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Rhinoplasty New Jersey - Nasal Reshaping

Rhinoplasty, or commonly known as nasal surgery, is performed to correct physiologocal as well as aesthetic defects such as a deviated septum and abnormalities as the result of prior injury or genetics. These abnormalities can obstruct air flow into the lungs and cause breathing problems, snoring or sleep apnea. Patients also seek rhinoplasty to correct aesthetic defects, that when corrected provide balance and harmony to their facial features, thus complimenting their natural beauty. The results of nasal surgery can be seen almost immediately and patients are able to return to work within days of surgery.

Why Nasal Surgery?

Rhinoplasty is performed in order to accomplish:

  • Change to nasal proportion and scale, especially relative to other facial features
  • Change in nasal width
  • Alteration nasal profile, especially along the bridge of the nose
  • Alteration of nasal tip, especially one that is out of proportion with the rest of the nose or one that droops
  • Change in shape of the nostrils, especially large, misshapen or flaring nostrils
  • Harmony of nasal shape, proportion and scale

Is it Right for Me?

The decision to undergo rhinoplasty surgery is one that you should carefully consider. As with any cosmetic surgical procedure, be sure that your motivations are centered around fulfilling and enhancing your own sense of innate beauty and self-image.

Nasal surgery may be right for those who:

  • Are physically healthy
  • Have completed all growth of the face and are 13 years old or older
  • Do not smoke
  • Have realistic expectations of nasal surgery

What to expect during your consultation

In order to create the best possible results from your nasal surgery, it is important that your surgeon consult with you to discuss your desires and expectations, as well as how rhinoplasty will impact your health, lifestyle and general well-being.

It is a good idea to prepare by considering the following before your consultation:

  • General medical history, including any previous surgeries or life-threatening illness
  • A detailed account of current prescription medications, supplements (vitamins or others) that you take
  • Any use of tobacco or other drugs
  • What are your motivations for surgery? What are your expectations?

At the consultation, your surgeon will also:

  • Evaluate your current health
  • Examine the condition of your pre-operative nose for size, shape and irregularities and photograph your nose from all angles
  • Based on the information gathered, your surgeon will discuss your surgical options and recommend a course of treatment
  • Disclose the risk of common complications associated with nose surgery and the use of anesthesia
  • Cover what to do the day of surgery
  • Cover post-operative care and recovery

Preparing for surgery

In the weeks before surgery, your surgeon may request:

  • Further laboratory testing or medical evaluations
  • Adjusting current prescriptions
  • That you avoid the consumption of alcohol, drugs and abstain from smoking for a certain period surrounding surgery

Finally, your surgeon will go over the options you may have regarding the location of your surgery. Typically, the rhinoplasty procedure is performed on an outpatient basis, which means that the surgery can be performed in an accredited office-based surgical center, outpatient ambulatory surgical center or a hospital.

How is Rhinoplasty Performed?

Anesthesia

Depending on your individual circumstances, Dr. Volshteyn will suggest either intravenous or general anesthesia.

The Incision

There are two surgical approaches for surgery of the nose:

  • Open procedure – A small incision is made under the tip of the nose, along the columella, the strip of skin that connects the tip of the nose to the upper lip. This allows the surgeon to pull the skin of the nose away completely from the structures of the nose for full access to the cartilage beneath.
  • Closed procedure – Small incisions are made inside the nostrils themselves, hiding the incisions within the nose.

Reshaping the Nose Structure

The structures of the nose are easily malleable because they are composed of soft tissues and cartilage or soft bone. In order to reshape the nasal structure, surgeons often shave existing cartilage to reduce size and alter shape or they use cartilage from other parts of the patients’ body to build up the nose. Cartilage from the middle nose, or septum, is used for this purpose, but cartilage from the ear can be used as well.

Correcting a Deviated Septum

Some people are born with a condition that inhibits clear and easy breathing, caused by a deviated septum. Correction of this condition is a common reason for nose surgery and the results are instantaneous.

Closing the Incision

Nasal surgery usually lasts about an hour, depending on the amount of correction required. Once the surgeon has determined that the results have been achieved, he or she will replace the skin of the nose back over the structures of the nose, and the incisions are closed with small sutures. Any incisions on the outside of the nose are made in the natural creases of the nose so that they are unnoticeable.

Surgeons often use splints and small tubes to support the newly shaped nasal structures, which are usually removed within one week.

See the Results

You will notice the results of your rhinoplasty immediately, even though initial swelling and bandages will somewhat obscure your view of the nose itself. After a week or two, your bandages and splints will be removed, allowing full view of the results, which will continue to unfold for up to a year after surgery. It is important to be patient and follow your surgeons’ instructions specifically, in order to achieve the best results possible.

Important Facts About the Safety and Risks of Nose Surgery

Ultimately, the decision to undergo nose surgery is yours alone. After careful consideration of both the risks and benefits of surgery, you’ll have to weigh the risks against the potential benefits to make an informed decision that you can live with. Your health care professional will go over all potential risks of surgery and will make themselves available to answer any and all of your questions.

Here is a listing of some of the risks associated with rhinoplasty:

  • Adverse scarring
  • Complications associated with anesthesia
  • Broken blood vessels on the surface of the nose
  • Nasal passages may become altered such that it becomes difficult to breathe
  • A small tear in the septum called a nasal septal perforation may occur, but it is rare. In this case, further surgeries may be necessary.
  • Excessive bleeding (hematoma)
  • Infection Complications associated with scar healing, including pain associated with surgery
  • Potential loss of nose sensation, which can be either permanent or temporary
  • Potential risks of anesthesia use
  • Blood clots
  • Sutures break through the skin, necessitating immediate removal

When you go home

After any surgery, it is important to closely monitor how you feel, especially directly after surgery. Varying degrees of pain are certainly to be expected, however, if you experience any kind of tightness or shortness of breath, pains deep in your chest or an irregular heart beat you should go to Dr. Volshteyn immediately. To avoid complications, it is of paramount importance that you strictly follow your Dr. Volshteyn’s post-surgical instructions and be careful!

My recovery

Recovery from nose surgery is relatively short, but it is important to be patient as your results begin to unfold over time. Splints and tubes to support the new nasal structures will be inserted and stitches will have to be cleaned.

The results will be long-lasting

Although the initial swelling can be intense, you can expect the long-term results of rhinoplasty surgery to be extraordinary. As with any cosmetic surgery, it is of paramount importance that you follow your surgeons’ post-surgery instructions exactly to ensure the best long-term results.

It is important to understand, though, that the nose will continue to change over time, naturally. Revision surgery may be required.