15 Feb 2017

Thinking about Rhinoplasty? Know the Basics from Villano MD in Bend

Rhinoplasty, also known as a nose job, is one of the most common plastic surgery procedures performed today.

People may decide to have their nose reshaped for a number of reasons. One person may wish to improve its functionality to make breathing better. Someone else may be seeking to remove a bump to straighten her nasal profile or refine the overall shape of her nose.

Rhinoplasty can reduce or increase the size of the nose. It can change the shape of the tip or the bridge. It can narrow the span of the nostrils, or change the angle between the nose and upper lip. It can correct a defect or repair an injury as well, boosting self-esteem and restoring confidence in the process.

A skilled facial plastic surgeon can imbue facial features with a natural balance consistent with the unique aesthetic of each patient. During an initial consultation, the doctor and patient can discuss the patient’s needs and desires.

Computer-generated imaging can offer the patient a look ahead. This establishes mutual understanding in advance of surgery by providing a realistic representation of what to expect.

A preoperative appointment is typically scheduled just before surgery.  During this appointment, the patient will be advised on all pre- and post-operative instructions. The preoperative appointment is also used to answer patient questions and ensure a smooth recovery process.


How Does It Work?

During a rhinoplasty procedure, the surgeon manipulates the cartilage of the nasal structure to achieve the desired results. There are two approaches:

  • In a closed procedure, incisions are made inside the nasal passages. This is most appropriate for minor changes.
  • In an open procedure, an incision is made along the narrow strip between the nostrils (the columella). This allows the surgeon access to the nasal structures through lifting the skin and soft tissue. Cartilage can be removed or added to fashion the desired contours.   

The procedure lasts anywhere from 30 minutes to two hours, depending on the patient’s needs.

Rhinoplasty is typically an outpatient procedure performed under local anesthesia, although general anesthesia can be used for more complicated cases. Under local anesthesia, patients can expect to be discharged as early as an hour after their surgery is complete.


What Happens After Surgery?

Following the surgery, a patient’s face will typically feel “puffy” for at least 24 hours. The nose may ache, and the patient may experience a dull headache. Any discomfort will be managed with pain medication prescribed by your surgeon.

The patient should plan on staying in bed with her head elevated for the first day. Swelling and bruising around the eyes will increase initially, before slowly going away during the first week or two. Cold compresses are helpful in reducing swelling. Patients are usually up within two days, and most return to work within a week or so.

It will take some time for the patient to return completely back to normal. During this period, it is necessary that the patient avoid any strenuous activities. The human body heals in a gradual and individual fashion; the patient should plan on following appropriate diet, exercise, medication, and facial hygiene guidelines.  

The outcome will not be immediate. However, the subtle swelling will subside over the course of a few weeks. Desired results will be achieved most rapidly through consistent observation of the doctor’s recommendations, and a commitment to proactive self-care.


Common Reasons Why People Choose Rhinoplasty

People decide to have their nose reshaped for a variety of reasons. These are the most common reasons people choose rhinoplasty:

  • Nose is too big (the most common complaint)
  • Nose is too wide
  • Nose is too broad between the eyes
  • Nose is too bulbous at the tip
  • Nose isn’t well defined
  • Nose is poorly defined at the tip
  • Nose flares too wide at the nostrils
  • Nose is too narrow at the nostrils
  • Rim of nose is too thick
  • Tip of nose hangs down
  • Nose looks like a “ski jump” or “saddle”
  • Middle of nose appears caved in or crushed
  • Nose is crooked from an injury
  • Unable to breathe easily through nose

If you can identify with any of the above, then rhinoplasty might be right for you. Feel beautiful with surgical solutions for your Timeless Beauty at Villano | MD. Contact us to learn more about rhinoplasty, and to schedule your complimentary consultation.


Dr. Villano is a board-certified facial plastic surgeon in Bend, Oregon. He provides surgical and non-surgical enhancements including Botox, Dysport, Restylane, microneedling, fotofacials, facelifts, eye lifts, nose surgery, cheek augmentation and much more. Schedule your consultation today.

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