COST $8000 and up
DURATION 3-5 hours
INSURANCE COVERAGE Partial to complete coverage possible
Rhinoplasty is one of the most commonly performed procedures by a facial plastic surgeon. With prior training as an ear, nose and throat surgeon, Dr. Patel spent thousands of hours learning about every aspect of the nose.
Patients are typically interested in rhinoplasty to change the overall shape of their nose. Whether this is a reduction, rotation or narrowing of the width, understanding the function of the nose in addition to the architecture is a primary concern of Dr. Patel.
It is rare to hear someone comment on the beauty of a nose. The nose frames the face and, rather than being a focal point, allows others to notice one’s’ eyes, cheeks or smile. A nose should provide harmony and balance and needs to be analyzed in concordance to the rest of the face. The bottom line is no one wants their nose to be noticed. A beautiful nose is a plain and simple one. When analyzing a nose we look at photos from all angles and expressions. In each of these views, a different aspect of the nose is assessed. During your consultation, Dr. Patel will review these images in detail and create a surgical plan as well as show you the potential results of your surgery. This is a dynamic and interactive conversation with the primary goal of aligning your desires with Dr. Patel’s expertise to achieve the optimal result.
What Are The Benefits Of A Rhinoplasty?
Rhinoplasty has several specific goals. Some facilitate breathing as well as improve facial appearance. During a rhinoplasty, the surgeon may make your appearance more pleasing to you by:
- Removing a hump on your nose
- Modifying the bridge of your nose
- Reshaping the tip of your nose
- Reshaping or resizing your nostrils
- Repairing your nose after an injury
- Increasing or decreasing the size of your nose
Are You A Good Candidate For A Rhinoplasty?
In order to be a candidate for a rhinoplasty procedure you must meet the following criteria:
- Be at least 13 years old so that facial growth is complete
- Be in overall good health
- Not be a smoker
- Have realistic expectations about the outcome of the surgery
How Is A Rhinoplasty Performed?
Rhinoplasty is usually an outpatient procedure performed under IV sedation or general anesthesia. It usually takes from 2 to 3 hours to complete. Surgeons use one of two techniques when performing nose surgery. In a closed rhinoplasty, incisions are made within the nostrils. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils.
With both methods, the surgeon gently lifts the soft tissues covering the nose. The surgeon sculpts the bone and cartilage to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum. If the patient has a deviated septum, the surgeon will adjust the septum and the inner structures of the nose to improve breathing. Then the tissues are re-draped and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of rhinoplasty.
Are There Any Restrictions In The Weeks Following A Rhinoplasty?
While you will be able to resume normal activities about a week after surgery, you will have to protect your nose while it heals by observing the following directives during the post-operative period:
- Avoid strenuous activities: 6 weeks
- Take baths instead of showers: 5 days
- Avoid blowing your nose: 2 weeks
- Avoid constipation
- Avoid making exaggerated facial expressions
- Brush your teeth gently
- Avoid pulling clothing over your head
- Use sunscreen of SPF 30 or higher
What is recovery after a rhinoplasty like?
Another common concern about rhinoplasty is the recovery from the procedure. The most common concern is pain. Dr. Patel was the chief author of a landmark study on pain following rhinoplasty and found that, on average, patients utilize 9 pain pills over a period of about 3 days after the surgery. Pain levels vary from patient to patient, but the recovery process is approximately one week. A splint is placed over the nose for 5 days followed by tape for an additional 5 days. There is some congestion that can be intense at first, but resolves after 2 weeks. Dr. Patel does NOT use packing in the nose. Though you may bleed a little bit more because of this, it greatly improves a patient’s’ comfort level. Bruising and swelling also cause some discomfort, but Dr. Patel and his staff will utilize an array of therapy and techniques that will minimize these effects. Most patients are fully back to normal and ready to show off their nose about 4 weeks after surgery; however the very last bit of swelling after an open approach rhinoplasty can last up to a year.
Are Most Patients Pleased With The Results Of A Rhinoplasty?
Patients with realistic goals for rhinoplasty are generally very happy with the new shape of their nose. The exact results depend on your nasal bone and cartilage structure, your facial shape, the thickness of your skin and your age. While you will look and feel fine within a week or two, you may have minimal swelling for as long as a year after the rhinoplasty procedure. Although your appearance may not be absolutely optimal until a year has passed, you will more than likely be extremely pleased with the results of your nose surgery soon after the procedure. The national average for revision rates with rhinoplasty is around 10% so choosing a board certified surgeon who specializes in the nose is critical.
What Are The Possible Risks Of Rhinoplasty?
Complications arising from a rhinoplasty are rare and, when they do occur, usually minor. These may include infection, nosebleed, or a reaction to the anesthesia. Some few patients may experience recurring nosebleed or numbness in or around the nose. On rare occasions, the nasal septum may be perforated, but this can be repaired. In general, a rhinoplasty is considered a very safe surgical procedure.
Will Insurance Cover Your Rhinoplasty?
There are many situations in which insurance companies will consider rhinoplasty a medically covered benefit. Generally speaking, these situations involve an inability to breathe. Though this can generally be improved by fixing the inside of the nose by addressing the cartilage divider (septum) or shrinking the turbinates, there are instances in which other aspects of the nose need to be addressed. These can be as a result of anatomy or previous trauma. Typically insurance companies want to know you have tried conservative measures (such as nasal sprays) and require an internal nasal evaluation. While nose straightening is often covered, reducing a hump, narrowing the base, or refining the tip are typically excluded. It is also possible to have a surgery that is partially billed to your insurance and the remainder is designated as cosmetic and covered by the patient. Dr. Patel always advises patients who are considering surgery for either medical or cosmetic benefits to carefully review all of their options before making a decision.
What Is Revision Rhinoplasty?
Revision, or secondary, rhinoplasty corrects deformities caused by a previous operation on the nose. It is a more difficult procedure to perform than primary rhinoplasty because there is less cartilage to work with and there may be scarring or tissue contracture. When performed by a highly skilled plastic surgeon, however, a revision rhinoplasty can improve both the appearance and the function of the nose.