Nose Surgery (Rhinoplasty)
Rhinoplasty, often called nasal enhancement or a “nose job,” is among the most complex plastic surgery procedures. It is also one of the most commonly performed procedures. In many cases, rhinoplasty, which improves the shape and/or size of the nose, is combined with septoplasty to improve nasal breathing and function.
Benefits of Rhinoplasty and Complementary Procedures
A rhinoplasty can improve both the form and the function of the nose. From an aesthetic perspective, rhinoplasty can enhance the symmetry of the nose, smooth a hump or dips along the length of the nose, narrow the nasal bridge, adjust the angle of the nose’s tip, or alter the size of the nostrils. The goal of our New Jersey plastic surgeon—Dr. Paul LoVerme—with all rhinoplasty procedures is to achieve facial harmony with natural-looking results. From a functional perspective, rhinoplasty can improve breathing through the nasal passages by adjusting the width and position of the septum for optimal airflow. For patients who have difficulty breathing but do not wish to have the shape of their nose altered, a septoplasty can be performed by itself. Rhinoplasty may be performed to repair problems from a prior injury or fracture
Ideal candidates for rhinoplasty have realistic expectations and wish to improve the shape of the nose for improved appearance. Patients who have difficulty breathing due to a deviated septum or other structural issue of the nose may also be good candidates for this procedure. Occasionally, patients choose to undergo rhinoplasty with Dr. LoVerme because they are unsatisfied with the outcome of a previous rhinoplasty. During the consultation process, Dr. LoVerme will perform a physical examination and review your medical history. Dr. LoVerme will take 2D and 3D photos and perform computer imaging in order to define your goals and determine whether rhinoplasty can deliver the results you desire. Each rhinoplasty procedure is customized to meet your unique needs and goals, and Dr. LoVerme takes into account factors such as age, skin thickness, the appearance and proportions of the facial features, and, when suitable, your ethnic background to achieve results that look natural and beautiful.
Cost of Rhinoplasty
Since the details of each rhinoplasty surgery are unique to the individual, the cost of the procedure can vary. Factors that impact the price can include the complexity of the procedure, the nature of the surgical adjustments being performed, anesthesiologist’s fees, and any post-operative medications. Patients who undergo rhinoplasty due to an obstruction of the airways often qualify for insurance coverage. In these cases, Dr. LoVerme and our staff can work with you and your insurance provider to complete any necessary paperwork or pre-authorization before the date of your surgery. Many patients also take advantage of our financing options to help make the cost of rhinoplasty more affordable.
Rhinoplasty is usually performed under general anesthesia and you are able to go home the same day. This is a procedure that can be performed at almost any age, with patients ranging from 14 years old (this procedure can be common for teenagers), to 70 years old (often combined with facelift). Rhinoplasty can be performed to increase or reduce the size of the nose, to shape the tip or bridge of the nose, or to alter the slope or angle of the nose. Rhinoplasty may also be performed to correct an injury or birth defect, or to improve breathing.
Board certified plastic surgeon Paul LoVerme, MD uses the “open” approach in most rhinoplasty cases because he can achieve more exacting results. This means that through a small incision in the columella (the “column” between the left and right nostrils), and other incisions inside the nose, he can lift the skin of the nose away from the bone and cartilage framework beneath, which is then shaped and sculpted as desired. The skin is then redraped over the “new” framework. In national studies, this approach has a much lower complication rate than the “closed” rhinoplasty.
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Rhinoplasty Recovery and Results
Following rhinoplasty surgery, bruising, swelling, and discomfort can be expected, but all can be alleviated with cold compresses and medication prescribed by Dr. LoVerme. Most visible swelling and bruising are usually gone within one to two weeks. If used, packing is removed 24 to 48 hours after surgery, and you can usually return to work or non-strenuous activities within a week. There will be tape on your nose for two weeks after surgery. Strenuous activities and unprotected sports may be resumed in four to six weeks. At that time, patients will enjoy a more proportionate, beautiful nose and breathe with greater ease.
For more information on rhinoplasty, please contact the LoVerme Center for Plastic Surgery.