Rhinoplasty and revision rhinoplasty are widely considered the most difficult operations in cosmetic surgery. There are few surgeons who have “mastered” this operation, and many surgeons who have been humbled by it.
Who is a good candidate?
- Reasonable expections. Patients must realize that there is a possibility that a “touch up” procedure will be required following surgery.
- Has not had a previous operation, or still has good cartilaginous support to the nose
- Common reasons for rhinoplasty include: 1) Crooked nose 2) Nasal hump 3) bulbous tip
The best candidates are healthy, do not have thin skin, and have good cartilage support in their noses.
How is the surgery performed?
Rhinoplasty is performed under sedation or general anesthesia in an operating room. On average, the surgery can take 2-4 hours. Approaches and details vary depending on the patient. In general, the surgery can be performed with incisions completely inside the nose (endonasal), or with a small incision on the outside of the nose (external).
What is the recovery?
Patients wear an external splint for one week. External stitches (if necessary) are removed on Day 4. Swelling and stuffiness are common for the first few weeks. In general, pressure cannot be placed on the bridge of the nose for 6 weeks (until the bones heal). Downtime from school or work is one to two weeks. The swelling associated with the operation usually takes 6 months or more to completely resolve.