Rhinoplasty
(Nose Reshaping)
Return to All Procedures

The Right Nose for You

Rhinoplasty (nose reshaping) is performed for cosmetic or nasal breathing issues, and at times simultaneously for both reasons.

Being the most central and prominent feature on the face, when the nose takes on a shape that we do not like such as a hump on the bridge of the nose (dorsal hump), asymmetry of the nasal bridge (crooked nose) or abnormalities of the nasal tip (asymmetric or bulbous), it can draw immediate attention to itself and detract focus on other aspects of the face, such as your eyes or smile.  The goal of rhinoplasty is to create a natural, symmetric nose that is in harmony with the rest of the face, all done without compromising breathing.

rhinoplasty_prepost_cta-1.png

Since we are all individuals with a variety of backgrounds, personalities, and desires, no precise algorithm for the determination of the ideal nose exists, but there are a number of facial relationships which tend create a more favorable appearance of a person’s nose. These facial measurements can assist in the determination of how to best shape the nose while producing harmony with the face as a whole. During consultation, these relationships are considered in the context of your own vision to help create your ideal nose with many different goals that can be achieved such as removing a dorsal hump, straightening a crooked nose, refining (narrowing) a nasal tip, elevating the nasal tip increasing tip rotation), shortening a nose or even lengthening a nose if so desired. But overall the goal is to create a naturally appearing nose that fits your face and identity.

Click here to learn more about rhinoplasty (click the gear to open the "Speaker Notes" for optimal use).

Frequently Asked Questions

What can a rhinoplasty achieve?

Rhinoplasty can achieve many different goals including the following: removing a dorsal hump, straightening a crooked nose, refining (narrowing) a nasal tip, elevating the nasal tip, increasing tip rotation, shortening a nose or even lengthening a nose if so desired. But overall the goal is to create a natural appearing nose that fits your face and identity.

What should I expect with when undergoing a rhinoplasty?

The Initial Consultation

The initial consultation centers around your goals of nasal surgery, an examination of your nose in the context of an overall head and neck examination and a discussion of how best to meet your vision.

During your consultation, a variety of techniques for rhinoplasty may be discussed. A method is chosen that results in the best cosmetic and functional outcome for you. Pre and post-operative examples of other similar rhinoplasty are often reviewed. The details of the procedure and post-operative care are explained, and any questions you may have are answered. If a plan is confirmed to move forward with surgery, you meet with our patient care coordinator to schedule a surgery date.

Click here to learn more about rhinoplasty (click the gear to open the "Speaker Notes" for optimal use).

Pre-operative Visit

Prior to your surgery, you may have one more pre-operative visit. This visit typically involves a pre-operative history and physical at our office. This visit is performed to assess any medical issues you may have and to ensure that your surgery is conducted in the safest manner. Pre and post-operative instructions are reviewed, and this visit is also an opportunity for you to ask additional questions that may have arisen after your initial consultation.

Day of Surgery

Once in the pre-operative area, you will meet the nursing and anesthesiology staff who will take care of you during your procedure. Your surgeon will meet with you and your family prior to the procedure to review the procedure and discuss any last minute questions you have. After the procedure is performed, you will be taken to the recovery room. You will have a nasal cast and likely intranasal splints in place that will be removed at your post-operative visit. All rhinoplasty procedures are performed as outpatient surgery, and you will be sent home with detailed post-operative instructions and pain medication. We will call you on the night of surgery to ensure that you are doing well and to answer any questions you may have.

Post-operative Visits and Follow-up Care

Your first post-operative visit will be approximately one week after surgery to remove your sutures, nasal cast and any intranasal splints. You will then follow-up at one month after surgery and usually every three months for the first year after your surgery to ensure adequate healing. 

What are the risks or complications of rhinoplasty?

As with any surgical procedure, there are risks such as bleeding, infection, poor healing and risks related to undergoing anesthesia. Specific to rhinoplasty, there are risks of deformity under-correction, over-correction, asymmetry, nasal obstruction, persistent numbness and stiffness, and the need for additional revision surgery.   Approximately ten percent of patients who undergo rhinoplasty may be recommended to undergo a revision procedure for refinement of results.  If recommended, revision surgery is usually performed approximately 12 months after primary surgery to allow for adequate healing.

With you from step one

Contact us below or call at 206.599.3223. We’re here to help answer your questions or to get you started with a consultation.

Contact our patient care team