Cosmetic Surgery for the Nose
Nose Job Basics
A nose job (technically called a rhinoplasty) is surgery on the nose to change its shape or improve its function.
It can be done for medical reasons — such as to correct breathing problems related to the nose or correct disfigurement resulting from trauma or birth defects.
It can also be done for cosmetic reasons, which will change the nose’s shape and appearance.
Deciding on a Nose Job
If you are thinking about getting a nose job, set up an appointment with your surgeon to discuss it. During that meeting, talk about your goals and tell the doctor what bothers you about your nose and how you would like to change it.
Keep in mind that there is no such thing as a perfect nose. Surgery, though, can enhance facial features and emphasize your unique and natural beauty. A plastic surgeon can describe the facial features that make you unique and tell you how changes would enhance your appearance.
The surgeon will evaluate the structures of your nose and other facial features. After this evaluation, he or she can tell you if your expectations are realistic.
The surgeon will also consider your overall health and should discuss with you the risks, recovery time, and costs involved.
There are various techniques for reshaping the nose. Once you decide to go ahead, your surgeon should describe exactly what he or she proposes to do.
If you have health insurance, make sure you talk to your insurer in advance so you know what’s covered and what you will need to pay for. Health insurance typically does not pay for procedures that are done only for cosmetic reasons.
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
Rhinoplasty is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.
Through these incisions, the skin that covers the nasal bones and cartilages is gently raised, allowing access to reshape the structure of the nose.
Open rhinoplasty incision across the columella
Step 3 – Reshaping the nose structure
An overly large nose may be reduced by removing bone or cartilage. Sometimes surgery of the nose may require the addition of cartilage grafs.
Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Occasionally cartilage from the ear or rarely a section of rib cartilage can be used.
Step 4 – Correcting a deviated septum
If the septum is deviated, it can be straightened and the projections inside the nose reduced to improve breathing.
Step 5 – Closing the incision
Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed.
Additional incisions may be placed in the natural creases of the nostrils to alter their size.
Step 6 – See the results
For a few days splints and gauze packing will likely support the nose as it begins to heal. Get more information about