Nose Reshaping

Nose Reshaping

The nose is a very important central feature of the face. In both front and profile views, nasal characteristics affect the overall balance and aesthetic appeal of the entire face.

Rhinoplasty is one of the most exacting procedures in plastic surgery because very small changes can significantly alter the appearance. Careful evaluation, planning, and surgical precision are critically important. Overly operated noses appear unattractive and unnatural.

To preserve your individuality and maintain the uniqueness of your nose, Dr. Morris will spend a lot of time with you discussing your desires and explaining how the changes you desire will affect other features of your nose and face. By changing only the negative features and carefully preserving your positive characteristics, your nose will blend more aesthetically with your face and not appear overly operated. In general, features of the nose should blend in a pleasing fashion with other facial structures. Overly prominent regions of the nose such as a large hump or an excessively round or bulbous tip, detract from a pleasing balance, and can be improved by rhinoplasty.

Difficulty breathing may be caused by deformities of the nasal septum or other structures. Nasal septal deviation may occur during nasal growth or from trauma to the nose. Internal nasal surgery, if needed, can be combined with surgery of the external nose, or performed independently to improve airway function as well as appearance.

The degree of correction achievable in a person’s nose depends to some extent on the characteristics of the skin and cartilage of the nose. For example, when the skin is extremely thick or oily, the degree of definition that can be achieved in areas such as the nasal tip may be limited. Since many nasal structures are vital to overall support and function of the nose, changes must be made carefully, and in some cases may have to be limited in order to preserve support and nasal function.

Before the Surgery

Internal and carefully concealed external incisions may be necessary for the most accurate correction. Dr. Morris will discuss incision placement with you during your consultation.

During the Surgery

To accomplish changes in nasal appearance, the structures which make up the framework of the nose, including cartilage and bone, are carefully altered or re-shaped. The skin is then re-draped over the new framework to achieve the desired appearance. Internally, deviated areas of the nasal septum are straightened, if necessary, to maximally open the airways while preserving the support function of the septum.

To protect the changes made to your nose during surgery, tape and sometimes a nasal splint will be applied at the end of your rhinoplasty.

After correction of significant airway deformities, a small internal splint may be necessary after septal surgery, but an open airway is always maintained. In most cases, absolutely nothing is placed inside your nose after surgery.

After Surgery

You will have very little discomfort following your rhinoplasty. Most of our patients describe a feeling of fullness or very mild discomfort, which lasts a day or two, and we’ll prescribe medication for this. Most patients require medication for only 2-3 days.

You will be able to see the refinements in your nose immediately after the splint is removed. Some swelling and bruising will develop in the first 24 hours after surgery, but will begin to decrease rapidly by the third day. Any traces of bruising that remain when we remove the tape can easily be covered by makeup.

The Stages of Recovery

For rhinoplasty procedures, the average....
Hospitalization time: Outpatient
Bruising and swelling resolve: 5-10 days (although the tip area looks better immediately after surgery, it will continue to improve in definition for several weeks to months)
Return to work, social activity: 7-8 days (or less if you are comfortable with people seeing you with a small amount of tape on your nose.
Aerobic or strenuous activity: 21 days

Limitations and Risks

Dr. Morris will discuss any specific limitations with you during your consultation.

During the healing phase after surgery, scar tissue formation can occasionally alter the final appearance of the nose. If undesirable characteristics persist or arise after rhinoplasty, a revision procedure may be necessary in a small number of patients.

The extent to which nasal airways can be opened depends on many factors. Internal structures such as the septum are vital to the support of the nose, and changes must be limited when its support function is threatened. Although the nasal septum can be straightened at the time of surgery, the inherent “memory” of cartilage or the effect of scar tissue forces can produce a re-deviation in some patients.

Risks common to all surgical procedures such as bleeding, infection, and scar tissue formation occur in a very small number of cases. Rarely patients may experience some increased difficulty breathing through the nose, but this usually temporary. Also, we obviously cannot guarantee that all of your concerns can be completely corrected – but every attempt will be made to do so if it is possible and safe.