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Rhinoplasty

Simply put, cosmetic alterations to the nose can significantly enhance your facial appearance. Rhinoplasty, commonly referred to as a nose job, ranks among the most sought-after cosmetic procedures nationwide, with 218,924 surgeries performed in a recent year, as reported by the American Society of Plastic Surgeons (ASPS).

Dr. Matthew White conducts primary and revision rhinoplasty with meticulous attention and expertise. Below, we've provided responses to some of the common questions we are asked about rhinoplasty.

What is rhinoplasty and why is it performed?

Rhinoplasty , also known as a nose job, is a cosmetic surgical procedure aimed at enhancing the shape and size of the nose while addressing functional concerns. Dr. White approaches cosmetic rhinoplasty with the objective of achieving facial harmony and balance. Even subtle adjustments can yield a remarkable enhancement in overall facial aesthetics.

Patients opt for rhinoplasty to:

  • Alter the size, shape, or angle of the nose
  • Correct nasal humps or dips
  • Attain a more symmetrical nasal appearance
  • Enhance the appearance of nostrils
  • Rectify a deviated septum or other structural issues
  • Enhance breathing
  • Restore the nose after trauma or injury

Will health insurance cover the cost of rhinoplasty?

Typically, health insurance does not cover nose reshaping for cosmetic purposes. However, coverage may extend to septoplasty (to correct a deviated septum) and other procedures addressing structural concerns and nasal function. When functional procedures coincide with cosmetic rhinoplasty, insurance may cover a portion of the expenses.

What is recovery like after rhinoplasty?

Recovery from rhinoplasty is generally milder compared to other facial surgeries. The procedure is usually performed on an outpatient basis, allowing patients to return home afterward. It's advisable to arrange for someone to accompany you home and stay with you for the initial postoperative period.

While some discomfort may occur, it can be effectively managed with prescribed medications. You can expect to wear a nasal splint during the first week post-surgery to safeguard the healing nose. Bruising and swelling are common in the early stages of recovery and can be mitigated by keeping the head elevated. Splints and sutures are usually removed within a week after the procedure.

Most individuals can resume work approximately one week after surgery, with strenuous activities avoided for the initial three weeks or as directed by Dr. White. The final results of rhinoplasty will be apparent once postoperative swelling has fully subsided.

Can my rhinoplasty be combined with other procedures?

Yes, rhinoplasty can be combined with various surgical or non-surgical cosmetic procedures. Some patients may opt to complement their nose job with dermal fillers to diminish lines or wrinkles or with other cosmetic surgical or non-surgical treatments.

Fat injections offer a natural alternative to fillers. Fat grafts can augment the chin or cheeks, harmonizing with the nose's appearance and potentially minimizing surgical alterations required in rhinoplasty.

Surgical procedures that may complement rhinoplasty results include facelifts, eyelid lifts, or brow lifts. Combining surgical procedures can reduce overall downtime and help achieve a rejuvenated appearance in a single surgical session. When you discuss your cosmetic concerns with Dr. White, he'll develop a comprehensive, personalized treatment plan that’s right for you.

Will my nose still be unique to me after rhinoplasty?

Rest assured, this is a highly individualized procedure. Rather than adopting a one-size-fits-all approach, Dr. White, an esteemed facial plastic surgeon, assesses all your facial features comprehensively and devises a surgical plan to address your concerns while preserving your distinctive attributes.

Certain ethnic groups may have distinctive traits passed down through generations. Ethnic patients may be apprehensive about altering their appearance significantly and losing familial characteristics. However, our meticulous and conservative approach to rhinoplasty ensures improvement without compromising the natural beauty of your unique features.

Is rhinoplasty painful?

For starters, anesthesia is administered to ensure comfort during the procedure, rendering the surgery itself painless. While some discomfort may be experienced during the initial stages of healing post-procedure. Typically, symptoms can be managed with pain medication, which is usually required for a short duration.

What can I expect in a rhinoplasty procedure?

Rest assured, rhinoplasty is performed under general anesthesia or local anesthesia with sedation. Having a friend or family member drive you home after surgery is recommended. The procedure typically lasts two hours or less.

What is an “open” or “closed” rhinoplasty?

Dr. White tailors the rhinoplasty approach to your nasal structure and desired cosmetic outcomes. In some cases, he may opt for open rhinoplasty, which entails incisions inside the nose and a small one beneath the nose between the nostrils. Closed rhinoplasty involves incisions made exclusively inside the nose.

Open rhinoplasty offers improved access and visibility, making it preferable for complex cases. Closed rhinoplasty, suitable for minor nasal alterations, may be recommended in certain instances. In both approaches, incisions are strategically placed to minimize visible scarring. Dr. White utilizes these incisions to correct structural abnormalities, refine the nasal bridge, alter the tip's shape or angle, and make subtle adjustments to enhance nose aesthetics.

Why is revision rhinoplasty more difficult to perform than primary rhinoplasty?

Revision rhinoplasty, a secondary procedure to correct undesirable outcomes from the initial (primary) nose surgery, presents unique challenges. Surgeons may avoid performing revision rhinoplasty due to factors associated with primary rhinoplasty, including scar tissue formation, the need for cartilage reinforcement, and unknown variables. However, as a distinguished nose surgeon with requisite expertise, Dr. White is frequently called upon to perform revision rhinoplasty.

What are some additional benefits of rhinoplasty?

In addition to achieving a well-proportioned nose that complements your facial aesthetics, rhinoplasty may also enhance overall functionality. For example, you can expect improved breathing, which can lead to better sleep, increased daytime alertness, and reduced under-eye circles, resulting in a brighter, more vibrant appearance.

Another notable benefit is enhanced self-confidence. Feeling better about your appearance can boost confidence levels and overall satisfaction in personal and professional spheres, fostering empowerment.

How can rhinoplasty improve the function of my nose?

While rhinoplasty is primarily associated with cosmetic enhancements, it can also address nasal functional issues. In some cases, health insurance may cover a portion of the procedure to alleviate breathing difficulties.

Breathing problems often stem from a deviated septum or other structural nasal imperfections. Dr. White rectifies these issues by addressing septal deformities to optimize airflow. Improved nasal function can alleviate discomfort, enhance sleep quality, and alleviate symptoms like congestion, headaches, and nosebleeds.

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