Rhinoplasty is a frequently performed cosmetic operation in the United States, specially designed to reshape the nose, restore functionality, or both. With minimal risks and gratifying results, it’s no wonder that rhinoplasty is one of the most commonly requested cosmetic procedures.
What is Rhinoplasty?
Rhinoplasty, sometimes referred to as nose reshaping or a nose job, is performed in order to improve the appearance and proportion of the nose in relation to the face. It can also be performed to correct breathing problems related to structural defects of the nose and nasal passages, such as a deviated septum.
Rhinoplasty is performed using either an open technique, giving the surgeon the best access to the nasal features, or a closed technique, which leaves the least amount of scarring. Both techniques are frequently utilized and the best method for the patient will depend on the desired outcome of the surgery.
Dr. Kyle Belek works closely with each of his Bay Area patients to develop a personalized procedure plan that offers the most comprehensive immediate and long-term results. Please feel free to contact our Berkeley or Marin County location today to request your rhinoplasty consultation.
Benefits Of Rhinoplasty
Many patients choose to undergo rhinoplasty in order to make their nose more proportional and aesthetically pleasing. Some cosmetic concerns and reasons one may undergo nasal surgery include:
- The size of the nose in relation to the face
- Width of the nose at the bridge
- Positioning of the nostrils
- Asymmetrical appearance
- Size or shape of the nostrils
In addition to the aesthetic considerations, rhinoplasty is commonly used in order to treat and correct a deviated septum and improve breathing and airflow. Some people are born with a deviated septum, while other times a deviated septum arises as a result of trauma to the nose.
Before & After Photos
Depending on the goals of the surgery, Dr. Belek will employ one or more various techniques. In all of his procedures, Dr. Belek works meticulously to ensure that proportion and harmony are achieved while maintaining or improving function.
Some patients approach Dr. Belek dealing with issues relating to a lack of volume or structural support in the nose. For example, there may be an unpleasant dip in the bridge of the nose leading to an unattractive contour and profile. In these cases, Dr. Belek implements bone or tissue grafting to augment specific parts of the nose. Cartilage for this procedure is usually harvested from another part of the nose or the patient’s rib or ear. In some cases, Dr. Belek will opt for synthetic materials.
Reduction rhinoplasty works to remove excess or unwanted contours or features from the nose. Common concerns include a bulbous tip, enlarged nostrils, or a hump on the bridge of the nose. There are very specific techniques associated with each point of concern, all of which Dr. Belek has extensive experience performing and delivering the desired results.
In reduction rhinoplasty procedures, there is a chance that slimming or narrowing one feature may lead another feature appearing disproportionately large. Prior to surgery, Dr. Belek utilizes all the tools at his disposal, including photographs and three dimensional models, to give an accurate portrayal of the outcome of the patient’s surgery before undergoing it and what approaches will be required.
Septoplasty is a specific surgical technique that realigns or reconstructs a deviated septum. The nasal septum is the column of cartilage and bone that separates the nasal cavities and creates a proper air flow. When it is crooked or not centered, either from an injury or congenital, a deviated septum can lead to a variety of problems including difficulty sleeping and breathing, excessive nose bleeds, and more. By correcting the position of the septum and allowing regular air flow through the nose, septoplasty can greatly improve quality of life.
Reconstructive rhinoplasty, sometimes called post-traumatic rhinoplasty, regains the full function and aesthetic appearance of the nose after injury or trauma. If the nose has been broken, it may need to be rebroken in order for Dr. Belek to properly set it and restore ideal appearance and functionality. The amount of time required before the nose can be operated on will depend on the extent of the patient’s injuries and whether or not the trauma requires immediate surgical intervention.
Revision rhinoplasty restores the appearance of the nose after a previously botched rhinoplasty or a nose reshaping surgery that did not heal properly or meet the patient’s aesthetic expectations. Dr. Belek is well-versed in both primary (first time nasal surgery) and revision nose surgery in order to restore function and aesthetic quality to a patient’s nose.
Ethnic rhinoplasty is a nasal surgery technique that focuses on achieving the patient’s desired results while still maintaining the nasal characteristics of a particular ethnic background. This is common for people of African American, Asian, and Middle Eastern background.
In general, good candidates for nose surgery are patients with a fully developed nose in good health who are concerned with the function and/or appearance of their nose.
In order to achieve optimal results, the patient’s nose should be fully developed prior to surgery. While there is no minimum age in order to have nose surgery, Dr. Belek suggests that boys wait until after age 17 and girls wait until after age 15. There may be some flexibility in age for septoplasty or reconstructive rhinoplasty.
It is important that candidates be in good health and have
Dr. Belek will go over these risks at the time of your consultation and determine whether or not you are a good candidate for rhinoplasty.
In order to maintain comfort during the procedure, patients will receive either an intravenous sedative or a general anesthesia before the surgery depending on the extent of the case.
Rhinoplasty is performed using one of two different methods: closed and open technique. In a closed, or endonasal, procedure, the incisions are hidden inside the nose. This means that there is no visible scarring after the procedure. However, a closed procedure also limits the doctor’s access to the nose, so it may not be the best option for all cases.
In an open procedure, an incision is made across the narrow strip of tissue separating the nostrils. The skin that covers the nasal bones and cartilage is gently raised, allowing access to reshape the structure of the nose. This will leave a tiny scar at the base of the nose that will fade over time once it has healed.
After the underlying structure of the nose has been sculpted to the desired shape, the skin and tissue are replaced and the incisions are closed.
Recovery from Rhinoplasty
During recovery from rhinoplasty, a splint and/or packing will most likely be placed inside the nose, along with a bandage on the outside to support and protect the nose’s new structure during the initial healing process.
The recovery process varies depending on the type of procedure, but initial swelling typically goes down within a few weeks. However, it may take up to a year for the newly contoured nose to refine itself, and during this time the patient may notice gradual changes to the appearance as it settles into its permanent ideal shape. Bruising might occur around the nose and under the eyes for some patients depending on their reaction to surgery; some patients do not experience bruising. In order to reduce swelling and bruising, patients should sleep with their head elevated and gently apply a cold compress to the surrounding areas. Patients can be prescribed pain medication to help with any discomfort.
It is important to refrain from drinking, smoking, and taking anti-inflammatory medications like ibuprofen, aspirin, and naproxen for the prescribed amount of time after surgery. These can lead to increased or prolonged side effects. Patients should be ready to return to work in about one week following surgery. At this time, patients should also expect to return to our Marin or Berkeley office for a follow-up appointment.
During a rhinoplasty consultation, patients will have the opportunity to discuss their concerns and aesthetic desires for their nose. Dr. Kyle Belek will take measurements and examine patient’s nose to aid in determining the patient’s candidacy for rhinoplasty and the best technique for their case.
If Dr. Belek determines that the patient is a good candidate, then he will create a personalized procedure plan and go over step-by-step instructions on how to prepare for and recover from surgery. Photographs will also be taken to show the improvement. At this time, feel free to ask any questions, including about complementary procedures that may be of interest such as a facelift or Botox.
The cost of a rhinoplasty procedure will depend on a number of factors, including the type of surgery, techniques utilized, anesthesia, etc. Dr. Belek will be able to offer a more accurate cost estimate after he has completed a full examination at the time of the consultation.
Dr. Belek is a board certified plastic surgeon with over a decade of experience performing cosmetic and functional rhinoplasties. Please call our office or contact us online to request a rhinoplasty consultation at either of our Bay Area locations.