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Rhinoplasty

At Daines Plastic Surgery, board-certified facial plastic surgeon Dr. Steven Daines offers rhinoplasty to his patients in the Newport Beach and Orange County areas. Dr. Daines understands that the nose is a focal point of the face and will work with accuracy and precision to deliver extraordinary results that leave you thrilled with your new nose. If you are dissatisfied with the appearance of your nose, let Dr. Daines and his expert staff of medical professionals help you feel confident in your own skin with a rhinoplasty procedure.

What Is Rhinoplasty?

Rhinoplasty, commonly referred to as a nose job, is a cosmetic procedure that focuses on improving nasal shape, size and symmetry according to a patient’s unique preferences. As a whole, rhinoplasty procedures can target:

  • Nasal asymmetry
  • Nasal humps
  • A wide bridge
  • Large or wide nostrils
  • Hooked or droopy nasal tips
  • Bulbous or poorly defined tips
  • Damage from physical trauma

Every rhinoplasty procedure is different and tailored to the varying needs of each patient. Rhinoplasty can be performed as both an open and closed surgery, depending on the patient’s desired results and the recommendation of Dr. Daines. Open rhinoplasty involves a small incision placed between the nostrils, allowing Dr. Daines to pull back the nasal tissue and more efficiently address the underlying nasal structure. During closed rhinoplasty, also called endonasal rhinoplasty, all incisions are kept within the nostrils to eliminate visible scarring. Both procedural methods have their advantages and Dr. Daines will help you determine which is right for you during an in-person consultation.

Whereas rhinoplasty is usually intended to address cosmetic concerns, septoplasty, a separate type of nose surgery, can address functional concerns. Both rhinoplasty and septoplasty may be combined in one comprehensive procedure for the right patient. Let Dr. Daines know about all of your concerns, both functional and cosmetic, during your consultation. With your input, Dr. Daines can create a personalized treatment plan that addresses all of your needs.

Who Is a Good Candidate for Rhinoplasty?

Good candidates for rhinoplasty are patients with one or more concerns about the appearance of their nose who are healthy enough for surgery. Rhinoplasty does require some downtime, so patients should be prepared to set aside time from work and other responsibilities while they focus on healing. Patients interested in rhinoplasty should have realistic expectations about their results and understand that it will take several months for their final appearance to develop completely.

Rhinoplasty is highly customizable, allowing Dr. Daines to address a wide variety of cosmetic issues during the procedure. During your consultation, Daines will explain both open and closed rhinoplasty with you in detail. He may also discuss alarplasty, a nose surgery that focuses exclusively on changing the width or shape of the nostrils, if necessary. Patients interested only in improving their breathing by correcting a deviated septum may not need a formal rhinoplasty and could benefit from a septoplasty procedure alone. Exactly which rhinoplasty method you are a candidate for will depend on your anatomy and desired results.

Your Rhinoplasty Procedure

Dr. Daines will discuss the differences between open and closed rhinoplasty before your surgery, ensuring you know exactly what to expect on the day of your surgery. Open rhinoplasty is often the optimal and preferred choice for making anything more than minor alterations. When it comes to choosing the correct procedure, the method that produces the best results possible should always be given preference.

Open Rhinoplasty

Open rhinoplasty is performed under general anesthesia. Once you have been numbed and sedated, Dr. Daines will make a small incision across your columella, the thin piece of tissue bridging your nostrils. He will then gently pull the skin back to expose the underlying nasal structure, allowing him to operate with complete visibility for increased accuracy and precision. During the procedure, Dr. Daines may remove, add or rearrange small pieces of bone and cartilage to alter the shape of your internal nasal structure. If needed, cartilage grafts will primarily be taken from the nasal septum, although they may occasionally be sourced from an ear or a rib.

Open rhinoplasty takes longer than closed rhinoplasty, lasting between two and four hours on average. Once Dr. Daines has enhanced the underlying structure of your nose, he will suture the small incision to complete the procedure.

Closed Rhinoplasty

Closed rhinoplasty is commonly performed using general anesthesia, although local anesthesia may also be used if you require minimal alterations. All incisions are kept inside the nostrils, eliminating visible scars in exchange for limited visibility during the procedure. After making the internal incisions, Dr. Daines will remove or rearrange small pieces of cartilage and bone to achieve your desired results. Closed rhinoplasty is only intended for minor changes and may not be a viable option for all patients.

As a less invasive procedure, closed rhinoplasty can typically be completed in one to two hours.

