Nose Surgery

Nose Surgery (technically called a rhinoplasty) is surgery on the nose to change its shape or improve its function. It can be done for medical reasons — such as to correct breathing problems related to the nose or correct disfigurement resulting from trauma or birth defects.

When to Consider Nose Surgery

  • If you are unhappy with the shape, size or angle of your nose
  • If your nose is too large, too small or not in proportion to the rest of your face
  • If you have breathing problems resulting from irregularities inside your nose
  • If you have a nasal hump or a nasal tip that is drooping, too elevated or wide.

What are the different types of cosmetic nose surgery (rhinoplasty)?
  • Open Rhinoplasty is used for major nose reshaping. Incisions are made in the vertical strip of skin separating the nostrils, called the columella. …
  • Closed Rhinoplasty is used for minor nose reshaping. …
  • Secondary Rhinoplasty. …
  • Filler Rhinoplasty.

Keep in mind that there is no such thing as a perfect nose. Surgery, though, can enhance facial features and emphasize your unique and natural beauty. A plastic surgeon can describe the facial features that make you unique and tell you how changes would enhance your appearance.

The surgeon will evaluate the structures of your nose and other facial features. After this evaluation, he or she can tell you if your expectations are realistic.

The surgeon will also consider your overall health and should discuss with you the risks, recovery time, and costs involved.

There are various techniques for reshaping the nose. Once you decide to go ahead, your surgeon should describe exactly what he or she proposes to do.

How you prepare

Before scheduling rhinoplasty, you must meet with your surgeon to discuss important factors that determine whether the surgery is likely to work well for you. This meeting generally includes:

Your medical history. The most important question your doctor will ask you is about your motivation for surgery and your goals. Your doctor will also ask questions about your medical history — including a history of nasal obstruction, surgeries and any medications you take. If you have a bleeding disorder, such as hemophilia, you may not be a candidate for rhinoplasty.

A physical exam. Your doctor will conduct a complete physical examination, including any laboratory tests, such as blood tests. He or she also will examine your facial features and the inside and outside of your nose.

Photographs. Someone from your doctor’s office will take photographs of your nose from different angles. Your surgeon may use computer software to manipulate the photos to show you what kinds of results are possible.

A discussion of your expectations. You and your doctor should talk about your motivations and expectations. He or she will explain what rhinoplasty can and can’t do for you and what your results might be. It’s normal to feel a little self-conscious discussing your appearance, but it’s very important that you’re open with your surgeon about your desires and goals for surgery.