What are the steps of a rhinoplasty procedure?
Rhinoplasty surgery includes the following steps
Rhinoplasty Procedure 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.
Rhinoplasty Procedure Steps 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
Rhinoplasty Procedure Steps 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.
Rhinoplasty Procedure Steps 4 – Correcting a deviated septum
If the septum is deviated, it can be straightened and the projections inside the nose reduced to improve breathing.
Rhinoplasty Procedure Steps 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.
Rhinoplasty Procedure Steps 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.
A nose job is usually done as an outpatient procedure, meaning there is no overnight stay. You’ll get general or local anesthesia. With general anesthesia, you’ll sleep through the operation. With local anesthesia, you will be sedated and your nose will be numbed so you are relaxed and unable to feel the pain.
During an operation, the surgeon makes cuts within the nostrils. In more difficult cases, the surgeon may also make cuts across the base of the nose. The surgeon then reshapes the inner bone and cartilage to produce a more pleasing appearance.