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Primary Rhinoplasty

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What is Primary Rhinoplasty Surgery?

Primary Rhinoplasty refers to a type of surgical procedure performed on a nose not operated on before. Rhinoplasty, or a ‘nose job’, is a popular surgery that can make significant improvements to the balance of one’s facial features and to one’s self-esteem. It can also help to correct structural defects causing breathing problems.
The surgery refine the nose’s size and shape to create the most ideal nose proportions. By blending the nose in with the other facial features, harmony and beauty are created. This enhances the eyes which are the “portal of entry to the soul”.

The surgery

Incisions are made in the inside of the nose, where they are not visible. In some cases incisions may be made in the area of the skin separating the nostrils. Underlying bone and cartilage are sculpted to create the nose’s new shape. Skin is re-draped over the nose’s new frame and all incisions are closed. After surgery is completed a small cast is placed on the nose to maintain the newly sculpted nasal framework in position. A very small absorbable dressing may be placed inside the nostrils for one day. Large packs are not used. Small internal plastic splints may be applied for additional support and are usually removed after 7 days.

Goals

Rhinoplasty can reduce a nose that is too large, narrow a nose that is too wide, straighten a nose that is crooked, eliminate unsightly bumps, reshape the tip and improve the angle between the nose and the upper lip for a more youthful look.
In certain noses, such as in Asian or African American, rhinoplasty can provide a stronger bridge, enhance tip definition and narrow the base for a more defined look.
It can increase air flow where obstructions in the nose are causing breathing and sinus problems.
It also decreases concerns and renews one’s self-confidence once an undesirable feature has been corrected.

The Challenges

Rhinoplasty is a very detailed procedure. The ultimate result depends to a great extent on how your skin heals. Improvement, not perfection, is the goal.

Special considerations

  • The degree of nasal refinement desired.
  • The level of function of nasal structures.
  • The structure of the nose, both internally and externally.
  • How the shape of the nose relates to the overall contour of your face and specific facial features.
  • Whether chin augmentation or reduction, in addition to rhinoplasty, may benefit the overall profile.
  • Skin texture and thickness.

Down time

Rhinoplasty takes between 2 to 3 hours to complete and is done at Manhattan Eye, Ear, and Throat hospital typically under general anesthesia. Full daily activities can be resumed within 2 weeks of surgery, strenuous exercise within 3 weeks and contact sports, diving or weight lifting after 6 weeks. Also, you can travel (even by airplane) by day 8 of your recovery, and eyeglasses can be worn on the bridge of the nose after 6 weeks. Small residual swelling can persist for several weeks and the final refinement can take several months to a full year to settle depending on the thickness and quality of your skin.

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