Rhinoplasty can improve the balance between your nose and the other features of your face. With nose surgery, Dr, Gregory Park can tailor the shape and size of various portions of your nose enhancing the appearance and proportion of your nose and face.
Cosmetic nose surgery in Oceanside & San Diego
A nose job or rhinoplasty, as it is technically known, is one of the most popular surgeries performed by plastic surgeons. This surgery is done to change the shape and size of the tip or bridge of the nose, narrow or reduce the size of the nostrils, or change the angle between the upper lip and the bottom portion of the nose. Rhinoplasty can also improve a nose affected by trauma or birth defect. In some cases breathing difficulties can be addressed through a functional rhinoplasty surgery.
Request a complimentary consultation with board-certified plastic surgeon Gregory Park, M.D. His office is conveniently located at North Coast Plastic Surgery near Tri-City Medical Center in Oceanside, California. If you're not quite ready to schedule your appointment and would like to learn more about rhinoplasty, please continue reading for additional information.
Before surgery, this rhinoplasty patient has a large, slightly hanging nose, with a hump and an enlarged tip.
After surgery, the patient has a smaller nose, a straighter bridge, a well defined nasal tip, and an improved angle between the nose and upper lip.
Step incision shown for open rhinoplasty approach
Surgery to improve an obstructed airway requires careful evaluation of the nasal structure. Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment.
Best Candidates for Rhinoplasty
Rhinoplasty is a best performed on the following:
- Physically healthy and psychologically stable
- Patients with specific and realistic goals and expectations
In addition, the best candidates are people who are looking for improvement in their aesthetic appearance, not perfection.
Prospective patients may also require nose surgery to repair deformities caused by trauma or birth defects, or to improve functional breathing difficulties.
Age is another factor to consider. Once facial growth has been completed, generally around 14 to 15 years of age for girls, and a little bit older for boys, emotionally mature teenagers could be offered surgery for improvement in the appearance and/or function of their nose.
Considerations and Risks
When a patient undergoes a rhinoplasty by a qualified and experienced plastic surgeon, there are generally very few complications. However, all surgeries have potential risks. These include and are not limited to the following:
- Anesthesia risks
- Asymmetry of the nose
- Difficulties breathing
- Contour irregularities
- Skin color changes
- Prolonged swelling
- The potential need for revision surgery
Ten percent of cases may require surgery to make minor adjustments to optimize the appearance of the nose or to improve airflow though the nasal cavity. These cases are unforeseen and may occur even in the hands of the most experienced and skilled plastic surgeons.
Planning Your Surgery
Successful nose surgery initially depends on clear communication. Be prepared to express why you are interested in a rhinoplasty and what you would like surgery to achieve. Disclosure of your health history is important, especially a history of previous nose surgery, medications, medical issues, recreational drug use, and tobacco use.
During your consultation your nose will be examined, inside and out. The techniques of surgery will be discussed. Factors such as the shape of the nasal bones and cartilage, the nasal skin thickness, and the balance between your nose and face will be evaluated and noted. All of these factors will ultimately influence your postoperative results.
Most insurance policies will not cover nose surgery performed for cosmetic reasons. However, nasal surgery may be covered by insurance if done for reconstructive reasons to improve traumatic or congenital deformities, or for the correction of airflow problems through the nose. If you are interested in using your health insurance for surgery, ask your insurer if you meet the surgical criteria for pre-authorization.
Preparing For Your Surgery
You will be provided with special instructions to prepare for your rhinoplasty. These instructions will include guidelines on eating and drinking before and after surgery, avoidance of smoking, and the avoidance of certain medications, vitamins, and supplements.
Make sure to arrange for someone to take care of you for a day or two after surgery, if required. You will also need a family member or friend to drive you home once you have recovered from anesthesia.
Types of Anesthesia
Local anesthesia or general anesthesia can be used to facilitate your rhinoplasty. The type of anesthesia depends on the extent and length of time for the surgery and your level of comfort.
With the use of local anesthesia, you will be sedated with oral or IV medications, and your nose and the surrounding area will be numbed. During surgery, you will be awake, but relaxed and insensitive to pain. With general anesthesia, you will be asleep during the entire procedure.
Nose surgery takes about one to two hours. However, more complex surgery or redo (revision) rhinoplasties may take more time.
When surgery involves the reduction of a prominent hump, incisions are made on the inside of the nose. Sometimes an incision is made along the bottom portion of the nose, known as the columella, to expose the cartilage framework of the nose. This "open" approach facilitates shaping of the tip of the nose.
Once surgery has been completed, a splint is placed on the nose to protect and maintain your new nasal shape while healing.
After Your Surgery
Following surgery, it is normal to experience some discomfort. Medications will be prescribed to alleviate any aches or pain. Expect some nasal drainage for a day or two, congestion for at least a week, and bruising and swelling around the eyes for a couple of weeks. After about a week your nasal splint will be removed, as well as any stitches.
Getting Back to Normal
Most patients are able to resume everyday activities after a day or two. You should be able to attend school or return to a sedentary job within a week or so following your nasal surgery.
There are some strenuous activities to avoid for two to three weeks, such as running, swimming, weight lifting, and sexual relations. It is important to avoid any direct contact to the nose for about 8 weeks. If you participate in any contact sports, especially sports like martial arts, you might want to reconsider undergoing a rhinoplasty until you have stopped participating in such activities.
You can start wearing contact lenses right after surgery, but the use of glasses can potentially depress your nasal bones. After the splint is removed, you will need to avoid direct contact to your nose with your glasses for at least six weeks, until the nasal bones are fully healed.
Your New Look
Following surgery, you will experience some bruising and swelling around your eyes and cheeks. This is all part of the healing process. After a week or so, you will look better.
Remember, your nose will heal gradually and slowly. Some patients may feel that there is not a significant difference in the appearance of their nose after rhinoplasty, especially if subtle changes were made to the tip of the nose during surgery. But, be patient. Mild to moderate swelling may be present for months. In some cases, it may take a year or more for the final results of your nose surgery to be apparent.
The Next Step
Schedule your complimentary consultation today, if you feel that rhinoplasty surgery is right for you. Call us at 760-655-1414, or use our contact form located on this page to schedule your appointment with Oceanside plastic surgeon, Dr. Gregory Park. To view some of Dr. Park's results, follow this link to the Rhinoplasty Before & After page. We are dedicated to providing you with the best care possible through a relaxed experience that is comprehensive, respectful and confidential. We look forward to meeting and working with you to help you meet your goals.