Create a Natural, Proportionate Nose with Rhinoplasty
Many patients who are considering rhinoplasty, commonly referred to as a nose job, may be doing so for aesthetic reasons, or they require it for health purposes. This is because the rhinoplasty is a highly-versatile plastic surgery procedure that can restore and reshape many different aspects of the nose.
Dr. Angelchik was certified by the American Board of Plastic Surgery (ABPS) in 1996 and successfully completed a rigorous recertification process in 2006 and 2016. He participates in the Maintenance of Certification program through the ABPS. He is a member in good standing of the American Society of Plastic Surgeons. He has also been named to Castle & Connolly’s Top Doctors in America every year since 1996.
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The rhinoplasty procedure aims to change different parts of the nose to make them more aesthetically-pleasing and bring them into better harmony with the rest of the face. Additionally, it can be used to correct anatomical issues like a deviated septum, which can cause difficulty breathing. These goals are achieved by surgical techniques that reduce or augment the anatomy of the nose using various methods. The rhinoplasty is often considered the most technically-challenging plastic surgery procedure because of the nose’s delicate structure. Because of this, the rhinoplasty can also come with the longest recovery periods out of any cosmetic procedure.
There are a number of health factors you need to consider in order to determine if rhinoplasty is the right option for you. During your consultation, Dr. Angelchik will discuss:
- Physical Health – Ideal candidates should be overall healthy and have passed a physical examination before the surgery.
- Mental Health– If you have realistic expectations about both the results and your healing process, then your rhinoplasty has a greater chance of success.
- Age – Ideally, your face will be fully developed and grown before your procedure. Typically, this occurs between the ages of 14 to 16.
- Lifestyle Choices – If you are a smoker, this can negatively impact your surgery. Dr. Angelchik will instruct you to stop smoking at least a few months in advance of your procedure.
There are two methods of performing a successful rhinoplasty, and Dr. Angelchik will discuss the best option for you during your consultation. These two methods include:
This technique is performed using a small, bridging incision across the columella, or skin between the nostrils. This allows the cartilage and skin of the nose to be pulled upwards so that the underlying structure can be accessed and manipulated. This method is usually preferred for extensive changes to the nose, including cartilage grafts or correction of a deviated septum.
This technique prevents any visible scarring, since incisions are made entirely within the nostrils. However, it can better accommodate small changes like reducing the bridge of the nose or the tip.
Your rhinoplasty procedure is performed under general anesthesia within an accredited surgical facility in the Phoenix, Scottsdale, and Glendale, AZ area. Most patients return home after the procedure, although Dr. Angelchik may determine that an overnight stay is necessary. Once anesthesia is administered, a predetermined incision is performed so that the nasal structure can be corrected. Cartilage can easily be reduced, but augmenting an under-projecting nose can require grafts from areas like the rib or ear. Dr. Angelchik will discuss your options for this during your consultation. Additionally, a deviated septum can be corrected either externally or internally using various techniques (on its own, this procedure is often called the septoplasty). Once the new nasal profile is achieved, the incisions are closed with absorbable sutures. You’ll then be fitted with a nasal splint to support the structure during recovery.
When you go home, you should rest and focus on recovery. Don’t plan to do any of your normal activities. When you sleep, you should try to keep your head elevated to reduce swelling and bleeding. The area around your eyes will be bruised after surgery, with possible bruising on your cheeks as well. Bruising is at its worst for the first three days, then will gradually begin to dissipate within a week. If you plan to use makeup to cover the bruising, make sure you wait until a couple days after surgery. You can take pain medications as prescribed by Dr. Angelchik. He will send you home with recovery information as well as which medications should be avoided during your recovery.
The majority of healing takes place in the weeks following your nose surgery. Although each patient heals differently, the following are common:
- Significant reduction in swelling after one to two weeks
- Return to work within 7-10 days.
- Return to all normal activities and exercise within a few weeks. If you play contact sports, Dr. Angelchik will let you know when it is safe to return to your sport without the threat of injuring your healing nose.
- Minor changes in nose shape and swelling for several weeks. These changes will be nearly imperceptible.
Although your results should be satisfactory after a few weeks, your nose shape will continue to change slightly over the following year. These changes do not affect the appearance of your nose drastically. Generally, nose surgery results are permanent. As you grow older, your nose tissue and cartilage may lose some elasticity, causing the shape of your nose to slightly change. In most cases, age-related changes in nose appearance are slight.
Can a nose job make your nose smaller?
There are a number of different areas that can be adjusted during a rhinoplasty, including the noses overall size. Dr. Angelchik can assess the right surgical plan for you during your consultation.
Can I sleep on my side after rhinoplasty?
After your rhinoplasty procedure, its best to sleep in an elevated position to reduce swelling. Sleeping on your side can put unwanted pressure on your new nose.
Can nasal bone be shaped?
Yes. During a rhinoplasty, Dr. Angelchik can reshape the underlying nasal bones to either augment or reduce them so theyre in better harmony with the rest of your face.
Can nasal polyps change shape of nose?
Along with a higher chance of complications like chronic sinusitis, large nasal polyps can change the shape of your nose. Its important to address the underlying causes of polyps while you discuss your options for rhinoplasty.
