Reshape, Reduce or Augment Your Nose
Rhinoplasty, or nasal reshaping, is one of the most common plastic surgery procedures performed by Dr. Wiener of Chicago. Rhinoplasty can reshape, reduce or augment a person’s nose to achieve a better contour, facial harmony and boost self-confidence. It may be performed as a reconstructive procedure to correct a birth defect, or an injury such as a broken nose. With years of Rhinoplasty experience behind him, Dr. Wiener combines a wide variety of techniques with artistic vision to improve the form, and in many cases, the function, of each nose. Combining Rhinoplasty with a Septoplasty (reshaping the cartilage that separates the nasal airway) or other air way modifications can effectively treat certain breathing and sinus problems.
In each Rhinoplasty consultation, Dr. Wiener will take all of the time necessary to evaluate your specific problems and goals, and formulate a plan for success. Pictures will be taken and a detailed discussion addressing all of concerns will follow. Dr. Wiener feels that effective communication with you is extremely important in obtaining the best possible results.
What can Rhinoplasty do for me?
Rhinoplasty is an excellent procedure for:
- Balancing the size of the nose with other facial features
- Modifying the width of the nose at the bridge
- Improving the nasal profile, including removing humps, bumps or depressions
- Contouring a nasal tip that is too large, boxy, drooping, or upturned
- Changing the angle between the nose and the upper lip
- Narrowing and reshaping the nostrils
- Correcting asymmetry or deviation
- Correcting blocked nasal airways due to a deviated septum, enlarged turbinates, or other airway issues
How is Rhinoplasty performed?
Rhinoplasty is usually an outpatient procedure performed under IV sedation or a general anesthesia. In a Closed Rhinoplasty, incisions are made inside the nose. In an Open Rhinoplasty, the incision is made across the columella (the tissue between the nostrils) leaving a small scar that typically heals beautifully.
With both methods, Dr. Wiener gently lifts the soft tissues covering the nose. The bone and cartilage is sculpted to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum. More extensive repairs may require cartilage from behind the ear or even rib cartilage using a 1-inch incision beneath the breast. Often, the nasal bones may be repositioned.
If you have a deviated septum or other breathing problems, Dr. Wiener will adjust the septum and the inner structures of the nose to improve breathing. The tissues are then closed. If the patient desires nostril reshaping, this is done as the final stage of the Rhinoplasty. The entire procedure generally lasts 1 to 2 hours.
How long will it take to recover from a Rhinoplasty?
For several days after surgery, patients may experience puffiness to the nose and cheeks as well as mild pain in the nose or a dull headache. Bruising under the eyes, stiffness and a light discharge from the nose are also common. Often a padded splint is used to protect the nose and there may be some packing in the nasal airway for 1 to 2 days.
Most patients feel like themselves within several days and return to work in 7 to 10 days after the splint and any sutures have been removed. Light, low-impact workouts can begin as early as 3 to 4 weeks after surgery (stationary bike or brisk walk). More vigorous activity should be avoided for 6 weeks.
The Results of Rhinoplasty
The results become gradually apparent as the days pass after surgery, and the swelling recedes. Some degree of swelling persists into the second or third week after surgery and very mild swelling may even be evident several months after surgery. Swelling may reappear from time to time in the first few months or even within the first year after the procedure. It is typically more noticeable in the morning and fades during the day. In most cases, 70% to 80% of the swelling in the nose is gone within 2 to 3 weeks. The last 10% to 20% may take several more months to resolve. The final results of a Rhinoplasty may take as long as 6 months to a year to show. Contact lenses can be worn immediately, but glasses may need to be taped to your forehead or propped on your cheeks for the first 4 to 6 weeks after your surgery.
Will I like the results of my nasal surgery?
Patients with realistic goals for Rhinoplasty are generally very happy with the new shape of the nose. The exact results depend on your nasal bone and cartilage structure, facial shape, skin thickness and age. Dr Wiener will discuss all of these issues with you before surgery and give you an accurate picture of what is and what is not possible for your nose.
What are the possible risks of Rhinoplasty?
Complications are rare and when they occur they are minor. These may include infection, a nose bleed or a reduction in breathing on one side of the nose.
Does insurance cover Rhinoplasty?
Insurance may cover the portion of the Rhinoplasty that deals with improving the nasal airway or if it is done for reconstructive or medical reasons. The cosmetic aspects of Rhinoplasty however, are not covered by insurance. Dr. Wiener will tell you what may or may not be covered by insurance during your consultation.
How long will the swelling last and when can I expect final results?
The majority of the swelling will occur in the first 1 to 2 weeks. By 3 weeks, 70% to 80% of the swelling will likely be resolved. The last 20% to 30%, however, may take several more months to completely resolve. Final results can take 6 months to a year. It is important to remember that the small amount of swelling that may persist for longer than several weeks is usually subtle and the improvements to the nasal shape and airway are usually significantly evident after the first several weeks.
When can I work-out?
Typically, light exercise can be started as early as 3 weeks after the Rhinoplasty depending on the degree of swelling. This would include low-impact activities such as an exercise bike or a brisk walk. More strenuous activity should be avoided for at least 6 weeks.
What is a Revision Rhinoplasty?
Revision or Secondary Rhinoplasty corrects deformities caused by a previous operation on the nose. It is sometimes a more difficult procedure to perform because there is less cartilage to work with and there will be scarring beneath the skin from other procedures. However, skilled plastic surgeons can improve both the appearance and function of the nose in this situation, and Dr. Wiener has extensive experience in Revisional Rhinoplasty surgery and routinely corrects problems from procedures done elsewhere.