Nose Job Surgery
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 impaired breathing caused by structural defects in the nose.
Rhinoplasty (ῥίς rhis, nose + πλάσσειν plassein, to shape), commonly known as a nose job, is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose by resolving nasal trauma (blunt, penetrating, blast), congenital defect, respiratory impediment, or a failed primary rhinoplasty. Most patients ask to remove a bump, narrow nostril width, change the angle between the nose and the mouth, as well as correct injuries, birth defects, or other problems that affect breathing, such as deviated nasal septum or a sinus condition.
It is also a facial cosmetic procedure, usually performed to enhance the appearance or reconstruct the nose. During rhinoplasty, the nasal cartilages and bones are modified, or tissue is added, to improve the visual appeal of the nose. Rhinoplasty is also frequently performed to repair nasal fractures. When rhinoplasty is used to repair nasal fractures, the goal is to restore pre-injury appearance of the nose. Septorhinoplasty is a related procedure performed for patients who also have nasal obstruction. Septorhinoplasty not only improves the appearance of the nose, but it removes any internal obstructions and stabilizes structures that may be blocking nasal breathing.
A nose job (technically called a rhinoplasty) is surgery on the nose to change its shape or improve its function.
It can be done for medical reasons — such as to correct breathing problems related to the nose or correct disfigurement resulting from trauma or birth defects.
It can also be done for cosmetic reasons, which will change the nose’s shape and appearance.
Rhinoplasty (RIE-no-plas-tee) is surgery that changes the shape of the nose. The motivation for rhinoplasty may be to change the appearance of the nose, improve breathing or both.
The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can modify bone, cartilage, skin or all three. Talk with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve.
When planning rhinoplasty, your surgeon will consider your other facial features, the skin on your nose and what you would like to change. If you are a candidate for surgery, your surgeon will develop a customized plan for you.
Sometimes part or all of a rhinoplasty is covered by insurance.
Rhinoplasty can be performed under local or general anesthesia, depending on the exact procedure and the person’s preference. It is performed in a surgeon’s office, a hospital, or an outpatient surgery center. Complex procedures may require a short hospital stay. The procedure often takes 1 to 2 hours. It may take longer.
With local anesthesia, the nose and the area around it are numbed. You will probably be lightly sedated, but awake during the surgery (relaxed and not feeling pain). General anesthesia allows you to sleep through the operation.
The surgery is usually done through a cut (incision) made inside the nostrils. In some cases, the cut is made from outside, around the base of the nose. This type of cut is used to perform work on the tip of the nose or if you need a cartilage graft. If the nose needs to be narrowed, the incision may extend around the nostrils. Small incisions may be made on the side of the nose to break, and reshape the bone.
A splint (metal or plastic) may be placed on the outside of the nose. This helps maintain the new shape of the bone when the surgery is finished. Soft plastic splints or nasal packs also may be placed in the nostrils. This helps keep the dividing wall between the air passages (septum) stable.
What surgical rhinoplasty nose job 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.
Deciding on a Nose Job / Rhinoplasty surgery
If you are thinking about getting a nose job, set up an appointment with your surgeon to discuss it. During that meeting, talk about your goals and tell the doctor what bothers you about your nose and how you would like to change it.
Keep in mind that there is no such thing as a perfect nose. Surgery, though, can enhance facial features and emphasize your unique and natural beauty. A plastic surgeon can describe the facial features that make you unique and tell you how changes would enhance your appearance.