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Nose Job: Purpose, Procedure, Benefits and Side Effects

Last Updated: Jul 05, 2024

What is a 'nose job'?

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Rhinoplasty, more commonly called a 'nose job,' is basically a surgical procedure designed to change the size and shape of an individual's nose. It is performed for either cosmetic or functional purposes. Cosmetic rhinoplasty is carried out to improve the appearance of the patient's nose, while functional rhinoplasty is essentially aimed at improving breathing and nasal function.

During a typical rhinoplasty procedure, a surgeon makes incisions to gain access to the underlying cartilage and bone of the patient's nose. They may then restructure or remove tissue to achieve the desired result. Following the procedure, the incisions are closed, and the nose may be packed or splinted to support the healing process.

Rhinoplasty is typically performed by plastic surgeons or facial plastic surgeons who are well-trained or experts in carrying out the procedure. The surgery may entail some risks or have potential complications, such as bleeding, infection, scarring, or breathing difficulties. Patients should discuss their concerns and expectations with a qualified surgeon before finally deciding to go under the knife.

Summary: A nose job, or rhinoplasty, can be best defined as a surgical procedure that can improve the shape and size of a person's nose for cosmetic or functional reasons. Qualified surgeons who perform rhinoplasty are usually trained in plastic surgery (in general) or are specialists in facial plastic surgery. Patients considering rhinoplasty should take time to carefully evaluate the potential risks and benefits before deciding whether to proceed with the surgical procedure.

Types of nose job:

Rhinoplasty, commonly referred to as a 'nose job,' is predominantly a surgical procedure that can be carried out for either cosmetic or functional reasons. It encompasses various types of procedures, including open and closed rhinoplasty, cosmetic rhinoplasty, nonsurgical rhinoplasty (also known as filler rhinoplasty), functional rhinoplasty, and secondary rhinoplasty, all of which are detailed below:-

  • Open rhinoplasty: Rhinoplasty that involves creating incisions to completely separate the skin of the nose from the underlying bone and cartilage is referred to as an 'open rhinoplasty.' This allows the surgeon to visualize the underlying anatomy of the nose, making it easier to achieve the desired result. In most cases, this kind of surgical procedure is carried out for major nose reshaping.
  • Closed rhinoplasty: It is a minor nose-reshaping procedure that involves making incisions within the nose to reshape the bone and cartilage. This procedure is less invasive than open rhinoplasty and typically involves a shorter recovery period.
  • Cosmetic rhinoplasty: This is a procedure that improves the appearance of the nose and face. This type of rhinoplasty can be used to alter or make desired changes to the size, shape, and overall appearance of an individual's nose.
  • Non Surgical rhinoplasty: A nonsurgical rhinoplasty, or 'filler rhinoplasty,' is a cosmetic procedure that employs dermal fillers to temporarily address dips and irregularities in the nose. This type of rhinoplasty can correct minor imperfections such as a small bump or droopy nasal tip.
  • Functional rhinoplasty: This is a reconstructive procedure that restores nasal form and function after disease, cancer treatments, traumatic injuries, or congenital defects. This type of rhinoplasty is designed to improve breathing and nasal function.
  • Secondary rhinoplasty: This kind of rhinoplasty is a revision procedure that corrects any problems that occur after the first rhinoplasty surgery. These problems can be minor, but they are often more complex for the surgeon to repair.
All in all, the variety of rhinoplasty procedures available provides patients with personalized treatment options based on their unique needs and desired outcomes. To determine the most suitable type of rhinoplasty for their case, patients are advised to seek the expertise of a qualified and experienced surgeon.

Summary: Rhinoplasty, often called a 'nose job,' is a surgical procedure used for both functional and cosmetic purposes. The two primary (or major) classifications of rhinoplasty are open and closed procedures. In addition to these, there are other types of rhinoplasty, such as cosmetic, nonsurgical (filler), functional, and secondary rhinoplasty, which is performed to revise or correct problems that occurred after the initial surgery.

