Nose reshaping aka Rhinoplasty changes the external appearance and internal function of your entire nose. The purpose of this procedure by Scottsdale, AZ board-certified plastic surgeon, Dr. Carlos Mata, is to enhance your looks while maintaining or improving your ability to breathe through your nose. Dr. Mata’s sense of aesthetics, understanding of the anatomy and physiology of the nose, and technical abilities are the most important determinants of the final appearance and function of your nose shaping procedure. However, your final outcome is not completely under the control of Dr. Mata. It will be influenced by your genetic variables, such as the thickness and shape of your bones and cartilage, quality and thickness of your skin, your overall facial shape, and age.
There are several techniques used for rhinoplasty. The approach taken will be based on the complexity of the surgical case and the overall goal of the patient.
With an open rhinoplasty, the incisions are made on the tissue between the nostrils and/or on the natural crease of the nose just above the lips. This allows for greater access and view of the confines of the nose. The skin is peeled back to reveal the internal structure of the nose and redraped once reshaping is completed. This technique is necessary for rhinoplasty that requires mild to extensive reshaping because it allows an easier manipulation of the bones and cartilage. The scars associated with this approach are tiny - less than 5mm - and are not easily noticeable once fully healed
During closed rhinoplasty surgery, incisions are made to the inside of the nose through the nostrils. This is a common technique for patients who desire mild reshaping. This approach does not cause visible scarring.
The surgical procedure corrects a deviated septum, it’s when your septum is crooked making it harder to breathe and causing recurring sinus infections in some cases. The septoplasty straightens the bone and cartilage of the septum, dividing the space between your two nostrils. It can be done alone or during an open rhinoplasty.
Rhinoplasty is performed in an accredited surgical facility under general anesthesia. After surgery, there will be swelling and soreness around the nose area. Bruising is also a side effect of surgery. The nose will be placed in a splint for additional support. During the first 7–10 days following surgery, the side effects will begin to disappear and the splint will be removed. Patients will be able to see their results immediately; however, it may take several months for the full results to appear.
For minor reshaping, some patients may opt to try a non-surgical rhinoplasty. It is the use of injectable fillers to correct the shape of the nose. The fillers can help add volume to hide small deformities, such as a bump or a bony appearance. The recovery is It is important to note that fillers are temporary and can only do so much in the reshaping process. For most patients, a surgical rhinoplasty is recommended to correct breathing and appearance. The results will be permanent and it offers better reshaping overall.
Around half of all rhinoplasty cases will include some form of nose breaking in order to allow the surgeon to reshape the cartilage and bone. This is primarily intended for patients who have nasal asymmetry. The broken bone or cartilage will be reshaped and reattached, and then supported by splints during recovery.
All surgical procedures carry some form of risk. These risks may be greatly minimized if an experienced nose surgeon is chosen to perform the surgery. While rhinoplasty is one of the most commonly performed procedures in the United States, a surgeon's skill is critical so that a beautiful, satisfactory outcome may result.
Nasal packing is done to help with bleeding, especially if the surgery involves the septum. Gauze or cotton packs are inserted into the nasal chamber during this process. Patients find it uncomfortable, but the packing is only in for the short-term during the immediate recovery phase.