Introduction: A Rhinoplasty, is a cosmetic surgical procedure to change the shape or size of the nose. One of the most common plastic surgery procedures, a rhinoplasty can change the shape of the bridge or tip, change the angle between the nose and the upper lip, narrow the span of the nostrils, help relieve some breathing problems, and repair an injury or birth defect. An individual contemplating this type of surgery must first have a personal consultation with a plastic surgeon certified by the American Board of Plastic Surgery, such as Dr. Shienbaum.

Rhinoplasty candidates: Rhinoplasty candidates must be over the age of 15 years to ensure they have completed their growth spurt. The best candidates are physically healthy and psychologically stable people who are looking for an improvement, not perfection, in the way they look.

Where your surgery will occur: Minor rhinoplasty procedures can be performed in an office setting under local anesthesia while the majority of rhinoplasty procedures are performed under anesthesia in an outpatient facility. The procedure takes approximately one to two hours but occasionally may take longer depending on the extent of the procedure.

Planning your surgery: You will be given specific instructions on how to prepare for surgery, such as avoiding certain vitamins and medications, washing your face, and guidelines on eating, drinking and smoking. It is imperative that you follow these instructions to help your surgery go smoothly. You will need to arrange for someone to drive you home after surgery and to drive to the office the following day. It is a good idea to have them prepare to stay with you a couple of days if needed.

Surgical procedure: Many rhinoplasty procedures are performed from within the nose, making the incision inside the nostrils leaving virtually no visible scarring. Other cases may require an open incision. This small incision is placed across the vertical strip of tissue separating the nostrils, otherwise known as the columella. During surgery the skin of the nose sculpted to the desired shape.

Following surgery: When the surgery is complete, nasal packs may be placed in the nostrils to stabilize the septum, the dividing wall between the air passages. This will be removed after a few days. Often, a splint is applied to help the nose maintain its new shape. Discomfort can be controlled with pain medication prescribed by the surgeon. It is common to expect some swelling and bruising around your eyes. This reaches a peak after 2 or 3 days, but can be reduced by applying cold compresses. By the end of the first or second week all dressings, splints, and stitches should be removed.

Healing is a slow and gradual process. The surgeon will give you specific instructions on resuming normal activities. Some subtle swelling may be present for months. Final results may not be seen for a year or more. During this time you may experience unexpected reactions from friends or family members. They may act resentful if they feel you've changed an ethnic or family trait. Or they may say they don't see a major difference in your nose. If this occurs, try to keep in mind why you decided to have this surgery in the first place. If your goals have been met, then your surgery is a success. Patience and realistic expectations are important during this period.

In general, rhinoplasty is considered to be an effective and safe means for changing the appearance of the nose and creating a better balance to the face.

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