Benefits of a nose job:

  • Desired new shape of the nostrils
  • Desired (increased or decreased) size of the nose
  • Reduced nasal tip
  • Reduced nasal bridge
  • Repaired broken nose
  • Corrected birth defects (of the nose)
  • Positive effect on overall facial aesthetic
  • Enhanced balance and harmony between facial features
  • Corrected problems associated with a deviated septum
  • Boosted confidence and self-esteem
  • No more snoring
  • No more breathing difficulties (including sinus issues)

Summary: Rhinoplasty, often referred to as a 'nose job,' has several advantages. It can enhance the look of the nose by making it more proportionate and symmetrical, leading to an improvement in facial harmony and increasing self-confidence. Apart from that, the procedure can also resolve any breathing issues arising from structural abnormalities in the nose, which can enhance overall respiratory function.

Why is a nose job done?

  • Rhinoplasty is predominantly a surgical procedure that can be carried out for both aesthetic and functional purposes. Aesthetic reasons for a nose job may include changing the shape, size, or overall appearance of a person's nose with the aim of enhancing their facial harmony and overall appearance. This is often done by reshaping the cartilage and bone of the nose to create a more balanced and proportional look.
  • A skilled surgeon will work closely with the patient to achieve their desired results while maintaining a natural-looking outcome. On the other hand, functional reasons for rhinoplasty are related to correcting structural abnormalities that can lead to breathing difficulties. These issues may include a deviated septum, which is a displacement of the cartilage that separates the nostrils, or enlarged turbinates, which are structures in the nose that help to filter and humidify air as it passes through.
  • These structural abnormalities can cause breathing problems, such as snoring or sleep apnea, and can affect overall respiratory function and quality of life. Rhinoplasty can address these issues by repositioning or removing cartilage and bone to improve airflow and restore normal breathing. That said, it is important to work with a skilled and experienced surgeon in order to achieve the desired outcome and improve both the appearance as well as the function of the nose.

Summary: Rhinoplasty can be carried out for both cosmetic and functional reasons. It can enhance the appearance of the nose by creating better facial harmony and improving self-confidence. Also, the procedure can correct structural abnormalities, such as a deviated septum, that can cause breathing difficulties, thereby improving overall respiratory function and quality of life.
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What are the risks of a nose job?

  • Anesthesia complications
  • Bleeding (nosebleeds)
  • Infection
  • Swelling
  • Numbness or pain
  • Difficulty breathing
  • Discoloration of the skin
  • Alteration of the sense of smell
  • Poor healing or noticeable scarring
  • Need for secondary rhinoplasty

Summary: Like any surgical intervention or procedure, rhinoplasty (or a nose job) also comes with risks that may include bleeding, infection, and adverse reactions to anesthesia. In addition to the aforementioned risks, inadequate or poor healing may also lead to asymmetry, respiratory problems, or dissatisfaction with the aesthetic outcome. To minimize these risks, it is essential to have a thorough discussion with a qualified surgeon regarding potential complications and strictly follow pre- and post-operative guidelines.

How do I prepare for a nose job?

As mentioned before, a 'nose job' (or rhinoplasty) is essentially a surgical procedure that aims at changing the size, shape, or proportion of a person's nose. If you're considering rhinoplasty, it's essential to understand the preparation process. Adequate preparation is essential to ensure a successful procedure and achieve optimal outcomes.

The following are some measures that can be taken in order to prepare for a rhinoplasty:

Consultation with your surgeon
Prior to booking a rhinoplasty appointment, it is crucial to have a comprehensive consultation with your surgeon or healthcare provider. During this consultation, you may discuss your medical history, objectives, and expectations with them. In fact, your surgeon may also ask you questions about your medical history, including any surgeries, nasal obstructions, and medications you're taking.

Individuals suffering from any bleeding disorders, such as hemophilia, may not be eligible for the procedure. Additionally, a thorough physical examination, including laboratory tests, will be conducted by your surgeon to assess the necessary changes to your nose. Photographs of your nose from various angles will be taken, and computer software may be used to manipulate these images to demonstrate the potential outcomes of the procedure.

Share your expectations
Realistic expectations are vital for a successful rhinoplasty. Your surgeon will clarify the potential benefits and limitations of the procedure, as well as the expected outcomes, during your consultation. To ensure satisfactory results, it is imperative to discuss your goals and preferences with your surgeon or healthcare provider and voice any queries or apprehensions you may have.

