Rhinoplasty
A rhinoplasty is a surgical procedure aiming to redefine the shape and contour of the nose. It can be done for functional reasons (e.g., nasal obstruction, deviated septum), and/or for esthetic reasons (deformity, bump, ill defined tip), to improve the appearance of the nose by altering its size and shape.
A rhinoplasty can increase or decrease the size of a nose, or alter its contour by changing its width and profile. This procedure can also correct asymmetry, straighten the nose if significantly deviated, alter the shape of the tip of the nose, or eliminate a bump. A rhinoplasty can help you achieve balanced proportions in your nose and therefore your face.
Frequently Asked Questions
What are the different rhinoplasty techniques?
Open rhinoplasty
Open rhinoplasty is often called external rhinoplasty. A small incision is made on the columella, the soft tissue that separates the nostrils, so Dr. Zadeh can access the bone and cartilage within the nose more easily. This method offers increased visibility, as well as access to a greater area of the nose with more predictable results. It is the preferred technique of Dr Zadeh. The technique is used in cases of:
- Revision to a previous rhinoplasty procedure:
- Repair to a nose that’s been broken;
- Correcting a crooked bridge or structural problem with the nose;
- Significant reshaping of the nose;
- Improved predictable refinement in nasal tip projection/rotation;
- Intensive or complex suturing and grafting;
A small scar on the columella is left behind, though it is barely visible and fades over time.
Closed Rhinoplasty
Closed rhinoplasty is also called endonasal rhinoplasty, and any incisions and reshaping are done within the nostrils. This method is generally used when the patient desires minor corrections and reshaping. An endonasal rhinoplasty is much less invasive than an open procedure, meaning there is generally less post-surgical swelling and a shorter recovery time. Also, because any incisions are made on the inside of the nostrils, there is no visible scarring.
Revision rhinoplasty
A revision, or secondary, rhinoplasty aims to further improve (if necessary) the appearance of the nose following an initial rhinoplasty. Patients turn to revision surgery when they are not entirely satisfied with the function and appearance of their nose, when they are still having some difficulty breathing, if the overall result is too subtle or dramatic and/or if they present residual asymmetry. A revision rhinoplasty is much more complex than a primary rhinoplasty and is associated with greater risks of complications. Dr Zadeh recommends waiting at least 12 to 18 months after your first rhinoplasty before considering revision surgery, so as to give your nose the time to fully heal and achieve its final shape.
How can I control pain at home?
Prior to surgery, Dr Zadeh will give you a prescription for pain medication. That way, the medication will be at your disposal once you arrive home from the surgery.
Note: Make sure Dr. Zadeh knows about pain medications that have caused you problems in the past.
How long is the procedure ?
Depending on the type of rhinoplasty and corrections required, a rhinoplasty can last approximately 1.5 to 2.5 hours.
How long is the recovery period? Are there any restrictions in terms of activities?
Swelling and bruising are normal in the days following a rhinoplasty, and may take up to two weeks to dissipate. You may also have black eyes. In order to protect your new nose, you should avoid wearing glasses for the first two weeks following the procedure. Do not be alarmed by any initial asymmetry or irregularities, as they should get back to normal as you heal. Sleeping with your head propped up some pillows helps the liquid drain out. Edema (swelling) and discoloration should reduce significantly in the first two weeks following the surgery. However, it may take up to 18 months for your nose to achieve its final shape.
You must avoid any intense physical exercise or contact sports during the first six weeks following your surgery in order to give your body a chance to heal comfortably. You can resume your normal physical activities four to six weeks after your surgery, but be very careful not to injure your nose.
Who is a good candidate for a rhinoplasty?
The ideal patient for this procedure is in good general health, and who has realistic expectations regarding the possible outcomes of the surgery.
Patients must be at least 16 years of age (i.e., the age at which their face stops growing) to be eligible for this procedure. This surgery may not be suitable for you if you smoke or have complex health issues for which you are currently being treated. Furthermore, this procedure is not performed on patients who have unrealistic expectations or are not psychologically prepared for surgery.
How much does the surgery cost?
The final cost of your treatments will be calculated on an individual basis in accordance with your needs. The cost of a complete rhinoplasty generally varies between $11,500 and $12,500. For a partial rhinoplasty, the cost is $7,500. However, additional charges may apply if the patient has a particular condition or if different surgeries are combined.
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