Rhinoplasty (Nose Job)

What will be expected of me to get the best results?

Before the surgery

  • In advance of your procedure, your surgeon will ask you to:
  • Stop smoking at least six weeks before undergoing to promote better healing.
  • Avoid taking aspirin, nonsteroidal anti-inflammatory medications (NSAIDs: Advil, Motrin, Aleve), and vitamins/homeopathic regimens that can increase bleeding.
  • Regardless of the type of surgery to be performed, hydration is very important. Appropriate hydration before and after surgery is critical for safe recovery and optimal outcomes
After the surgery
  • After the surgery you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the splints placed inside your nose during surgery. In most cases, the internal dressings remain in place for one to seven days after surgery. Your doctor also tapes a splint to your nose for protection and support. It's usually in place for about one week.
  • Slight bleeding and drainage of mucus and old blood are common for a few days after the surgery or after removing the dressing. Your doctor may place a "drip pad" — a small piece of gauze held in place with tape — under your nose to absorb drainage. Change the gauze as directed by your doctor. Don't place the drip pad tight against your nose.

Are there different options for rhinoplasty surgery? I’ve read about open and closed.

Rhinoplasty, both primary (first-time surgery) and secondary (revisional surgery of a first rhinoplasty), is a large component of my practice. In closed rhinoplasties, all incisions are made on the inside of the nose. Open rhinoplasties also include a small incision (less than ¼ inch) in the skin at the base of the nose. It allows the surgeon better exposure to the nasal anatomy. The resultant scar is usually imperceptible. It all depends on the patient’s individual needs during consultation; your surgeon should be able to advise you on the best option for your needs. In general, revisional surgery or surgery performed after complex trauma are usually performed using an open technique.

How long of a recovery period can I expect?

He changes to your nose will be obvious once the nasal splint is removed one week after your surgery, but expect to have swelling and bruising around the nose and eyes. The true and final result of your surgery will come around the one year mark, when all the swelling has gone down.

What are the risks and complications associated with my procedure?

Generally speaking, rhinoplasty is a safe surgical procedure that yields excellent results for a patient. As with any surgical procedure, there are risks – in this case, bleeding, adverse reaction to the anesthesia and injury to the septum. Patients should avoid any trauma to the area for at least the first three months after this surgery. Appropriate protective measures should be taken when engaged in any contact sports or activities that expose the area to blunt trauma. There is also the slight possibility that you will need additional surgery in the future – plastic surgeons regularly perform revisional rhinoplasty for patients looking for further improvement. The best way to get your questions answered and to mitigate risks is to ensure that your rhinoplasty is performed by a well-trained, experienced plastic surgeon competent in evaluation, judgment and surgical technique.