Follow preoperative instructions
Prior to your surgery, your surgeon or healthcare provider will most likely provide you with detailed and specific instructions to adhere to. These instructions may include avoiding certain medications or supplements that can increase your risk of bleeding, quitting smoking if you're a smoker, and staying hydrated. You should also avoid alcohol for a few weeks before surgery, as it can cause dehydration and interfere with anesthesia.

Arrange for transportation and aftercare
Rhinoplasty is commonly performed as an outpatient surgery, which implies that you can go home the same day. Nonetheless, you must arrange for transportation as the anesthesia may impact your reflexes and decision-making abilities. It is also crucial to have a friend or family member stay with you for a couple of nights to assist you with daily activities as you recover from the surgery.

Plan for Recovery
Following the procedure, you will require a break from work and other activities to recuperate. Your surgeon or healthcare provider will provide you with specific guidelines on how to take good care of your nose throughout the recovery process. It may be necessary to wear a nasal splint for one to two weeks to provide support for your nose during the healing phase.

Avoid strenuous activities and any activity that may cause injury to your nose for at least six weeks after surgery. You may also experience some swelling and bruising, which can last for several weeks. Moreover, you must adhere to the instructions given by your surgeon to guarantee a smooth and prosperous recovery.All in all, preparing for a nose job involves meeting with your surgeon to discuss your medical history, expectations, and motivations. You should follow pre-operative instructions, arrange for transportation and aftercare, and plan for recovery. By following these measures, you can guarantee that your surgery will proceed smoothly and successfully, resulting in the best possible outcome.

Summary: Preparing for a nose job involves a consultation with the surgeon, having realistic expectations, and following pre-operative instructions. You should arrange for transportation and aftercare, and plan for recovery. Following these measures will aid in guaranteeing that your surgery is smooth and successful, and that you achieve the best possible outcomes.

How is a nose job performed?

The procedure of a nose job involves several steps that are tailored to the individual patient's needs and desired outcomes. These steps include:

  • Anesthesia: Administering anesthesia is the initial step in rhinoplasty to ensure the patient's comfort throughout the surgical procedure. The surgeon recommends either intravenous sedation or general anesthesia based on the patient's requirements. Ensuring the patient's safety and comfort during the operation is crucial, and this step plays a vital role in achieving that goal.
  • Incision: The next step in rhinoplasty involves making incisions, which can be performed using either an open or closed procedure. The surgeon can access the nasal bones and cartilages through incisions made either inside the nostrils (closed procedure) or across the columella (open procedure), which is the narrow strip of tissue that separates the nostrils. This access allows the surgeon to effectively reshape the nose structure.
  • Reshaping the structure of the nose: Once the incision is made, the surgeon will begin to reshape the nasal structure. Depending on the patient's needs and goals, this may involve reducing the size of an overly large nose by removing bone or cartilage or adding cartilage grafts to increase the size or reshape the nose. The septum, which is the partition in the middle of a person's nose, is a common source of cartilage used in rhinoplasty.
  • Correcting a deviated septum: If a patient has a deviated septum, the surgeon may also perform corrective surgery to straighten it and reduce the projections inside the nose. This procedure can help improve the patient's breathing, apart from the aesthetic benefits of the rhinoplasty or 'nose job.'
  • Closing the incision: After sculpting the nasal structure to the desired shape, the surgeon or healthcare provider will re-drape the skin and tissue of the nose and finally close the incisions. To alter the nostril size, the surgeon may opt to create additional incisions in the natural creases of the nostrils.
  • To support the structure during the initial healing phase, the surgeon may also insert splints and gauze packing inside the nose. Moreover, the patient must follow the postoperative instructions provided by the surgeon to ensure proper healing and a successful outcome.
  • Postoperative recovery: Once the surgery is finished, the patient is transferred to a recovery area where they will receive continuous monitoring from the medical team until the anesthesia has worn off. The monitoring ensures the patient's safety and comfort as they recover from the surgery. The length of the monitoring period varies depending on the anesthesia used and the patient's individual condition and needs.
  • The patient will then be released to go home, but they must have someone drive them. Thereafter, they must follow the surgeon's instructions for postoperative care, including using nasal sprays or rinses to help keep the nasal passages moist and prevent infection.

