Nose Reshaping (Rhinoplasty)

INDICATIONS

A nose that is cosmetically unattractive or does not fit with other facial features.

An abnormal appearance of the nose as a result of birth defects, injury or disease.


INTENDED RESULT

More attractive nasal shape and a nose that is in better proportion with other facial features.


PROCEDURE DESCRIPTION

The procedure is performed on an outpatient basis under sedation with local anesthesia.

Standard rhinoplasty: Incisions are made inside the nostrils. The nasal bones, cartilage, and soft tissues are reshaped to improve the external contour.

Open rhinoplasty: Frequently used for difficult or larger noses. Involves one external incision across the columella (strut between the nostrils). Bones, cartilage, and soft tissues are reshaped under direct vision.

Tip-plasty: If only the nasal tip needs reshaping, it may be corrected with either a standard or open approach.

Additional procedures that may enhance the result:

• Chin enlargement

RECUPERATION AND HEALING

Patients go home with an external cast or splint in place. The cast or splint is usually removed in 1 to 2 weeks.

Initial discomfort is easily controlled with oral medication. Most swelling and bruising subsides progressively over 2 to 4 weeks.

External sutures (if any) are removed in 4 to 7 days.

Internal sutures dissolve.

Intermediate results are evident in 3 months.

The final result is evident in 12 to 14 months.


INSURANCE GUIDELINES

Nose reshaping is not covered by insurance if being done for cosmetic reasons. The patient is responsible for payment.

If the nasal deformity is due to recent injury, insurance coverage may be available. Ask your insurance company for specifics on coverage and preauthorization, if required.