What’s Nose Reshaping?
A nose reshaping surgery, medically known as rhinoplasty, is a procedure in which the appearance of the nose is altered. People usually choose this procedure because their nose is large in proportion to the rest of the facial features, or is misshapen. Rhinoplasty may be combined with mentoplasty (a chin reshaping procedure), because the size and shape of the chin affects the appearance of the nose.
If you’re choosing nose reshaping surgery, make sure you’re choosing it because you really want it, not to please someone else or to fit an imagined ideal. No one else can make the choice for you; it’s your body, and you’re in charge of it. After you do your research and understand the procedure, if you believe that nose reshaping is right for you, then proceed. To help you in your decision-making process, we have some information about the risks and benefits of having a nose reshaping at Nose Reshaping: Risks and Benefits.
Please note that this page is for informational purposes only, and is not a substitute for qualified, individualized medical advice. You should discuss your potential elective surgery with your own doctor(s), including your primary care physician and the surgeon who will perform your surgery if you decide to proceed.
How it’s done
The procedure is done under general anesthesia. After the anesthesia takes effect, the incision area is cleaned. The incisions for a rhinoplasty are typically inside the nose, so there will be no external scars visible. Occasionally, an external incision is made on the columella, the strip of skin between the two nostrils; it will be as discreet as possible. Additionally, if the patient desires alteration of the size or shape of the nostrils, incisions may need to be made in the creases where the nostrils meet the midface.
After the incisions are made, the skin is lifted to expose the cartilage and bones that make up the nose. Removal of cartilage may be used to reduce the size of the nose or correct any humps, hooking or upturning, or other undesirable features of the nose. If it’s necessary to use a cartilage graft to achieve the best cosmetic result, the surgeon will usually be able to use cartilage from the septum, the divider between the two nostrils; the removal of this cartilage will not be obvious externally. Sometimes, a graft of cartilage from the ear is used; very rarely, the graft is taken from elsewhere in the body. The surgeon lays the skin back over the nose to check that the desired cosmetic effect has been achieved, and then makes adjustments as necessary.
Next, the incisions are closed using several layers of sutures. The outer layer will likely be fine suture if the incision is in a moist area such as inside the nose, but could also be skin adhesive or medical tape in some areas. The patient is then taken to the recovery room.
Preparing for the procedure
Choosing your surgeon
When choosing a surgeon, you want a highly-trained professional with experience in this type of surgery. A member of the American Society of Plastic Surgeons has received at least six years of surgical training after medical school, with three of those specifically in plastic surgery. Look for the designation “ASPS” after the surgeon’s name. Also, choose a surgeon with whom you feel comfortable and safe, and who listens to you and tries to understand your goals. If you have friends who’ve had cosmetic surgery, and you like their results, ask for a referral. While cost may be a consideration, don’t allow this to override more important factors in your decision. Your safety and the quality of your results are worth a little extra spending.
For more help in your search for a plastic surgeon, visit our How to Find the Best Facial Plastic Surgeon page. At Doctor Review, you can also search providers for patient reviews to help you find the very best.
Getting ready for surgery
You will have at least one appointment with your surgeon before surgery. You’ll have the chance to discuss your goals with your surgeon in detail, to communicate what aesthetic result you’re aiming for. You may want to bring photos that show people with noses similar to what you want yours to look like.
The day before your surgery, you should eat and drink enough healthy food and water, and get enough sleep the night before. You will need to stop eating 8 to 12 hours before your surgery. If you smoke, you should stop for at least 24 hours before the surgery. If you take daily medications to prevent blood clots, such as aspirin, you will likely be asked to stop those for 24 to 48 hours before the surgery (proceed as directed by your doctor, and don’t stop any medication without talking to your doctor first).
You will stay at the surgical center in the recovery room for several hours following surgery, for the anesthesia to wear off. Then you’ll be discharged to your home, where you’ll need to plan on spending 24 to 48 hours resting and recovering from surgery. You may have a small tube, called a drain, if the surgeon finds this to be necessary to prevent the accumulation of excess fluid. The drains will be removed when your surgeon no longer feels that they’re necessary. You should take care of your small incisions, keeping them clean and covered and watching for signs of infection. Your surgeon will see you for a postoperative appointment a few days after surgery. If sutures were used to close the skin, they’ll likely be removed at this appointment.
While you may return to normal activity within a few days of activity, as directed by your surgeon, you should expect some swelling and soreness for 4 to 6 weeks. The tiny incision sites will gradually fade and will eventually become nearly invisible in most people, though this may take a year or even longer.