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Rhinoplasty is a surgical procedure that adjusts the shape, size or symmetry of the nose for a more aesthetically-pleasing and balanced appearance. Rhinoplasty procedures are tailored to each individual patient and vary depending on the issues being addressed. On top of offering cosmetic improvements, rhinoplasty can also have address functional concerns by improving breathing through corrective rhinoplasty techniques. A rhinoplasty can make subtle changes to the structure of the nose, but have large implications for overall facial balance.

Candidates for Rhinoplasty

Good candidates for rhinoplasty have one or more nasal imperfections that they would like addressed through cosmetic surgery, but also have realistic expectations about what a rhinoplasty can do for them. Rhinoplasty can correct nasal asymmetry, nasal humps or depressions, large or wide nostrils, large bridge widths and enlarged, hooked, or droopy nasal tips. If the nose has previously been broken or suffered physical trauma, a rhinoplasty can correct its shape.

The Procedure

Before each every rhinoplasty procedure, Dr. Daines sits down with each of his patients during a one-on-one consultation to better understand their concerns and walk them through a plan to address each and every one of them. If a cartilage or fascia grafts is are needed, the various options will be discussed with the patient, including their advantages and disadvantages.

The procedure will be performed under general anesthesia to maximize patient comfort and generally takes about two to three hours. The length of the procedure varies depending on the patient’s concerns and whether any grafting needs to be performed. If the patient has a weak or crooked bridge, a droopy tip, or other asymmetries, a graft can be placed to improve the shape and symmetry of the affected areas. The graft can be taken from existing cartilage in the nose or occasionally from an ear or rib.

Results and Recovery

Every rhinoplasty procedure is different and requires varying lengths of recovery, but the average rhinoplasty recovery takes about one to two weeks. Mild bleeding from the nose can be expected for the first 24 hours. Sleeping with an elevated head for the first 48 hours will minimize bleeding and reduce swelling. A splint may be placed on the bridge of the nose and can typically be removed after one week. Mild swelling and bruising should be expected, but will fade in the weeks following the procedure.

Depending on whether the rhinoplasty was an open or closed procedure, a small scar may be visible across the columella. If an open rhinoplasty procedure was performed, the scar will continue to heal and fade over the course of several months before fully maturing. A closed rhinoplasty will have incisions placed inside the nose and will not yield any visible scars.

Most patients find that they are able to return to work within a week of the procedure. Regular activities may be resumed while the splint is still in place. More strenuous activities and contact sports may gradually be resumed starting three weeks after the procedure, although proper protection should be worn if possible.

Because swelling can take months to fade, final results will not be visible for six to 12 months. The nose may gradually change over this time as the body continues to heal, but the final result will remain close to the post-surgery shape and appearance.

If you would like to change the appearance of your nose and add balance to your facial features, consider a rhinoplasty or revision rhinoplasty from Dr. Daines. Dr. Daines is fellowship trained and double board certified and focuses exclusively on cosmetic surgery of the face, nose and neck for superior results. Call Daines Plastic Surgery today at 949-397-6499 to schedule your initial consultation.

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