Rhinoplasty and Septoplasty

Overview

Much of what creates a beautiful face is harmony. As the central facial feature, it is critical that the nose does not detract from the most engaging portions of our face…the eyes and lips. Cosmetic adjustments performed during nasal surgery can make a profound difference in the facial aesthetic. The intent however is to improve the appearance of the nose, while optimizing its function. Septoplasty, turbinate reduction, nasal valve correction, and septal perforation repair are often performed simultaneously with rhinoplasty. Engaging a specialist with experience in primary and revision rhinoplasty affords the best opportunity to achieve both cosmetic and functional improvement.

Details

Rhinoplasty and septoplasty are routinely performed as an outpatient procedure under a general anesthetic. Closed rhinoplasty and most functional nasal procedures are accomplished through incisions made inside the nose. Alternatively, an open rhinoplasty requires a small incision between the nostrils that difficult to see even on close inspection. Nasal improvements are performed using a structural approach with cartilage grafts from the septum, ear, or rib as needed. The operation takes as long as necessary to accomplish our goals, but usually takes several hours for an open rhinoplasty. After awakening from anesthesia and confirming your comfort you will leave in the care of a responsible adult.

Recovery

Some swelling and discomfort are expected following surgery. This is variable between patients and depends on the extent of the required interventions. Elevating the head, avoiding trauma, and using a cool compress all help with swelling. Pain is well controlled and usually has resolved after a couple days. After 1 week, all sutures have been removed, the nasal cast is off, and most bruising is gone. Although direct trauma and nosebleeds are a concern, normal activities can be restarted after about 10-14 days. Patients flying in for their operation should make arrangements to stay in-town for approximately 2 weeks. The final contours will steadily improve for the next 9-12 months as swelling resolves.