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Cosmetic Nose Surgery (Rhinoplasty)

What is Cosmetic Nose Surgery (Rhinoplasty)?

Rhinoplasty is surgery to reshape the nose. It can make the nose larger or smaller; change the angle of the nose in relation to the upper lip; alter the tip of the nose; or correct bumps, indentations, or other defects in the nose.
During rhinoplasty, the surgeon makes incisions to access the bones and cartilage that support the nose. The incisions are usually made inside the nose so that they are invisible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another part of the body or using a synthetic filler). After the surgeon has rearranged and reshaped the bone and cartilage, the skin and tissue is redraped over the structure of the nose. A splint is placed outside the nose to support the new shape of the nose as it heals. Nasal packing may be used inside the nose to provide additional support.
Rhinoplasty may be done using general or local anesthesia. It is usually done as an outpatient procedure but sometimes requires a 1-night stay in the hospital or surgery center.
Surgeons who perform rhinoplasties typically have training in either plastic surgery, otolaryngology (ear, nose, and throat specialty), or both.

Is  Cosmetic Nose Surgery for me?

Cosmetic nose surgery is a highly individualized procedure, with the best results achieved through a thorough consultation with your cosmetic surgeon. While almost any physical change is possible through nose surgery, we will be able to recommend the best approach to achieve a balanced result based on your nose’s unique characteristics as they relate to the context of the entire face.

What To Expect?

Cosmetic nose surgery can dramatically change your appearance. It is common to feel dissatisfied with the appearance of your nose immediately after surgery. At this point, the nose is still quite swollen and it may take up to a year for your new nasal contour to fully refine. During this time, there may be gradual changes in the appearance of your nose as it refines to a more permanent outcome. While the results of nose surgery are permanent, the surgery won’t prevent the effects of aging.

Before &After :


A friend of mine has pain following rhinoplasty. How likely is that?

A painful nose is not usual after rhinoplasty but it can happen. The nose receives nerves from different directions, some coming down from the top of the nose, some from the cheeks and some from inside along the septum. Nerves do not like to be squeezed by scar tissue so that could be a cause for pain in the nose following rhinoplasty. The nerves coming down the nose from the top run under the nasal bones and over the upper cartilages where they may be damaged or cut. You would expect to see more pain and discomfort on the sides of the nose than we do see. To answer the question, perhaps 10% of patients complain of some pain in the nose but it is usually not a problem. Only a very small minority would rather they had not had the surgery.

Does rhinoplasty help sinusitis?

It certainly can particularly if the nose was previously bent and a septoplasty has been performed to straighten the septum. 

Something large came from my nose two weeks after surgery. What was it?

It is common for a large crust to come from the nose about two weeks after surgery. It happens more commonly if the turbinates have been reduced. In the weeks after surgery the fine hairs, called cilia, on the mucus membrane are not working properly. The cilia should propel the mucus to the back of the nose but when they are not working the mucus stays put and becomes dried out. Eventually the dried mucus comes away and often it looks like a piece of packing that might have been placed inside the nose during surgery. 

Can I blow my nose after rhinoplasty?

Yes, you may blow your nose gently. It helps to moisten the inside of the nose with the nasal spray before blowing the nose. Don't blow hard as it may cause bleeding. 

How much pain is there following nose surgery?

Surprisingly, there is very little pain after rhinoplasty and most patients only need mild pain medications.