The nose is the central, most prominent feature of the face and a major factor in defining balance and harmony among facial features. Most often, the specific characteristics are a result of heredity; but may sometimes be the result of injury or prior surgery. If you are bothered by the size or shape of your nose, rhinoplasty in Indianapolis (nose surgery) may be right for you. The procedure improves the appearance and proportion of the nose, enhancing facial harmony and self-confidence and may also correct impaired breathing caused by structural defects.
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Rhinoplasty is a surgical procedure to improve the appearance of the nose. The specific features that may be addressed include:
- The size, in relation to facial balance
- The width
- The nasal profile, such as humps or depressions
- The shape of the nasal tip, which may be enlarged, drooping, upturned or hooked
- Nostrils that are large, wide or upturned
- Nasal asymmetry or crookedness
In some cases, nasal contour may not be the only factor contributing to facial imbalance. Other facial features, especially a small chin, weak (flat) cheeks and/or jaw, may also contribute to facial imbalance. In these cases, rhinoplasty may be performed in conjunction with placement of facial implants or other procedures to achieve the desired appearance. When performed to improve breathing function, an obstructed airway is most often the cause. Correction of obstructed breathing is considered reconstructive and may be covered by insurance. This requires a detailed examination to verify the cause of your breathing impairment. Whether you have a personal desire to improve your appearance or you seek to improve breathing function, surgery is best performed when facial growth is complete, starting around age 15.
The Nose Surgery Procedure
Cosmetic nasal surgery is an individualized procedure that takes into account the specific characteristics that contribute to the overall appearance and relation to other facial features. Appropriate techniques may include:
- Alteration and reshaping of the nasal bridge
- Altering the shape or width
- Reshaping the nasal tip
- Reducing the width or size of the nostrils
- Adjusting the angle between the nose and upper lip
Results may not be completely symmetric, although the goal is to create facial balance and appropriate proportion. Surgery to improve an obstructed airway is also an individualized procedure. It requires careful assessment of the nasal structure as it relates to airflow and breathing. Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to gain better alignment.
Nasal surgery is performed either by using a closed procedure or an open procedure. In a closed procedure, the incisions are hidden inside the nostril, whereas in an open procedure the incision is made across the columella, the narrow strip of tissue that separates the nostrils. Through these incisions, Dr. Wagner gently raises the soft tissues that cover the nasal skeleton, allowing access to reshape the structure of the nose. Surgery can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body. Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Most likely, splints and packing will support the nose as it begins to heal.
The risks associated with nasal surgery include infection, nosebleed or rupture of small surface vessels of the nose. Aesthetic outcomes can be a little bit unpredictable, so in some cases a second procedure may be necessary to fully achieve your desired appearance.
Initial healing may include some common conditions such as: swelling, bruising, headache and discomfort that can be controlled with medication and cold compresses. You will be instructed to keep your head elevated at all times until initial swelling has subsided and to keep any nasal packing in place. Any packing or internal splints will most likely be removed after the first week, although you may need to wear the external splint for an additional week or two. The healing process will continue for several weeks as swelling continues to dissipate and the improved appearance begins to come apparent. You must also protect your nose from injury during any physical activity for the next 4 to 6 months. The outcome of the surgery will appear gradually over time. At a minimum, a year is considered normal for the outcome of nose surgery to fully refine. Generally, the results are permanent; however, the main supporting structure of the nose, cartilage, is continually growing and moving tissue that may change the outcome over time.
Board certified plastic surgeon Dr. Jeffrey Wagner and the entire team at Wagner and Associates Plastic Surgery are committed to helping you achieve your ideal look through cosmetic procedures. Request your complimentary consultation online at Wagner and Associates Plastic Surgery on Clearvista Parkway in Indianapolis. Or, call 317-621-2520 today to schedule an appointment. Feel like a new person and look like your best self at Wagner and Associates Plastic Surgery.