Nose reshaping, also known as rhinoplasty, is one of the most popular plastic surgery procedures performed in the United States. There were 217,000 nose reshaping procedures in the U.S. in 2014 alone according to the American Society of Plastic Surgery. The procedure sculpts the cartilage and bone of the nose to achieve the desired look for the patient.
The results of nose reshaping surgery are usually permanent. The surgery should only be performed on a nose that has finished growing to ensure the best possible result. If nose reshaping is performed prior to the development being complete, the nose's continued growth may change the outcome of the surgery and cause potential complications. A human nose is usually fully developed by the age of 17.
Why Choose Nose Reshaping
Nose reshaping is often sought by people who are unhappy with the size and shape of their nose. When performed by an experienced cosmetic surgeon, nose reshaping can greatly improve the balance of facial features, while also potentially correcting structural defects, including those that cause breathing problems.
Nose reshaping surgery may:
- Reshape the nose size in relation to facial balance
- Change the nose width at the bridge or in the size and position of the nostrils
- Reshape the nose profile
- Correct nasal asymmetry
- Correct a deviated septum, one of the most common causes of breathing impairment, by adjusting the nasal structure to produce better alignment
Understanding Nose Reshaping Procedures
During nose reshaping surgery, the surgeon will numb the nose and then make incisions in order to gain adequate access to the bones and cartilage. There are two types of incisions that the surgeon may make; open and endonasal.
An open incision involves a cut made outside the nose with a small access incision on the underside of the nose between the nostrils that then connects with other incisions hidden inside the nose. This type of incision is known to fully open the nose which provides better visualization of the nasal structures and more direct access for the surgeon.
An endonasal incision involves a cut made inside the nasal passages. Because these incisions are hidden, they are not noticeable after surgery. This type of incision allows for a limited dissection of nasal tissues with good visualization of nasal structures while eliminating potential scarring at the base of the nose.
In addition to multiple incision options, there are also different methods for changing the look of the nose.
Autologous cartilage grafts taken from the nasal septum offers the best chance for a natural result. If cartilage and bone have already been removed from the nasal septum, then ear or rib cartilage are possible options.
It is not recommended to use silicone implants due to the risk of infection since they are made from foreign materials.Tip grafts made of cartilage may be used to remodel the tip of the nose, making it more uplifted, longer, shorter, or thinner. In some situations, tissue fillers can be added to increase the volume of the nose.
During recovery, a splint will likely be placed inside and outside of the nose to support and protect the new structures during healing. The initial swelling will subside within a few weeks but it may take up to a year for the new nasal contour to fully take shape. During this time, gradual changes in the appearance of the nose may take place. According to the American Society for Aesthetic Plastic Surgery, the national average cost of nose reshaping surgery is $4,436.
Risks of Nose Reshaping
- Anesthesia risks
- Poor wound healing or scarring
- Change in skin sensation including numbness and pain
- Difficulty breathing
- Unsatisfactory nasal appearance
- Skin discoloration and swelling
- Possibility of the need for additional surgery
- Skin problems from bandaging or from grafting materials being exposed through thin skin
- Nasal blockage caused by swelling inside the nose
- Injury to the septum, including perforation
- Scarring at the base of the nose
These risks and others should be fully discussed prior to a patient giving their consent. It is important that the patient and surgeon address all questions and concerns prior to the surgery.
Malpractice and Nose Reshaping
Strong malpractice cases will involve serious or permanent injury. Most law firms, ours included, will not take on cases of minor, and temporary injuries. However, mistakes during even the most minor of procedures can result in serious injuries with lifelong consequences. If your cosmetic surgery has been mishandled by a healthcare provider, call our offices today for a free consultation.