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Nose Reshaping
(Rhinoplasty)

The indications

Anyone dissatisfied with the size, shape or contour of their nose is a candidate for nose reshaping, or rhinoplasty. While a popular cosmetic procedure, nose reshaping can also correct structural abnormalities like a deviated septum. This secondary procedure can improve one’s breathing and decrease chronic stuffiness and snoring.

The procedure

Nose reshaping is one of the most challenging of the cosmetic surgical procedures. The sculpting of the nose must be highly individualized to complement your other facial features. Specifics of this procedure vary greatly depending upon patient needs. Bumps can be eliminated, nostril shape may be changed, and the bridge lowered or raised. The tip of the nose can be turned up or down and reduced or enlarged. Sometimes it may be necessary to add tissue to the nose, for example a cartilage of bone graft. Depending upon your situation the procedure will be performed through either an “open” or “closed” approach. In an open rhinoplasty a small incision is made on the skin of the nose between the nostrils and then carried inside the nostrils. In a closed rhinoplasty all the incisions are usually internal.

The procedure typically takes one to two hours and is done on an outpatient basis. General anesthesia is most commonly used.

You can expect

You will wake up with a splint on your nose. Usually Dr. Watanabe does not use any packing insider the nose. You will need to wear a small gauze pad under your nose or about a day or two for the drainage. There will be swelling and bruising of the nose and probably eyelids. You will have nasal congestion until the swelling inside the nose subsides. Oral medications will keep you comfortable. You will be able to resume light activity (not exercise) within 7 to 10 days. The splint is changed on the fifth postoperative day, but it is reapplied for another 5 days. Eighty percent of the swelling of the nose goes down the first two months. But even when it is swollen it is still smaller than the original size. The nose will continue to progress over the ensuing year.

Other Options

Depending upon your facial proportions and profile, nose reshaping is sometimes paired with a chin implant. Sometimes augmentation of the cheeks, jaw or lips may be a consideration at the same time.

A word about financing

Rhinoplasty or nose reshaping can be made very affordable through our partners at CareCredit. Visit them at www.carecredit.com. Patty would be happy to answer any of your questions or assist you with the necessary paperwork.

Insurance Notes

Insurance policies vary widely, but if there is a true breathing problem Dr. Watanabe will act within the stipulations of your coverage if possible.

 

 
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