Does deviated septum surgery change your nose?
Surgery to correct a deviated septum, or septoplasty, can straighten and correct the nose if you have trouble breathing because of your noses anatomy. This type of surgery is not necessarily cosmetic, but can still change the appearance of your nose.
Does your voice change after rhinoplasty?
Although this is possible, its rarely a concern. Most patients notice changes that are extremely subtle or imperceptible to others. If this is a concern, Dr. Angelchik can discuss your best options.
How bad is nose job recovery?
Rhinoplasty comes with one of the longer recovery periods out of any plastic surgery procedure because of the time needed for all swelling to subside, which can be a year or more. However, 80% of swelling is gone around 6 weeks for most patients and is thus imperceptible to others. Most patients have bruising for 7-10 days. For most patients, pain is moderate and gets better in the first week. Dr. Angelchik will make sure you understand what to expect from your recovery as well as provide detailed instructions to make sure you get the most out of it.
How do I prepare for a nose job?
It can be helpful to take steps like preparing your recovery area and ensuring you have all the meals and materials you need for recovery. Additionally, you should make sure to stop smoking or taking blood-thinning medications ahead of your surgery date.
How long is recovery from rhinoplasty?
Most patients need to take two weeks away from work or social activities, but this can depend on factors like job responsibilities and personal choice. Minor swelling can persist for months after your surgery. Exercise can be resumed after two weeks. Its imperative to avoid pressure on the nose or any contact sports which could cause injury to the healing nose during the first 8 weeks after surgery.
How much does it cost for a good nose job?
Each rhinoplasty is different, but you can expect to pay costs for things like surgeons fees, facilities, anesthesia, and materials for your recovery. Youll receive a full estimate of your costs during your consultation.
How much does liposuction cost?
Your liposuction cost can vary greatly based on things like the area treated and the type of liposuction. Youll be given a full estimate of your costs during your consultation with Dr. Angelchik.
How much is a nose job?
According to the American Society of Plastic Surgeons, the average cost for rhinoplasty in 2019 was about $5,400. However, this can vary greatly based on the practice and your individual surgical plan.
What are the side effects of rhinoplasty?
Its common to experience swelling, bruising, discomfort, and nasal congestion after rhinoplasty. These after effects will gradually improve over time.
What is a bulbous nose tip?
This is a common concern by rhinoplasty patients, where the tip of the nose is very large and rounded versus the rest of the facial profile. Fortunately, this can be effectively corrected with rhinoplasty.
What is closed rhinoplasty?
A closed rhinoplasty uses an incision inside the nostrils to completely conceal any visible scarring. This option is usually not our first choice for patients that require tip modification.
What is external rhinoplasty?
External rhinoplasty, or open rhinoplasty, is a type of surgery where an incision is placed across the columella between the nostrils. This allows your plastic surgeon to pull the nose up for more open access to the underlying structures.
Can rhinoplasty help sinus problems?
Most often, a septoplasty can help alleviate problems with the sinuses like chronic sinusitis. Septoplasty is a type of nasal surgery that specifically addresses a deviated septum and does not alter the nasal bones or tip.
Can you die from rhinoplasty?
Rhinoplasty comes with risks like any other surgery. One effective way to mitigate your risks is by selecting an experienced, board certified plastic surgeon.
Do nose jobs last forever?
A nose job cant prevent changes that often come with aging, but you can expect long-term results with your rhinoplasty.
Do spreader grafts widen the nose?
Spreader grafts can serve a variety of purposes like widening the middle portion of the nose. This can have both cosmetic and functional purposes such as enhanced airflow for better breathing.
How long are you swollen after rhinoplasty?
Swelling after rhinoplasty lasts for a year or more. Most of the swelling is gone in the first 6 weeks. However, this can vary based on your unique surgical procedure.
How long do splints stay in after septoplasty?
Dr. Angelchik will give you the best idea of what to expect after your rhinoplasty. Internal and external splints are generally used for a week.
How long does a nose job take to perform?
Rhinoplasty can take between two and four hours to perform, based on your unique procedure and goals.
How long does non surgical rhinoplasty last?
Non-surgical rhinoplasty can last around one year based on the injectables used.
How should I sleep after nose surgery?
Its important to sleep in an elevated position after your surgery to reduce the chance of swelling and bruising. This means propping yourself up on a couch or recliner.
How should I sleep after rhinoplasty?
In order to avoid putting pressure on your nose and reduce the chance of swelling, you should be sure to sleep in an elevated position after your surgery.
Is nose job permanent?
Yes. Most patients enjoy long-term results after rhinoplasty, although you may still experience some changes in your nose as you age.
What types of nose jobs are there?
There are many different types of rhinoplasty, like an open or closed rhinoplasty as well as a septoplasty. Dr. Angelchik can recommend the right option for you during your consultation.
Why do nose jobs collapse?
Collapse of the nose after rhinoplasty is rare. It may be the result of side effects or a poorly-performed surgery. For this reason, its important to select a reputable and experienced board certified plastic surgeon.
Will the tip of my nose get smaller after rhinoplasty?
Its possible to reduce the size of the nasal tip with rhinoplasty with the right techniques. Dr. Angelchik can discuss your best options for your intended goals with rhinoplasty.