Rhinoplasty

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Rhinoplasty—commonly referred to as a “nose job”—is a surgical procedure that changes the shape, size, or function of the nose. It is one of the most frequently performed cosmetic surgeries worldwide and can be done for both aesthetic and medical reasons.

Purpose of Rhinoplasty

1. Cosmetic Reasons

  • Change the shape or size of the nose
  • Correct a bump on the bridge
  • Refine the nasal tip
  • Improve facial symmetry
  • Narrow or widen the nostrils

2. Medical/Functional Reasons

  • Repair nasal trauma (e.g., broken nose)
  • Correct birth defects
  • Treat breathing problems (e.g., deviated nasal septum)
  • Improve airflow (often combined with septoplasty)

🏥 Types of Rhinoplasty

1. Open Rhinoplasty

  • An incision is made across the columella (the strip of tissue between the nostrils)
  • Allows the surgeon better visibility and access to nasal structures
  • Common for more complex or major reshaping

2. Closed Rhinoplasty

  • Incisions are made inside the nostrils
  • Less invasive with no external scar
  • Typically used for minor reshaping

3. Revision (Secondary) Rhinoplasty

  • Performed to correct or refine results from a previous rhinoplasty
  • Often more complex due to scar tissue or altered anatomy

🔬 Procedure Overview

  • Anesthesia: General or local with sedation
  • Duration: 1–3 hours, depending on complexity
  • Setting: Usually outpatient (same-day discharge)

Recovery Timeline

  • First few days: Swelling, bruising (especially around the eyes), discomfort
  • 1 week: Splint and stitches (if any) are usually removed
  • 2–3 weeks: Bruising fades; light activities resume
  • 3–6 months: Swelling continues to subside
  • 1 year: Final results typically visible

Benefits

  • Enhanced facial harmony
  • Improved self-confidence
  • Better nasal function (in some cases)
  • Correction of deformities or injuries

⚠️ Risks and Complications

  • Bleeding
  • Infection
  • Breathing difficulty
  • Poor wound healing or scarring
  • Unsatisfactory results (may require revision)
  • Asymmetry or changes in sensation

🧑‍⚕️ Ideal Candidates

  • In good general health
  • Non-smokers (smoking affects healing)
  • Realistic expectations
  • Fully developed facial bones (typically age 16+ for girls, 17+ for boys)

📝 Before and After Surgery

Pre-Op:

  • Detailed consultation with a plastic surgeon
  • Imaging and digital simulation of results (in some clinics)
  • Stop smoking, avoid blood thinners

Post-Op:

  • Sleep with head elevated
  • Avoid strenuous activity
  • Follow surgeon’s instructions strictly for best results
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