Rhinoplasty, also known as nose surgery, is the reshaping of the nose. Rhinoplasty is one of the most common plastic surgery procedures. During nose surgery, he surgeon is able to reshape, reduce or augment a patient’s nose for cosmetic, and sometimes functional, purposes. Rhinoplasty patients are treated for a variety of reasons, including:
Rhinoplasty can be combined with other surgical procedures, such as a chin augmentation to enhance the aesthetic results.
Rhinoplasty is performed by double board-certified surgeon Dr. Serebrakian at the Bay Area Laser Cosmetic Surgery Center’s (BALCSC’s) accredited surgery center in the San Francisco area. Per the patient’s decision, the procedure will be performed under either IV sedation or general anesthesia. Most incisions are made inside the nose where they will not be visible. The skin and tissues of the nose, along with the underlying bone and cartilage, are sculpted to the patient’s desired new shape. Nose surgery typically takes from 1 to 2 hours.
If additional cartilage is needed for the nose surgery, cartilage is typically taken from the patient’s nasal septum. If larger sections of tissue are required, cartilage may be surgically removed from the ear or other parts of the body as well. If the patient has a deviated septum, the septum and inner structures of the nose are adjusted to improve breathing. The tissues are then re-draped and stitched closed. If necessary, nostrils are reshaped in the final stage of rhinoplasty.
There are two methods for performing a rhinoplasty: open and closed. With both methods, the soft tissues covering the nose are gently lifted, and the bone and cartilage are sculpted to the desired shape.
Non-surgical rhinoplasty refers to the use of fillers to alter and shape a person’s nose without invasive surgery. Although a non-surgical rhinoplasty is usually performed for aesthetic purposes, it can also be used to correct some birth defects. Because the procedure is not invasive, the bruising and swelling from a non-surgical rhinoplasty are minimal. Duration of the results depends on the type of filler used. RADIESSE® (calcium hydroxyapatite) lasts for 8 to 12 months, and hyaluronic acid fillers usually last for 6 to 12 months.
While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome.
Immediately after surgery, the patient’s nose and eye area are usually bruised and swollen. A splint and/or packing will likely be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing. This will likely remain in and on the nose for a few days. During this period, the patient may experience some nasal pain or a dull headache, as well as some bleeding and drainage from the nose. Most patients feel like themselves within a few days and are able to return to regular activities in about a week. Swelling may come and go and worsen in the morning during the first year following your rhinoplasty surgery.
The plastic surgeon will give the patient specific recovery instructions based on the type of nose surgery he/she received.
To increase comfort, and decrease bleeding and swelling, rhinoplasty patients are advised to follow these post-surgical directives:
Complications associated with rhinoplasty are rare and, when they occur, usually minor. Surgical risks in general include infection or adverse reaction to anesthesia. In the case of nose surgery, specific risks include the following:
Please call our Pinole Office at (510) 724-8282 or our Larkspur Office at (415) 461-5755 to schedule a consultation. Dr Armen Serebrakian serves San Francisco, Larkspur, Pinole CA and surrounding areas.