Alarplasty

Alarplasty, sometimes referred to as alar base reduction or nostril surgery, focuses only on changing the width or shape of the nostrils. Alarplasty can sometimes be performed under local anesthesia. During the procedure, Dr. Daines will make incisions in the creases of your nostrils where they meet your cheeks. He will then remove a small wedge of nasal tissue from both sides to promote balance and symmetry. Once your desired shape has been achieved, Dr. Daines will stitch the incisions shut to complete the procedure.

Alarplasty is fairly quick and lasts only one hour on average. The procedure can also be combined with elements of rhinoplasty if you are interested in addressing other cosmetic concerns in addition to the shape of your nostrils.

Recovering from Your Surgery

Following your procedure, you are free to return home and begin resting. An external splint will be placed across your nose to provide support and protection for your new nose. A non-stick sponge will be left inside your nostrils overnight in lieu of traditional nasal packing. Any non-dissolvable sutures will be removed about one week after your surgery.

Because rhinoplasty varies greatly among patient to patient, every patient’s recovery will also vary. In general, open rhinoplasty tends to require a longer recovery than closed rhinoplasty. You should plan on taking at least a full week off from work and other normal activities. Most patients feel comfortable leaving home and going out in public after seven to 10 days, although a full recovery will take two weeks or longer. Exercise and other strenuous activities should be avoided for about three to four weeks, or until Dr. Daines advises it is safe to resume them. Contact sports can be continued once the new nose has fully healed, although patients will need to wear proper protection to avoid damaging their results.

Common side effects of the procedure include swelling, bruising, bleeding, numbness, congestion and discomfort. Any bleeding should stop within 24 hours. You will need to sleep with an elevated head for the first few nights of your recovery to minimize swelling and avoid direct pressure on your nose while resting. Most visible side effects will heal after two weeks, although swelling and congestion will take several months to subside completely.

Your Rhinoplasty Results

Following your rhinoplasty procedure, the new and improved shape of your nose will be visible. Swelling, bruising and the presence of nasal splints or bandages may affect your appearance, however. Most patients can start enjoying their results in about two to three weeks after the majority of the swelling has dissipated. Some small amounts of residual swelling will linger for several months, so expect your final results to be noticeable in about six to 12 months.

Any external incisions will heal in a matter of weeks. Once the incisions have closed, your scar will begin maturing. Surgery incisions can take 12 to 18 months to mature completely and will gradually fade to a thin white line that appears unnoticeable. Rest assured, Dr. Daines will take every step possible to minimize scarring and ensure your results match your expectations.

Dr. Daines will provide you with specific post-op instructions to help you care for your new nose and enjoy a comfortable and successful recovery. If you ever have any questions or concerns about your recovery, Dr. Daines and his staff are only a phone call away.

Choosing the Right Surgeon for Your Rhinoplasty

When it comes to facial plastic surgery, you deserve the best results possible. With double board certification in facial plastic and reconstructive surgery as well as otolaryngology (ENT surgery), Dr. Daines is qualified to deliver exceptional results. Dr. Daines understands the complex anatomy of the face and nose and has spent years performing rhinoplasty procedures on satisfied patients. He always emphasizes natural results and creates tailored approaches for each of his patients, helping you bring your unique vision to life while maintaining a natural appearance.

Experience the Exceptional at Daines Plastic Surgery

If you are unhappy with the size, shape or general appearance of your nose, schedule a consultation at Daines Plastic Surgery to learn if a rhinoplasty procedure is right for your needs. Patients throughout Orange County and Newport Beach have consistently turned to Dr. Daines’ expertise and enjoyed satisfying results that last a lifetime. Dr. Daines will take the time to sit down with you in a one-on-one consultation and answer all of your questions, including if you are a candidate for rhinoplasty, how much a nose jobs costs and what sort of results you can expect.

To schedule your consultation with Dr. Daines, call us today at 949-209-1622.

Before
After
The results were amazing! Not only did he straighten my nose, I can now breathe better, sleep better and have less allergies! On top of being extremely trustworthy, Dr. Daines and his staff are all very friendly. They each made an effort to get to know me and made sure I felt welcomed every time I walked in the door. I never thought I would say that I enjoyed a Doctor's visit, but I truly did. -Victoria B

Procedure Details

Rhinoplasty is usually done under general anesthesia in an outpatient surgery center and takes between two and three hours to complete. First, small incisions are made inside the nose and sometimes across the skin between the nostrils. Portions of cartilage are removed, added or rearranged, and then sculpted to create the nose’s newly desired shape.

If additional support is required to rebuild the framework of the nose, cartilage grafts are usually taken from the nasal septum or (less often) from the ear or rib. The nasal bones are then repositioned if necessary. The incisions are closed with fine sutures and an external protective splint is applied. A non-stick sponge is left inside the nostrils overnight in lieu of traditional nasal packing.

Daines Plastic Surgery