Improve Nasal Function and Appearance with Rhinoplasty
Rhinoplasty or nose reshaping surgery is designed to address problems related to both the shape and function of the nose in both men and women. It can be an issue that the patient has been born with (commonly a “family trait”) or an issue acquired from trauma or even previous surgery. It is one of the top five plastic surgery procedures – having 200,000 procedures done in 2014 alone.
Rhinoplasty refines and reshapes a nose on its bridge and tip, creating an end result that is more in balance with a patient’s overall facial features. San Diego rhinoplasty surgeon Vincent Marin has had extensive experience with rhinoplasty surgery. He also and served in a teaching position at numerous national meetings including the American Society of Plastic Surgery, the American Society for Aesthetic Plastic Surgery and the Dallas Rhinoplasty Symposium.
Contact our La Jolla office for a rhinoplasty consultation with Dr. Marin, and hear about what rhinoplasty can do for you.
The best rhinoplasty candidates are patients who have never had previous nasal surgery. People in excellent health and have no serious medical conditions are also good candidates. Rhinoplasty is best for people who:
- Have a nose that is too large or too small compared with other facial features.
- Suffers from a bump on the bridge of the nose
- Have a bulbous or wide nasal tip
- Have an enlarged or protruding nasal tip
- Have a crooked or asymmetrical nose
- Are generally unhappy with the shape of their nose
- Demonstrate a physical obstruction of the nasal airway (i.e. a deviated septum)
- Having difficulty in breathing (aside from allergic reactions and medical issues)
- Have realistic expectations about the surgery and its outcomes
It is difficult to perfectly communicate what is “too big” or “too small” for every person. Thus, Dr. Marin has found that digital imaging of your photographs can help us create an image of your potential “new nose” that we both can agree on. Marin Aesthetics wants you to be happy with what you see, but also, we need to feel that it is possible to produce this in surgery.
WHAT TO EXPECT FOR YOUR
2 – 4 hours
Pain, bleeding, infection, incomplete improvement, nerve damage (rare)
6 months for swelling to completely resolve, most noticeable swelling is resolved by 2-3 weeks
General anesthesia (occasionally local anesthetic with IV sedation for smaller procedures)
Back to work w/ makeup: 1-2 weeks
Strenuous activities: 3-4 weeks
DURATION OF RESULTS
Temporary swelling, bruising, mild pain, mild nose bleeding
Types of Rhinoplasty
Closed or Endonasal Rhinoplasty
In this type of approach, all surgical incisions that will be made are positioned inside your nostrils. While the scarring is prevented, there may be challenges and limitations with this approach. It may be difficult to perform more complex rhinoplasty steps such as modifying the tip of the nose and its position. In certain circumstances, the closed approach is sufficient and allows for simple reduction of a bump on the bridge or small manipulations to the nasal tip. Closed rhinoplasty is best suited for patients who are only seeking minor refinements.
Open or External Rhinoplasty
During an open rhinoplasty, a short incision will be placed across the column of the nose between the nostrils. This is the distinction between the two approaches. This short incision allows Dr. Marin to lift the nasal skin from the tip of the nose, view the whole nasal framework, and make the necessary changes more effectively. The open approach facilitates complete visualization of the anatomy of the nose and allows for more accurate reshaping of the nasal framework and airway.
Rhinoplasty is an outpatient surgery performed under general anesthesia as approved by a board-certified anesthesiologist. Typically, the procedure lasts for 2-4 hours.
If you are to undergo an open rhinoplasty, Dr. Marin will start by making a small incision across the columella or the column between the nostrils. For patients who decided to push with a close rhinoplasty, this step will not be performed. Dr. Marin will simply begin making incisions that are entirely inside the nose.
Our surgeon will then reshape your cartilage and bone to produce a more refined and natural nasal shape that is in balance with your existing facial features. This will be done in accordance to what you and Dr. Marin have agreed upon prior to the surgery.
Once the reshaping is done, Dr. Marin will close the incisions made with tiny stitches (only applicable for open rhinoplasty patients). A splint will be placed over your nose to help maintain the shape during the healing process and limit the swelling.
After Your Rhinoplasty
After surgery, the nasal splint and stitches will remain for about 7 days. Marin Aesthetics patients normally experience some swelling and bruising underneath both eyes, and have some trouble secondary to the internal nasal swelling and internal splints. You will be given pain medications after the procedure to keep you comfortable during the recovery period.
Recovery and Scarring
The splints will be removed after a week along with other internal splints and sutures. The initial swelling usually resolves in the first two to three weeks of recovery so that most people will not realize that you have had surgery. However, you will notice that swelling persists. Over time, the nose continues to take a more refined and defined appearance as the remaining swelling subsides.
Traditional teaching, however, is that the nose remains with some degree of swelling for up to one year. Our ultimate goal is to produce a new nasal shape that complements your face and produces a more balanced and attractive facial appearance. Here are some tips to remember for a well and fast recovery:
- Keep your head elevated when sleeping to reduce bruising and swelling.
- You may keep the operated area cold with a compress, but you should not put ice or extremely cold compresses directly to your nose for long periods of time.
- Do not bend over or try to pick things up from the ground. Bending increases your blood pressure on your wounds. This may cause excessive bleeding.
- Wear clothes that button. Avoid clothes that go over your head like T-shirts.
- Avoid strenuous activities such as lifting heavy things and exercise until advised by. Dr. Marin.
- Do not wear glasses or sunglasses for at least four weeks.
Your New Look After Rhinoplasty
Rhinoplasty is a popular plastic surgery procedure for a number of reasons. It offers patients not only aesthetic benefits, but more importantly, it also improves their health as well. Rhinoplasty can give you a better facial symmetry, improved nose shape, and a proportionate nose size. At the same time, it also corrects health-related issues such as improving breathing difficulties and address birth defects.
If you are interested in learning more about your rhinoplasty or nasal reshaping options, contact us for a complimentary cosmetic consultation with Dr. Marin where you can discuss your aesthetic goals as well as the cost of the procedure.
Request Your Consultation
To learn more, you can schedule an appointment online or you can call 858-638-9800