Open versus Closed Procedure
Nasal surgery may be performed using an open or closed technique. With an open rhinoplasty, the most commonly performed type, tissue is manipulated through a small incision made on the tissue seperating the nostrils, known as the columella. This technique allows the surgeon greater access to the structure of the nose to better add support and treat issues. This small incision made at the base of the nose is very small and heals into a fine line that is difficult to see.
A closed rhinoplasty does not require an external incision, but it may only be used in certain cases as there are limitations. Incisions will be made entirely within the nose.
Reasons for Rhinoplasty Surgery
Nasal surgery may be performed for any number of reasons, ranging from purely functional to correct breathing problems to reconstructive or cosmetic. The nose can be made larger or smaller, wider or narrower, shorter or longer. Humps may be removed, nasal passages may be opened, or the appearance of the nose may be refined. The following are common reasons to perform this procedure.
If an injury or accident has caused damage to the facial bones or tissue, it is best to correct the damage as soon as possible. Unfortunately, facial fractures are often unrecognized at the time of injury. In some cases, signs of a broken nose are very obvious, as the nose can become drastically deviated. There may be more subtle signs, however, such as being able to feel the bony “step off” along the fracture line. If you have been struck in the nose, it is important to have a physician check for a septal hemotoma. If you suspect the nose is broken, consult with a plastic surgeon within one week of injury if possible. If seen shortly after the injury, it may be possible to repair the nose immediately. Otherwise, you may need to wait months before the nose can be surgically corrected.
A deviated septum is a condition in which the nasal septum that separates the nasal passages becomes off-center and creates breathing problems, including chronic sinus infections or a closed nasal passage. This condition may be corrected through a specific procedure known as a septoplasty.
Many patients choose nasal surgery to improve the appearance of the nose, which affects the balance and proportion of the face. If your nose does not seem to match your face, is too wide or has a noticeable bump or other deformity like a saddle bag deformity, it can likely be corrected through surgery.
Consultation and Cost
Dr. Shapiro has more than three decades of experience performing rhinoplasty surgery and has won several honors in Arizona. If you are considering nose reshaping surgery, contact Dr. Shapiro’s office to set up a consultation to discuss your concerns and goals.
Ideal candidates for this procedure are men or women in good health who are unhappy with the appearance of their nose and wish to permanently change the shape or size of the nose. Potential candidates should have realistic expectations about the outcome of the surgery for the best experience. Individuals who have had a previous nasal surgery and are unhappy with the results can discuss the revision rhinoplasty procedure as well. Dr. Shapiro is recognized as a leader in his practicing state of Arizona in correcting previous rhinoplasties.
In preparation for your consultation, Dr. Shapiro recommends considering specific things you would like to change. He often asks patients to bring in photographs to help explain what you hope to achieve from the surgery. Dr. Shapiro will work with you to decide on the changes that will best harmonize with your face.
Dr. Shapiro will review photographs you bring. Using digital software, he will manipulate a digital image of your nose to show what you can expect from the surgery. This will be used to create an aesthetic blueprint and surgical plan to prepare for your nose reshaping procedure.
Your Rhinoplasty Experience
What Age is Right for a Nose Job?
Dr. Shapiro generally performs nasal surgery on female patients who are at least 16, although the minimum age for male patients is a bit higher. This is due to the age at which the nose finishes growing, and growth spurts can affect the shape and results of the nose.
Support from Friends and Family
Some patients experience unexpected reactions from friends and family following surgery. Sometimes changing an aspect of your appearance for cosmetic reasons is frowned upon, particularly if the nose is an ethnic or family trait. Dr. Shapiro recommends remembering that you performed the procedure for yourself.
Natural Results vs. Dramatic Ethnic Rhinoplasty
Some families are very proud of a genetic nasal shape. If you have your father’s nose, it may be a source of pride for the family. Friends can also react negatively to what they view as radical surgery. These reactions will pass in time. If you stay strong, your surgery will be worth it. Dr. Shapiro will discuss your desired results and whether you want a subtle and natural-looking result or dramatic nose job. Dr. Shapiro has decades of experience performing nose procedures on patients of Mediterranean, Asian and African descent and can improve the appearance of the nose without removing ethnic traits.
Rhinoplasty surgery is performed on an outpatient basis, and patients must leave with a scheduled ride home. Patients will return to the Paradise Valley Plastic Surgery office the next day to have nasal packing materials that were placed during surgery removed. Bruising typically develops around the eyes over the first few days, and dissipates over a week or so. Surgical sutures will be removed with the nasal splint one week after the procedure.
At this post-op visit, your new nose will be revealed. Dr. Shapiro encourages out-of-state patients to incorporate follow-up visits into travel plans as they are very important in the surgical process.
Swelling and bruising typically peak two days post-surgery, then subside over weeks. Bruising around the eyes may persist for up to two weeks. Nasal swelling may not be noticeable until the splint is removed. While most swelling subsides within one or two months, subtle swelling will persist for up to one year or even longer. Most patients feel confident enough to go in public two weeks after nasal surgery.
Nasal congestion is common after this procedure, particularly during the first six weeks. The upper lip may feel stiff for a few weeks, and the nose may feel “wooden” or numb for weeks. These side effects do subside.
The final results of your rhinoplasty may not be apparent for a year or more, though the majority of nasal swelling will subside within weeks. It may take months to a year for residual inflammation to cease entirely. The minor changes that morph over this year are often noticeable only to the patient. Complete the contact form on this page for more information.