Nose surgery (Rhinoplasty) is a procedure to reshape the nose in order to create a more pleasing look and, in some instances, to correct severe breathing problems.  With approximately 400,000 operations performed each year, rhinoplasty is considered the most popular cosmetic procedure in the United States.  Rhinoplasty usually involves reducing the size of the nose by removing and sculpting the nasal tissues in order to enhance the facial appearance.  The results are unique to each individual, and depend upon such factors as skin condition and thickness, nasal and facial structure, genetic contributions, and age.  Traditionally, a “nose job” was performed only to correct major problems.  However, recent surgical innovations allow for individuals to benefit from more moderate improvements from the procedure as well.  In general, having nose surgery provides the patient with a better facial balance and overall appearance.

Reasons for Considering Nose Surgery:

• Bring a better proportion to the nose and facial features.
• Reduce the size of the nose that is too large or too wide.
• Correct an overly arched or “Roman” nose.
• Re-form a crooked or elongated nose tip.
• Restore the nose if damaged from an accident or sports injury.
• Help with breathing problems by rebuilding the nasal passage.
• Treat nasal deformities caused at birth.

Note:  If rhinoplasty is being utilized to correct a breathing problem or nose deformity, the procedure may be covered under the patient’s insurance policy.

General Procedure

The rhinoplasty procedure lasts from one to three hours.  The surgeon may elect to utilize either local or general anesthesia, depending upon the complexity of the operation.

There are two basic methods utilized for performing nasal surgery. These methods are referred to as the ‘open’ and the ‘closed’ techniques. The open technique is preferred by some surgeons due to the fact that they learned this method in their residency. It does provide greater visibility but also results in external scars in the columella or lower nose. Dr. Scully has had extensive training in the closed technique and has utilized this method in the majority of patients for over thirty years. He has obtained superior results, with a shorter recovery or healing period, and without the need of external incisions or scarring. Dr. Scully would be glad to discuss the various techniques and anticipated outcome during the consultation visit.

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and to reduce the recovery time.  Some swelling may be noticed; however, any swelling will disappear within a few weeks.  A splint, bandages, and/or gauze are applied immediately following surgery to aid in the healing process and to minimize movement of the nose.  Patients must refrain from smoking for several weeks before and after the surgery.  In addition, any corrective glasses that are worn must be taped up and off the nose.  The nose will need to be well-protected from the sun for the first year after the procedure while the body is adjusting to the new look.  Patients sometimes report minor pain associated with the surgery.  Pain can be effectively treated with oral medication and/or cold compresses.  While complications are rare, patients can minimize the risk of potential problems by carefully following the post-surgical directions given by the surgeon.