Nose Reshape Surgery or rhinoplasty

Nose Reshape Surgery or rhinoplasty
admin / December 16, 2018

Surgery to reshape the nose, (rhinoplasty) is among the most common plastic surgery procedures. This procedure can reduce or increase the size of the nose, remove an unwanted hump, change the shape of the tip or the bridge, narrow the width of the nostrils, or change the angle between the nose and the upper lip. The procedure is also used to correct problems resulting from injury and can help relieve certain breathing difficulties.

Why get nose reshape surgery?

Nose reshape surgery is typically done for one or both of the following reasons: to correct breathing problems and, at the same time, to help improve appearance. Of course, your parents are responsible (genetics) for what your nose looks like.  There are instances, however, when defects can occur during development before birth which can affect the nose shape as much as any “trauma” or severe injury to the face can.  Fortunately, nose reshape surgery is a proven way to fix birth defects, trauma, adjust excessively prominent elements such as bumps or humps, and generally improve the looks of people that have a nose that is too big or too long or asymmetrical. Rhinoplasty is used to correct structural problems with the nose that cause chronic congestion and breathing problems. Consequently, people with breathing problems caused by a deviated septum frequently undergo rhinoplasty. Remember, rhinoplasty results are permanent.

How’s a nose reshape done?

The rhinoplasty procedure is generally done using general anesthetic on an outpatient basis. The nose reshape typically only takes one to two hours. The time needed depends on the technique used and other factors that determine how much work the surgeon must perform. Dr. Morris Ritz will carefully shape and sculpt your tissue, cartilage, and bones so they will be in proper proportion to the rest of your face.  This procedure requires both the skill and experience of a board certified surgeon and the perspective of an artist.

Nose reshape surgeons may elect either a “closed” or an “open” approach. 

A closed rhinoplasty involves incisions made inside the nostril in the mucous membrane. Here the incisions will be invisible so there is no scar on the outside of the nose.  In an open rhinoplasty, the incision is made across the bottom of the septum which separates the nostrils. If the size of the nostrils needs adjustment, additional incisions are made in the corner folds of the nostrils. These incisions are usually very minimal and after healing they are barely visible if they can be seen at all. Most people would prefer not to have any visible scars from their nose reshape procedure. The open procedure is used when the surgeon doesn’t have a choice.

The open nose reshape technique is often necessary for relatively aggressive and complex types of rhinoplasty when significant reconstruction or correction is needed.  Because the surgeon may not be able to completely see, a closed procedure may not be advisable. Dr. Morris Ritz will discuss options with each patient regarding which technique makes the most sense.

After nose reshape surgery, surgical packing inside your nose will be removed within 2 about days. It is recommended that nose reshape patients keep their heads elevated and that they keep as still as possible for the first few days post surgery In about a week, the splint and bandaging around your nose will be removed. The area around your eyes and nose will look bruised and swollen for several days. Your face will feel puffy.  Cold compresses are advised to help control swelling and reduce tenderness. Dr. Morris Ritz will prescribe pain medicine as required. Most people elect to go back to work or other normal activities in a week. In about 10 to 14 days, the swelling and bruising are much better. It may be several weeks before it makes sense to resume normal activity and strenuous exercise.

Who is a good candidate for nose reshape surgery?

Nose reshape surgery is best performed on young adults through people in middle age who can easily recover from surgery.

Nose reshape surgery is not recommended for people who are still undergoing growth and development. If a young person has stopped growing, usually by about 18 years old, the surgery is fine.  Ideally, the person’s face is close to it final shape because its difficult to anticipate the effects of cosmetic surgery if its still changing, therefore, the results may not be as good as they otherwise might have been if the surgery had been delayed. 

As people age, tissue may fall a bit and become more fatty and less supple. This can sometimes make it more difficult to shape the nose as well as might be desired. However, it’s still worth while as there will still be improvements.  So, if you are thinking of a nose reshape, Dr. Morris Ritz suggests that it’s best to get it done sooner than later.

 Dr. Morris Ritz reviews nose reshape options with patients so they can make an informed decision. He spends time with his nose reshape candidates to  ensure that they have clear, realistic expectations about what the surgery can achieve and what it can’t.  It’s not always an easy decision, but for people who are unhappy with their nose for good reasons, it may make sense to have this proceedure.

Typically, insurance companies won’t cover the costs of nose reshape surgery for cosmetic purposes only.  If the nose reshape procedure is needed to correct a functional problem or a defect caused by disease or injury, then depending on your insurance company, they will most likely pay for it. However,  it always makes sense to check what portion of the costs will be covered. The costs include the surgeon’s fee, fees for the operating facility, the anesthesiologist, medicines, splints, packing, and other services and materials.  Rhinoplasty procedures can cost anywhere from $5,000 to $10,000 for an out-patient surgery with a board certified plastic surgeon like Dr. Morris Ritz.

Contact Dr. Morris Ritz to arrange a meeting for Nose reshape Surgery in Denver.

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