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Prischmann Facial Plastic Surgery
5201 Eden Avenue, Suite 170
Edina, MN 55436
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Rhinoplasty

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 expectations. 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.

RHINOPLASTY FREQUENTLY ASKED QUESTIONS (FAQ)

If you are interested in rhinoplasty and are looking for more information, our Minneapolis facial plastic surgeon, Dr. Jess Prischmann, has provided the following answers to some common questions regarding the procedure. If you would like to learn more about nose surgery, please contact our office today.

WHAT’S THE DIFFERENCE BETWEEN “OPEN” AND “CLOSED” RHINOPLASTY? HOW DO I KNOW WHICH METHOD WILL BEST SUIT ME?

“Open” and “closed” rhinoplasty are terms that can be confusing to patients. They simply describe two different surgical techniques to address external and internal changes to the nose.
In an open approach, a small incision—called an “inverted V”—is made in the columella. All other incisions are made inside the nose.
In a closed approach, all incisions are made inside the nose.
Dr. Prischmann believes that it is not the approach that matters, it is the surgeon who is performing the approach that is really important. She personally prefers an open approach, but she also knows many great rhinoplasty surgeons who primarily utilize a closed technique.

WHAT IS TIP RHINOPLASTY? HOW IS IT DIFFERENT FROM OTHER RHINOPLASTIES?

A tip rhinoplasty is characterized by cosmetic changes made to the tip of the nose only. No changes are made to other parts of the nose. In other words, patients seek out a tip rhinoplasty if they only desire improvement for a boxy, bulbous, asymmetric, or trapezoidal tip, but do not have a significant dorsal hump.
Sometimes, patients can be really focused on the nasal tip, but may not see other areas of the nose that could be improved. A good consultation with photo imaging can help visualize some of these areas.

HOW CAN PATIENTS MINIMIZE BRUISING FROM A RHINOPLASTY PROCEDURE?

You can minimize your risk of bruising and hematomas by doing several things before and after your rhinoplasty surgery, including:
Before surgery:

    • Avoid naproxen, ibuprofen, or aspirin two weeks before surgery
    • Avoid fish oil two weeks prior to your procedure
    • Avoid supplements that include Vitamin E, garlic, ginko, and ginseng
    • Monitor your blood pressure three times daily for one week (at different times of the day). High blood pressure generally has no symptoms. Please tell Dr. Prischmann if you experience high blood pressure, and we will decide how to move forward.

Consider taking Arnica Montana one week before your surgery. Some studies suggest your risk of bleeding after surgery could decrease after taking this supplement.

After surgery:

  • Control nausea and pain. Any sharp increases in nausea or pain can raise your blood pressure and increase your risk of bleeding.
  • Continue Arnica Montana supplements. Dr. Prischmann can suggest a protocol for taking this.
  • Take Vitamin C supplements to assist in the healing process.
  • Drink pineapple juice, which contains bromelain, an enzyme that can help the healing process.
  • Avoid strenuous activities for two weeks after treatment.

PLEASE NOTE: IT IS IMPORTANT TO TALK TO YOUR PERSONAL PHYSICIAN BEFORE STARTING OR STOPPING ANY MEDICATIONS OR SUPPLEMENTS.

RHINOPLASTY IS RECOGNIZED AS ONE OF THE MOST COMPLEX OF COSMETIC PROCEDURES. WHAT SHOULD A PATIENT LOOK FOR WHEN SELECTING A RHINOPLASTY SURGEON?
When selecting your surgeon, trust your instincts. Nothing is more powerful than intuition. Make sure that you feel that all of your questions are answered and your surgeon will take care of you. Then, if you are still unsure, ask to speak to someone who has had the specific surgery you are desiring from that particular surgeon.
For more information on rhinoplasty, please contact our facial plastic surgeon today. Dr. Prischmann can meet with you for a confidential consultation to answer any questions you may have.

For more information on rhinoplasty, please contact our facial plastic surgeon today. Dr. Prischmann can meet with you for a confidential consultation to answer any questions you may have.