If we don’t like something about our body, we can cover it up. Not so for our nose. It’s always right there front and center, and if we don’t like the way it looks it can’t be hidden. Maybe that’s why nose surgery, clinically known as rhinoplasty, has always been a mainstay of cosmetic plastic surgery. One of the first recorded rhinoplasty procedures was performed in ancient India in the sixth century B.C! In North America, the first “modern” rhinoplasty was performed in 1887.

If you don’t like something about your nose, you don’t have to live with it. You can have Dr. Reynolds improve it with nose surgery. He’s done thousands of rhinoplasties and is an expert in the field. Whether the changes are subtle or more extensive, nose surgery can reshape, reduce, or otherwise change your nose to make it more proportional with the rest of your face. It can really give your self-esteem a boost, too!

What is rhinoplasty?

Rhinoplasty. The term comes from the Greek words rhinos (nose) and plassein (to shape). The surgery involves an incision or incisions to provide access to the underlying bone and cartilage. Depending on the changes desired, Dr. Reynolds may remove some bone and cartilage, perhaps to flatten a bump on the bridge; or he may add tissue, either from the patient’s body or synthetic material, to build up the nose. Once the underlying structural changes are made, the skin and tissue are re-draped over the new structure.

Who is a good candidate for rhinoplasty?

Most of our patients opt to have nose surgery for three basic reasons: cosmetic changes, to repair a prior injury, or to address functional (breathing) issues.

Appearance — Nose surgery can be very satisfying for people who had has issues with the look of their nose. The typical cosmetic reasons for surgery are:

  • The nose has a prominent bump on the bridge.
  • The tip is bulbous.
  • The nose droops downward.
  • The nostrils are overly flared and open.
  • The nose doesn’t seem proportional with the rest of the face.
  • The nose is simply too big or too small.
  • The nose is too flat or wide.

Injury — Whether you bumped into a wall in a darkened room, or turfed it while rollerblading in college, you may not have had your nose reset by a doctor. Now it is crooked, and its function may be compromised.

Breathing problems — Many people have congenital defects with the inner workings of their nose. The passages may be too narrow, or somehow partially blocked. This can also be a result or I jury or trauma.

What are the benefits of nose surgery?

Our nose has such a prominent place on our face that if you don’t like the way it looks it can effect your confidence greatly. . A bulbous tip. A bump on the bridge. Flared nostrils. Whatever you don’t like about your nose, it’s obvious to you and everyone you come in contact with.

A rhinoplasty with Dr. Reynolds can be very satisfying. Often, patients feel their reshaped nose changes their entire face for the better. This positively affects their confidence. It’s hard to quantify what that means for each person, especially if you’ve lived your whole life hating your nose.

How is rhinoplasty performed?

Dr. Reynolds uses an open or closed surgical method, depending on the unique situation of each patient. He prefers the closed method due to its lack of a visible scar, but that method isn’t always the best option. Often what predicates one method over the other is the extent of change desired by the patient. He’ll discuss your options during your consultation.

• Open rhinoplasty — In open rhinoplasty, Dr. Reynolds makes a small incision across the columella (the small strip of skin between the nostrils). He then lifts the skin and underlying tissue up and back from the tip of the nose to expose the bone and cartilage. Whether building up or reducing the bridge, the open method provides excellent access. Once the changes are made, the skin and tissue are re-draped over the new underlying structure. This method leaves a small scar on the columella, but this is an innocuous area of the face. Plus, with time, the scar becomes virtually invisible on most people.

• Closed rhinoplasty — In closed rhinoplasty, all of the incisions are made within the nose, eliminating any outer scarring. The closed method is effective when the size of the overall nose is being changed, and to address breathing problems. Once the incisions are made, the soft tissues are separated from the bone and cartilage. When the nose is being made thinner or smaller, the nasal bones will be fractured to allow reduction. If increasing the size, Dr. Reynolds uses cartilage or bone from the patient’s ears or ribs, or he can opt for synthetic material.

What is recovery like after nose surgery?

Immediately following your surgery, Dr. Reynolds will place a splint on your nose to protect its new shape. Your nostrils will be filled with packing for additional support. The splint will come out the morning after surgery. but your face will feel puffy and there will be swelling and bruising around your eyes. I’ve or cold compresses are recommended for 48 hrs and its diligent use will help with your bruising and swelling. For the first few days after your surgery, you’ll need to keep your head elevated and as still as possible. We recommend not blowing your nose for 2-3 weeks. It will take from 10 to 14 days for the majority of the swelling and bruising to resolve. Swelling can return at times, particularly late in the day and at night, for a few months. It can take 6-12 months for swelling to resolve entirely. Strenuous exercise or heavy lifting will have to wait for at least one month.

How long will it be before I am totally healed and can see my new nose?

Swelling can come and go after the surgery. This is completely normal due to the tissue trauma of rhinoplasty. It will take around six months to fully realize your new nose, although this can vary between patients. But when all is said and done, you’ll be pleased with your new nose and your results will last the rest of your life.

Are there age qualifications for nose surgery?

Having a nose you don’t like isn’t easy for anyone, but teenage girls can be particularly affected. Still, potential patients need to wait for their nose to finish growing before having rhinoplasty. In girls, the nose is usually finished by the age of 15 or 16. In boys, the age is 17 or 18. There isn’t a top age limit, although patients must remember than recovery is more difficult at an advanced age.

What are the risks with nose surgery?

As with any surgery there are some risks. Some of these risks are bruising, swelling, infection, reaction to anesthesia, poor wound healing, and temporary numbness. These are all rare. At 12 months we will take a critical look and make sure we are happy with it. You should only trust this surgery only to a board-certified plastic surgeon with extensive experience, such as Dr. Reynolds.

Is nose surgery covered by insurance?

These procedures may be covered by insurance if they are deemed necessary due structural problems with the nose and breathing. If the surgery is deemed strictly cosmetic, however, companies will not cover it. Some patients get the functional portion covered and pay for the aesthetic portion.

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