The recovery from rhinoplasty surgery depends on the extent of dissection and nasal bony involvement. We learn in our training as board certified plastic surgeons Not to revise a nose for up to 1 year after the initial surgery. Directly after the surgery a nasal splint may be used, and nasal packing as well. Persistent swelling may occur up to 3 weeks. Bruising under the orbital areas are frequent after nasal bony work with infracturing to narrow the bridge. Edema and swelling may persist for the first couple of weeks as well.
Rhinoplasty Or Nose Job
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Dr. Jeremy P. Warner, MD , Plastic Surgery, answered on behalf of NorthShore University HealthSystemThere are a number of things that must be considered when creating your rhinoplasty experience. Rhinoplasty can be performed in a number of different ways. The surgery can be done using general or twilight anesthesia. It can also be done using an "open" approach (with a small external incision) or a "closed" approach (no external incision). "Non-surgical" office-based rhinoplasty can also be done in certain cases.
Rhinoplasty surgery is generally performed as an outpatient procedure and, surprisingly, most patients don't have a lot of pain after surgery -- it's really more of a "congested" feeling. What needs to be done during rhinoplasty surgery depends on the patient's concerns, the deformities involved, and what can be accomplished from the surgeon's perspective. The best way to figure out what your specific surgery will involve is to have a consultation with a rhinoplasty surgeon and develop a plan that is right for you.
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Dr. Stuart A. Linder, MD , Plastic Surgery, answeredSee All 2 AnswersOnly functional rhinoplasty surgery may be covered by insurance. Difficulty breathing may be associated with septal deviation and/or turbinate hypertrophy. Trauma to the nasal area leading to nasal fractures may also be covered. In general, health insurance will not cover cosmetic surgical procedures that simply change or improve appearance.
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Dr. Jeremy P. Warner, MD , Plastic Surgery, answered on behalf of NorthShore University HealthSystemIf something about your appearance bothers you, then it is very real to you. It's important to have a thoughtful and thorough consultation with a rhinoplasty surgery in order to determine whether or not your concerns can be addressed surgically. The more common concerns that patients have about their noses include a nose that is too big for the face, a large hump on the bridge, a crooked nose, a tip that is too big or bulbous and a nose that is too wide. There are many other concerns that patients often bring up as well, and it's possible to be unhappy with the appearance of your nose after a previous rhinoplasty surgery. The best way to ensure the highest success when it comes to rhinoplasty surgery is to find a surgeon you are comfortable with, make sure that he or she understands your specific concerns, and make sure that you understand what can be accomplished surgically to help you achieve your goals. As long as you are all on the same page and comfortable, then there is a very high chance that you will be happy in the end.
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Dr. Stuart A. Linder, MD , Plastic Surgery, answeredThe average recovery time for rhinoplasty surgery is between 6-8 weeks. The final swelling may persist for 6 months or longer, however. Patients should take at least a week off from work and may require a splint for an equal period of time. Bruising and swelling under the eyes may persist for 7-10 days.
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Dr. Stuart A. Linder, MD , Plastic Surgery, answeredRhinoplasty surgery pain is dependent upon the extent of the surgery. Nasal fracturing certainly may increase the pain threshold. Cartilage manipulation and soft tissue reconstruction normally does not present with significant pain. Vicodin with codeine is often useful combined with cold compression. The full healing process from an extensive rhinoplasty may extend up to a FULL year.
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Dr. Arthur W. Perry, MD , Cosmetic Surgery, answeredSee All 3 AnswersAfter rhinoplasty, you will wake up from surgery with a splint on your nose and possibly with packing inside your nose. The packing is eliminated when possible, since it is the most uncomfortable aspect of the procedure. You will have stitches in the various incisions in your nose. A drip pad, a piece of gauze held in place with a dressing that drapes around your ears, catches the oozing blood after surgery. At home you will change the drip pad often the first night; by the next day, the oozing stops.
You'll see your surgeon a day or two after surgery and have your nose cleaned. The bruising and swelling around your eyes, forehead, and lips will remind you of the 1988 Newsweek photo of Geraldo Rivera after his television show guest smashed a chair over his nose. Your swelling will subside in a few days. The splint and sutures are removed a week after surgery. At that time, your nose will still be quite swollen. Brave people go back to work after the splint is off; others wait two weeks, until the swelling settles down and any residual bruising can be covered by makeup.
Now comes the hard part -- waiting. Unlike a breast augmentation where you wake up from surgery with C cups, your final nose will not make its appearance for many months, if not years. While the swelling decreases over the months following surgery, the internal scarring increases over the first three months, and then takes the next nine months to settle down. Even though we say that the nose is done a year following surgery, in actuality subtle changes occur for years and even decades afterward. -
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Dr. Homayoun N. Sasson, MD , Plastic & Reconstructive Surgery, answered on behalf of Castle Connolly Top DoctorsSee All 4 AnswersRhinoplasty is surgery to address deformities of the nose. Rhinoplasty is the Greek terminology denoting a change or enhancement of the nose, at times associated with improving nasal breathing and function, simultaneously. Its main goal is to restore better proportion of nasal dimensions to the rest of the face, be it as a result of congenital deformities such as cleft lip and nose, trauma, infection and/or cancer, to name a few. It frequently addresses disproportionalities of nasal dorsal hump, wide or narrow nose including the tip, nostrils, nasal height, asymmetries and other numerous types of nasal deformities. At times, it may, inadvertently or by design, help improve or restore breathing as a result of deviated septum or previous surgeries or injuries to the nose. It is performed in two ways, "open" and "closed" or scar-less rhinoplasty, each having its pros and cons and depends on the skills and preference of the surgeon and the problem at hand. When performed properly and conservatively, it can significantly improve the person's appearance and self-confidence and even help alter the person’s life. -
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Dr. Stuart A. Linder, MD , Plastic Surgery, answeredNormally rhinoplasty surgery or a nose job should not be performed before age 14-16. It is vital that the nasal cartilages and bony vault be fully developed prior to elective nasal surgery. Rhinoplasty, when performed by a board certified otolaryngologist or plastic surgeon can greatly enhance the patient's self esteem and breathing. Rhinoplasty surgery can be performed for several reasons on a teenager. Cosmetic reasons may include a large dorsal hump, tip droop, wide nasal base, or nasal shift. Functional reasons may include septal deviation, nasal bone fracture, turbinate hypertrophy.
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Dr. Jeremy P. Warner, MD , Plastic Surgery, answered on behalf of NorthShore University HealthSystemThe term "ethnic" rhinoplasty refers to modern techniques of tailoring a patient's nose to fit his or her face and not just routinely "westernizing" a nose. In other words, there is not one nose to fit everyone's face. A rhinoplasty should look natural and blend into the rest of the face. It should not look "done", what I like to refer to as the "red-carpet" look, as many celebrities have nose jobs that are obvious and overdone. While every nose is unique, there are some cultural similarities in the way noses look. With the trend being toward more natural surgical results, ethnic rhinoplasty can be performed which alters the shape of the nose without making it look out of place. This usually involves maintaining some degree of "strength" along the dorsum in order to avoid a "surgical" look.