Rhinoplasty

Nose reshaping, medically known as rhinoplasty, can make a significant difference in the balance of the facial features and help patients who feel self-conscious about the shape of their nose. By performing rhinoplasty in Olympia, Dr. Chris Nichols can decrease or increase the size of the nose, reduce the bridge or tip of the nose, and even change the shape of the nostrils.

WHAT IS RHINOPLASTY?

Rhinoplasty, sometimes referred to as a “nose job” or “nose reshaping” by patients, enhances facial harmony and the proportions of your nose. It can also correct impaire breathing caused by structural defects in the nose.

What rhinoplasty can treat:

  • Nose size in relation to facial balance
  • Nose width at the bridge or in the size and position of the nostrils
  • Nose profile with visible humps or depressions on the bridge
  • Nasal tip that is enlarged or bulbous, drooping, upturned or hooked
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry

If you desire a more symmetrical nose, keep in mind that everyone’s face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion.

 

WHO IS A GOOD CANDIDATE FOR RHINOPLASTY?

Rhinoplasty is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

 

WHO IS A GOOD CANDIDATE FOR RHINOPLASTY?

You may be a good candidate for rhinoplasty if:

  • Your facial growth is complete
  • You are physically healthy
  • You don’t smoke
  • You have a positive outlook and realistic goals in mind for the improvement of your appearance

WHAT SHOULD I EXPECT DURING A CONSULTATION FOR RHINOPLASTY? 

During your rhinoplasty consultation be prepared to discuss:

  • Your surgical goals, with regard to both appearance and breathing
  • Medical conditions, drug allergies and previous medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous surgeries

Your rhinoplasty surgeon may also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • The options available to you for nose reshaping
  • Examine and measure your face
  • Take photographs
  • Discuss your nose surgery options
  • Recommend a course of treatment
  • Discuss likely outcomes of a nose surgery and any risks or potential complications 

The consultation is the time to ask your plastic surgeon questions. To help, we have prepared a checklist of questions to ask your rhinoplasty surgeon that you can take with you to your consultation.

It’s very important to understand all aspects of your rhinoplasty procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon. 

WHAT ARE THE STEPS OF A RHINOPLASTY PROCEDURE?

Rhinoplasty surgery includes the following steps

Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision
Rhinoplasty is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.

Through these incisions, the skin that covers the nasal bones and cartilages is gently raised, allowing access to reshape the structure of the nose. 

Open rhinoplasty incision across the columella

Step 3 – Reshaping the nose structure
An overly large nose may be reduced by removing bone or cartilage. Sometimes surgery of the nose may require the addition of cartilage grafts. Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Occasionally cartilage from the ear or rarely a section of rib cartilage can be used.

Step 4 – Correcting a deviated septum
If the septum is deviated, it can be straightened and the projections inside the nose reduced to improve breathing.

Step 5 – Closing the incision
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size.

Step 6 – See the results
For a few days, splints and gauze packing may support the nose as it begins to heal. Get more information about rhinoplasty results.

Rhinoplasty before and after

WHAT SHOULD I EXPECT DURING MY RHINOPLASTY RECOVERY?

During your rhinoplasty recovery, a splint and/or packing may be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing.

While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome. 

Swelling may come and go and worsen in the morning during the first year following your rhinoplasty surgery. 

WHAT RESULTS SHOULD I EXPECT AFTER RHINOPLASTY?

The results of rhinoplasty surgery will be long-lasting. While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.

As your body ages, it is natural to have some gradual changes to your face including your nose. But most of your improvement should be relatively permanent.

A healthy lifestyle and life-long sun protection will help extend the results of your new appearance.

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