What is it?
Rhinoplasty or “nose job” as it is popularly known as is a plastic surgery procedure that is performed on the nose. The procedure may be performed for a variety of reasons such as –
Changing the nasal tip or bridge
Reducing the size of the nose
Removing any unsightly humps or bumps
Giving the nose a straighter and more narrow looks
A rhinoplasty may be performed because of any of the following reasons -
Candidates who opt for the surgery due to functional reasons usually suffer from conditions such as nasal blockages or to correct unsightly deformities on the nose. The procedure may also be carried out to improve breathing. Rhinoplasty that is carried out for cosmetic reasons is usually done to improve the shape of the nose in which the reshaping is done on the nose’s soft tissue, bones and cartilage. Issues that may require the procedure include the following –
Irregular Nasal Tip - The nasal tip is situated right at the tip of the nose. However one side of the tip may be different than the other in some cases. In other words, one of the sides may look smaller, bigger, twisted or lower than the other. The shape of the tip is influenced by the shape of the cartilage underneath which may be irregular due to injury or hereditary causes.
Nasal Tip Projection - Some people may opt for Rhinoplasty in order to rectify a nasal tip that sticks too far out and looks irregular as a result. It may even make the nose look bigger than it actually is. The deformity may be rectified by raising the bridge of the nose to reduce the irregularity. The surgeon may decide to reduce the projection of the nasal tip itself as well. Patients are advised to ask their surgeons about the type of procedure that is to be carried out. The surgeon will recommend the best option.
Crooked Nose - A crooked nose is a result of nasal septum or bone that does not lie down the midline of the face. The result is a nose that looks like it is leaning to one side more than the other. While genetics may play a part, the condition may also be caused because of injuries. Rhinoplasty is used to reshape the nasal septum and nasal bone which straightens the nose permanently.
Wide Nose - A nose that is too wide may also call for the procedure. Surgery varies according to the extent of the issue. For example, if the skin around the nose happens to be very thick the surgeon may make it thinner and change its shape. However, candidates are advised to remember that the thinness may not appear as they expected. The plastic surgeon will reduce the width of the nose significantly if the problem is due to the underlying bone structure.
Depressed Nose - Also known as a ski nose, a depressed nose as the name implies is a nose that has a depression on the nasal bridge. The deformity is usually corrected with septal cartilage or special implant. The result is a flatter and more uniform looking nose.
The procedure itself is either done in a surgeon’s office or hospital and usually takes about two hours. The patient is put under local anesthetic. Most of the incisions are hidden inside the nose. The nasal splint is left in for a week.
The type of procedure chosen depends on the deformity itself. For example if the surgery is a tiplasty or involves thinning of the tip of the nose the incisions will be made on the columella or at the base. Incisions may be made on either side of the nose if it is to be narrowed.
If the procedure calls for a thinning of the nose itself the incisions will be made from the initial incisions into the bridge of the nose through the cartilage. A tool called an osteotome is used and tapped with a rubber hammer. The chisel like tool is used to break the bone carefully. Precision breaks may take time. A hump may be filed.
The nose is given a little more projection if needed by moving together the broken bones to form a narrower bridge. This process is also known as an infracture. A nose that is widened after the bones are broken, the process is known as an outfracture. The incisions are closed with sutures. The surgeon may insert some packing inside to retain the shape of the nose and keep bruising to a minimum. A cast that is made from plastic, metal and plaster is put on the nose to keep it protected from trauma. This is also done to retain its shape and reduce bleeding or bruising. Patients are advised to refrain from physical activities such as exercise as this may interfere with the healing process.
According to a 2014 statistic from the American Society of Plastic Surgeons, the average cost of a typical rhinoplasty procedure comes up to $4,694. However, it should be noted that the mentioned amount does not include costs that are associated with operating room facilities, the experience of the surgeon and geographical location of the medical facility where the procedure is to be performed. The type of rhinoplasty procedure chosen also has an effect on the final cost which can come up to $7,200.
A rhinoplasty may come with the following benefits –
Allows patients who have breathing problems due to nasal deformities breathe and sleep better
Make patients more confident about their appearance
Correct nasal deformities due to genetics or injuries
Patients are advised to seek the advice of a professional plastic surgeon before opting for the procedure. It is best that the chosen surgeon is qualified and has experience in carrying out a range of rhinoplasty procedures as well. The healing stage is a delicate one. Patients are advised to keep medical advice in mind and take extra precautions during this time as well.
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