RHINOPLASTY - SURGERY OF THE NOSE
Cosmetic surgery of the nose, or rhinoplasty, is a procedure to improve the appearance of the nose. Specific features addressed in cosmetic surgery of the nose, and strictly for appearance enhancement, include:

• Nose size, in relation to facial balance
• Nose width, at the bridge or in the size and position of the nostrils
• Nose profile, with visible humps or depressions on the bridge
• Nasal tip, that is enlarged or bulbous, drooping, upturned or hooked
• Nostrils that are large, wide or upturned
• Nasal asymmetry

These features are generally caused by heredity, however they can be caused by injury. When nose surgery is performed to improve breathing function, the cause is most commonly an obstructed airway. This procedure, whether performed alone or in conjunction with cosmetic surgery of the nose, is considered reconstructive and may be covered by insurance. This requires a detailed examination to verify the cause of your breathing impairment and prior authorization from your insurer.

Whether you have a personal desire to improve your appearance or you seek to improve breathing function, surgery of the nose is best performed when facial growth is complete, beginning around age 15. Prior to surgery you will be given specific instructions that may include diagnostic testing, medications, day of surgery instructions, postoperative care and follow-up information. You will also be asked to sign consent forms.

Once your procedure is completed, a splint and/or packing will likely be placed inside your nose and a splint or bandages place on the outside to support and protect the new structures during initial healing. Initial healing may include some swelling, bruising, headache and discomfort that can be controlled with medication and cold compresses. Your plastic surgeon will instruct you to keep your head elevated at all times until initial swelling has subsided, and to keep any nasal packing and nasal cast in place at all times. A return to light normal activity is possible as soon as you feel ready, usually within a few days of surgery. Any packing or splints will likely be removed after the first week, although you may need to wear the cast or splint for an additional week or two. You will be ready to return to work and normal activity at this time. Cosmetics can camouflage any bruising or redness that remains. Healing will continue for several weeks as swelling continues to dissipate and the improved appearance of your nose begins to become apparent. Diligent sun protection is recommended as you continue to heal. You must also protect your nose from injury during any physical activity for the next 4 to 6 months.