidate are good health and healthy expectations. Because rhinoplasty is permanent, patients should be confident that they are ready.
Below are a few of the improvements that your doctor can achieve through the surgery:
- Change the sloping angle of your nose
- Narrow or widen the width of your nose
- Increase or reduce the size or length of your nose
- Correct bumps
- Change the shape or size of your nostrils
- Enlarge or reduce nasal passages
- Correct broad, bulbous, drooping, or a too upturned nose
- Correct an asymmetrical or deviated nose
On the medical side, this procedure can correct several health concerns. Some examples are difficulty breathing, nose injuries, or congenital disabilities.
The Rhinoplasty Procedure
STEP 1: ANESTHESIA
You may receive a mild sedative to calm any nerves you have on the day of surgery. Both intravenous sedation and general anesthesia are available. Your doctor will go over what’s best for you at the consultation.
STEP 2: INCISIONS AND RESHAPING
There are two types of procedures, an open and closed process. Depending on your needs, your doctor will advise which is best for you.
Small incisions are made inside your nose to reach the bone and cartilage. Some bone and cartilage may be removed. It also may be rearranged to achieve the shape you want. The skin over your nose is left untouched and shrinks to the new form.
- No visible scarring
- Best for minor changes (e.g. small bumps)
An incision is made across the narrow strip of tissue that separates your nostrils. The soft tissues that cover your nose are gently raised. The doctor then can access and reshape the structure of your nose.
- Best for more extensive work
- Minor scarring
- Effective reshaping
STEP 3: CLOSING THE INCISION
Once everything is ready, your nasal skin and tissue are re-draped. Then, the cuts are closed with dissolvable stitches. Plastic splints might be inserted to prevent scar tissue from forming. This will also help support your nose as it begins to heal.
Surgery Recovery and Results
Rhinoplasty recovery times are very much an individual process. Be sure to follow Dr. Moelleken’s instructions before and after your procedure to minimize the risks.
Bruising and swelling around your nose are common, and these will fade with time.
Some tips for a speedy recovery from your nose surgery include:
- Keep your head up as much as possible to reduce the risk of too much bleeding.
- Avoid direct sunlight.
- Do not take a hot bath or drink alcohol at least two weeks after surgery.
- Do not use any nasal sprays or decongestants, no matter how stuffy you feel.
- Sleep in a propped up position to help relieve congestion.
- Do not blow your nose for at least one week after your surgery. If you need to sneeze, cough it out instead of holding it in.
- Check your temperature regularly as a high temperature may indicate an infection.
Usually, you will go home on the same day as your surgery. Once back, you should relax as much as possible. Arrange for someone to help care for you at least the first 24 hours after your nasal surgery.
Week 1 Recovery
The cast, splints, or packing will typically be removed from the nose. Still, make sure that you are very careful with your nose. Keep your nose safe and untouched. Any pressure may affect the final outcome of rhinoplasty.
Week 2 Recovery
Week two means you can return to work and resume most ordinary activities. However, you should avoid any heavy lifting. Bruising and swelling should continue to go down.
Week 3 and Beyond
Over the coming weeks, swelling should disappear. Your appearance will continue to improve for several weeks. Still take care of your nose. Wait approximately six weeks before you return to regular exercise. At about six months, your results should be complete.
Schedule a Rhinoplasty Consultation
Rhinoplasty focuses on a small area but is an exceptionally complex surgical procedure. So, let your doctor know your expectations is essential during the consultation. A surgeon cannot guarantee results, but they can manage and work with your expectations.
Take the first step to obtaining the nose you deserve. Schedule a consultation today. Dr. Moelleken will work with you to decide on the most beneficial procedure based on your expectations and nasal anatomy.
Rhinoplasty Beverly Hills & Santa Barbara
Dr. Brent Moelleken is a double board-certified plastic surgeon in Beverly Hills. He is one of the most highly skilled surgeons in the country and has received his training at Harvard, Yale, and UCLA. Due to his commitment to patient outcomes, he has been selected as one of Vogue Magazine’s “Top 10 Plastic Surgeons in America.” Contact Dr. Moelleken today for a consultation.