Rhinoplasty, colloquially known as a "nose job," is a surgical procedure to enhance the appearance of the nose. Rhinoplasty is common among both men and women, and can have a dramatic effect on the appearance of the entire face.
Rhinoplasty focuses on the appearance of the nose. If you have breathing problems, you may consider a septoplasty, which corrects nasal passage obstruction so that you can breathe more easily. Septoplasty and rhinoplasty can be performed at the same time if you have both cosmetic and functional issues with your nose.
Schedule your rhinoplasty consultation today by calling Philadelphia plastic surgeon Dr. David Bottger at 610-355-4275. He will help you find the ideal shape for nose to fit harmoniously with the rest of your features.
The Rhinoplasty Procedure
There are two main rhinoplasty techniques, "closed" and "open." Which surgical approach is best for you will depend on your unique anatomic characteristics. Dr. Bottger will discuss which technique will give you the best result based on your individual anatomy and goals during your consultation.
- Closed Rhinoplasty: In the closed approach, all incisions are made inside of the nose, where excess cartilage and bone are reduced, sculpted, and repositioned in order to improve contours.
- Open Rhinoplasty: During an open rhinoplasty, a small incision is made at the base of the nose (the columella) in addition to the internal incisions. This allows for a more complete visualization of the tip and dorsal structure for sculpting and repositioning.
Rhinoplasty is most often performed under general anesthesia as an outpatient procedure and takes several hours. In some cases, local anesthesia with IV sedation may be an option; please discuss any questions about anesthesia with Dr. Bottger during your consultation.
Recovery from Rhinoplasty
After your rhinoplasty surgery, a splint is placed on the nose which is removed after one week. External stitches are also removed after a week; internal stitches will dissolve on their own. The majority of bruising and swelling will dissipate within two weeks, although residual swelling can last for up to a year.
It is common to experience nasal congestion for around a week to 10 days following rhinoplasty surgery. There may also be some pain, but it is usually not severe and can be well managed with medication.
You should be able to see results after the splint is removed, but keep in mind it may take up to a full year for final results to become fully evident.
Who Is A Good Candidate for Rhinoplasty?
If you are unhappy with the shape of your nose, you are likely a candidate for rhinoplasty. Rhinoplasty can help correct the following:
- Bulbous, thick or wide nasal tip
- Large dorsal hump
- Long nose
- Drooping tip
- Wide nose
- Large nostrils
Generally, the ideal rhinoplasty candidate is 16 years of age or older, healthy, and a non-smoker. While rhinoplasty surgery can be performed on younger patients, this is usually only done in cases of extreme disfigurement, because the nose is still growing and developing until finally stabilizing around age 16.
If you are a smoker, you may still be a candidate for rhinoplasty as long as you are able to temporarily quit smoking for approximately a month before and after surgery.
Benefits of Rhinoplasty
The nose is a central feature of the face, and if it is out of proportion with your other features, it can detract from your natural beauty. Rhinoplasty can help bring your nose back into balance with your other features, allowing people to see your whole face instead of zeroing in on the nose during first impressions.
In addition, if you have trouble breathing, it can negatively affect your life. A septoplasty combined with rhinoplasty allows you to achieve better ease of breathing along with creating a more shapely and proportional nose.
Rhinoplasty can be an extremely rewarding procedure for the right candidate. Please discuss with Dr. Bottger whether you may benefit from this procedure.
Rhinoplasty or Chin Implant?
In some cases, an individual may think that they need a rhinoplasty when in fact a chin implant would better help to create more balanced features. A "weak" chin can sometimes make the nose appear larger than it really is, and in these cases, a chin implant alone could have a remarkable effect on the entire face.
Sometimes, a rhinoplasty and chin implant can work in harmony to create a better facial aesthetic. Dr. Bottger will carefully examine your features during your consultation and let you know if you would benefit more from a rhinoplasty, chin implant, or both.
Schedule Your Rhinoplasty Consultation
If you are in the Philadelphia area and are considering a rhinoplasty, don't hesitate to contact Dr. Bottger at 610-355-4275 today to schedule your initial consultation.
We serve patients in Philadelphia, Newtown Square, and other nearby areas of Pennsylvania.