Nose Surgery / Rhinoplasty

Age, genetics, and trauma can change the appearance and function of the nose. Nasal surgery can address problems with the nasal airway and breathing; treat a deviated septum (partition which divides the nose into two nostrils); and improve the appearance of the nose, changing the angle of the nose, removing a bridge hump, narrowing the nostrils, and reshaping the tip. The reasons for rhinoplasty surgery range from broken noses (deviated septum), birth deformities, drooping nasal tips associated with growing older, breathing problems, sequelae from previous surgeries, or simply disliking with nose you have. Regardless of your reason(s), Dr. Fishman strives for a beautiful and natural nose which which breathes well and harmonizes impeccably with your facial features.

BENEFITS OF RHINOPLASTY (NOSE SURGERY)

  • Rhinoplasty can change the size, shape and angle of the nose.
  • Nose surgery can improve both the appearance and function of the nose.
  • Dr. Fishman frequently corrects damage from previous nasal surgery or injury.
  • Rhinoplasty can treat age-related nose changes to create a rejuvenated nose appearance.

CANDIDATES FOR RHINOPLASTY/ SEPTOPLASTY (NOSE SURGERY)

Dr. Fishman’s experience and artistic vision allow her to approach every individual’s nose with a unique understanding of anatomy, function, appearance, and the marriage between these so important in nose surgery. Every person is unique, and every nose is as well.

A good candidate for rhinoplasty surgery is concerned about the appearance and/ or function of his or her nose, and has realistic expectations of nose surgery. Good candidates for nasal surgery should be in great health, and be of 15-16 years of age or older, with near-complete physical growth and development.

NOSE and RHINOPLASTY SURGERY: TREATMENT DETAILS

Dr. Fishman performs both endonasal (so-called “closed”) and external (so-called “open”) rhinoplasty, or nose-shaping surgery. While closed rhinoplasty employs incisions inside the nostrils, open rhinoplasty (typically reserved for more difficult cases) uses both intra-nasal incisions and a small incision between the nostrils. After you are asleep and comfortable, Dr. Fishman uses the appropriate incisions to reshape the nose, re-form its bones and cartilage, and treat septal deviations to improve breathing.

AFTER SURGERY

  1. Expect a dressing of tan tapes and a splint to be placed onto the nose, and removed after 7-10 days; small plastic septal splints are placed inside the nose in case of a septoplasty, and are removed after 5-7 days.
  2. Know that most swelling is resolved after the first 2 weeks, though the nose continues to heal both inside and outside for over a year after surgery. Rest as much as possible the first day after surgery.
  3. Keep your head elevated on 2-3 pillows.
  4. Apply cold compresses to the eyes and cheeks.
  5. Manage post-surgery discomfort with oral medications.
  6. Expect to return to work or school in 7-10 days after surgery.
  7. Resume walking the day after surgery. Restrict strenuous exercise and heavy lifting for 3 weeks after surgery.
  8. Avoid out-of-town travel for 2 weeks after surgery.
  9. Avoid any pressure on the bridge of the nose (such as glasses or goggles) for 2 months after surgery.

Frequently Asked Questions

WHAT ANESTHESIA DOES DR. FISHMAN PREFER FOR NOSE SURGERY?

Dr. Fishman will discuss her anesthesia preferences with you during your consult. Depending on the complexity of the case, your health, and the need for cartilage grafting, Dr. Fishman will select local anesthesia with sedation or general anesthesia.

SHOULD I HAVE NOSE SURGERY?

You may consider nose surgery if you have trouble breathing through the nose, have had nasal trauma, broken noses, or previous nose surgery, or want to improve the appearance of your nose. You may be a good candidate for nose surgery if you are in good health and have realistic, mature expectations of surgery.

HOW LONG DOES NOSE SURGERY TAKE?

This depends on the complexity of the case and the need for cartilage harvesting. Dr. Fishman usually finishes nose surgeries in 1-2.5 hours, with most complex cases requiring 4 hours.

DOES NOSE SURGERY RESULT IN SCARS?

All incisions leave scars, though with endonasal/ closed surgery, incisions are hidden inside the nose and are difficult to discern. The incision of open/ external rhinoplasty is between the nostrils and above the upper lip, and is small. The incisions of nostril-narrowing surgery are hidden in the natural creases between the nostrils and the upper lip. While scars never disappear, they fade significantly over time.

HOW PAINFUL IS NOSE SURGERY?

Most patients complain of a sore or a bruised sensation after nose surgery, and frequently report congestion. These symptoms resolve over several days-weeks after surgery. Strong oral pain medication is frequently employed for the first 1-4 days after surgery.

CAN THE RESULTS OF AN UNSATISFACTORY NOSE SURGERY BE CORRECTED?

Dr. Fishman performs revision rhinoplasty both for her own patients and those having undergone nose surgery elsewhere. Revision rhinoplasty, or surgery to correct the results of previous nose surgery, requires great surgical skill and extensive rhinoplasty experience; Dr. Fishman is a Facial Plastic and Reconstructive surgeon trained in Ear, Nose, and Throat–Head and Neck Surgery, and her experience allows her to take on some of the most challenging nose revision cases.

WILL INSURANCE PAY FOR RHINOPLASTY SURGERY?

Insurance companies typically do not cover cosmetic or aesthetic surgeries; our practice offers financing for these procedures. Please inquire about financing during your consult. Insurance may cover the cost of your surgery if it is medically necessary. You must check with your insurance provider to determine your eligibility for coverage.