Q – What is rhinoplasty?
Rhinoplasty, also referred to as nose reshaping surgery (nose job) or aesthetic nasal surgery, is a plastic surgery procedure which can improve the appearance of the nose and correct some underlying medical problems. Aesthetic problems which may be corrected include an increase or decrease in the overall size, the removal of a hump, a decrease in the width of the nostrils, reshaping of the tip or bridge, and a change in the angle between the nose and upper lip. Problems which may affect breathing can also be corrected.
Q – What is functional rhinoplasty?
Functional rhinoplasty is aesthetic nasal surgery with the main goal of improving breathing. There are a variety of techniques for improving nasal airway obstruction including septoplasty, valvuloplasty, vestibuloplasty, turbinate reduction, and osteotomies. As a Facial Plastic Surgeon, Dr. Naderi?s background training and Board Certification is in both Plastic Surgery of the face as well as ENT (Ear, Nose & Throat) surgery, making his understanding of the nose and its anatomy and function unique amongst cosmetic surgeons.
Q – Is rhinoplasty right for me?
If you are healthy, over the age of sixteen, and have realistic goals for the improvement of your nose, you may be a good candidate for rhinoplasty.
Q – Are there any age restrictions for undergoing rhinoplasty?
Dr. Naderi performs rhinoplasty on patients who are over the age of sixteen although occasionally some patients as young as 14 who show mental maturity and completion of their growth spurts may be candidates.
Q – What does a consultation for rhinoplasty entail?
During a consultation for rhinoplasty, Dr. Naderi will examine the structure of your nose and face, take a thorough medical history, and discuss your goals. He then takes your digital high resolution photographs and performs ?computer imaging? so that you can have an accurate dialogue and understanding of what your nose may look like after surgery by being able to visualize these changes on a computer screen. All aspects of the rhinoplasty procedure will be explained including the technique (open or closed), the anesthesia, the facility, the recovery, the risks, the costs and so on.
Q – Where is rhinoplasty performed?
Dr. Naderi performs rhinoplasty at INOVA system hospitals which include Fair Oaks Hospital, Loudoun Hospital, and Fairfax Hospital.
Q – What type of anesthesia is used for rhinoplasty?
Extremely safe general anesthesia administered by Board Certified Anesthesiologists is commonly used for Rhinoplasty. Occasionally the procedure can be done under local or mild sedation if the patient is willing to undergo the awake localization process.
Q – How is rhinoplasty performed?
Dr. Naderi is unique in that he commonly uses open as well as closed techniques and their variations. He plans the proper and best approach for each individual patient. For closed (endonasal) Rhinoplasty incisions are made on the inside of the nose with no scars on the outside. For open (external) Rhinoplasty, incisions are mainly on the inside much like the closed technique but an additional small incision is on the outside of the nose on the skin separating the nostrils (columella). The nose is then gracefully reshaped by removing, replacing or rearranging certain amounts of bone and cartilage. When the desired shape is achieved, the incisions are closed and a splint is applied to the nose.
Q – How long does rhinoplasty take to perform?
Rhinoplasty usually takes about one to three hours to perform with most cases taking about 2 hours. More complex cases needing external grafts such as ear or rib cartilage can certainly take longer to complete. The goal is not to perform the surgery fast but rather to perform is meticulously and precisely.
Q – Where are the incisions made for rhinoplasty?
Incisions may be confined to the inside of the nose which is known as endonasal or closed rhinoplasty. In some cases, incisions may be made on the inside of the nose along with a small incision made on the skin separating the nostrils, which is known as external or open rhinoplasty. About 70% of aesthetic rhinoplasty cases and 30% of functional rhinoplasty cases are performed as endonasal procedures.
Q – Does rhinoplasty leave scars?
Endonasal rhinoplasty results in no visible scarring as the incisions are located on the inside of the nose. External rhinoplasty does result in a small, fine-line scar that is well concealed on the underside of the nose between the nostrils. This scar becomes practically invisible in the vast majority of patients.
Q – Does rhinoplasty involve much pain?
Patients may experience a dull headache and the nose may ache but this is not a typically painful surgery. Medication can help to control any discomfort that patients experience.
Q – What is the recovery like after rhinoplasty?
The face may appear pale and puffy right after surgery, and swelling and bruising may occur around the eyes. Though some unnoticeable swelling can last for up to a year, the majority of swelling fades in about two weeks. Dressings and splints are usually removed in one week. Most patients return to work or school a week after their nasal reshaping surgery.
Q – When will I be able to return to work after undergoing rhinoplasty? Patients can usually return to work abut a week after rhinoplasty.
Q – How soon will I be able to exercise after my rhinoplasty procedure? Patients will need to wait at least two weeks before partaking in strenuous activities and exercise.
Q – When will my stitches be removed after my rhinoplasty procedure? External sutures are removed in three to five days after the rhinoplasty procedure. Endonasal sutures need not be removed as they are all absorbable and on the inside of the nose.
Q – What are the risks or complications associated with rhinoplasty?
All surgery carries potential risks. Those associated with rhinoplasty may include nose bleed (1-3%) &/or the need for minor revision (5%).
Q – Is rhinoplasty covered by insurance?
Rhinoplasty procedures performed for cosmetic purposes only are typically not covered by insurance, though some degree of coverage may be available when used to correct breathing problems. Patients should check with their own insurance company.
Q – Can I finance my rhinoplasty procedure?
Financing is available for Rhinoplasty procedures.