Summary: Rhinoplasty is predominantly a surgical procedure to reshape the nose, correct breathing problems, and improve facial appearance. The surgery involves anesthesia, incisions inside or outside the nose, reshaping the nose structure, and closing the incisions. After the surgery, the patient must strictly follow the surgeon's postoperative care instructions in order to ensure proper healing and lasting results.

Before the procedure

Before undergoing a nose job or rhinoplasty procedure, the patient will typically have a consultation with a qualified plastic surgeon. During this consultation, the surgeon or healthcare provider will assess the patient's complete medical history, examine the nose's shape and structure, and discuss the patient's aesthetic goals for the procedure.

The surgeon may also take photographs of the nose from various angles to help with the surgical planning. Also, the patient will need to follow the surgeon's instructions regarding diet, medications, and smoking cessation to ensure a safe and successful surgery. Apart from all that, the patient will need to arrange for transportation to and from the surgical facility and arrange for someone to stay with them for the first few days following the procedure.

During the procedure

    In the nose job or rhinoplasty procedure, the initial step is the administration of anesthesia to ensure the safety and comfort of the patient during the operation. The surgeon may choose between a closed or open technique depending on the patient's needs and their personal preference.
  • The surgeon then makes incisions to access the nasal bones and cartilage, which can be reshaped by removing or adding tissue. If necessary, the surgeon may also straighten a deviated septum with the aim of improving the patient's breathing.
  • Once the desired nasal structure is achieved, the surgeon re-drapes the nasal skin and tissue and closes the incisions, sometimes making additional incisions in the nostril creases. Splints and gauze packing may be placed inside the nose by the surgeon to support the new nasal structure as it heals.

After the procedure

After a nose job or rhinoplasty, the patient is moved to a recovery area where they will be monitored by medical staff until the anesthesia wears off. Once the patient is awake and alert, they are allowed to return home, usually the same day. The surgeon or healthcare provider may prescribe pain medication and antibiotics to manage pain and reduce the risk of infection.

Moreover, the patient should avoid any strenuous activities or heavy lifting for several weeks and follow the surgeon's post-operative care instructions, which may include keeping the head elevated and using cold compresses to reduce swelling. The healing progress will be monitored by the surgeon through follow-up appointments, during which any splints or packing inserted inside the nose during the operation will be removed. It is important to keep in mind that it can take several months for the swelling to fully subside and for the final outcome of the nose job to become apparent.

How much does a nose job cost?

The price of a nose job, or rhinoplasty, in India may fluctuate considerably due to different factors, such as the surgeon's proficiency or experience, the complexity of the surgery, and the hospital's location. On average, a rhinoplasty in India can cost between Rs. 50,000 and Rs. 2,50,000.

Having said that, it is essential to note that the cost may vary significantly based on individual cases and may increase depending on additional expenses such as hospital stays, anesthesia, and medication. Also, it is crucial to consult with a qualified and experienced surgeon to determine the exact cost of the procedure and discuss any potential financing options.

Summary: The cost of a nose job in India can vary depending on factors such as the surgeon's experience, the extent of the procedure, and clinic location, but generally ranges between Rs. 50,000 and Rs. 2,50,000. That said, additional expenses like hospital stays, anesthesia, and medication may increase the cost, and it is necessary to consult with an experienced surgeon to determine the exact cost and financing options.

What should I do after a nose job?

After a nose job, it's crucial to follow your surgeon's post-operative instructions carefully to promote healing and ensure optimal results. These may include avoiding strenuous activities for a few weeks, avoiding blowing your nose or wearing glasses, keeping your head elevated while sleeping, and taking prescribed medications as directed.

You should also attend all scheduled follow-up appointments so that you can closely monitor your progress and discuss any concerns with your surgeon or healthcare provider. Apart from all that, it's also essential to maintain good hygiene and avoid any trauma or pressure to the nose while it heals.

Summary: In order to promote quick healing and ensure optimal results after a nose job, it's important to follow post-operative instructions carefully, attend follow-up appointments, and maintain good hygiene. Instructions may include avoiding strenuous activities, blowing your nose or wearing glasses, and taking prescribed medication as directed.

What should I eat after a nose job?

After a nose job, it's important to maintain a healthy, balanced diet that's rich in nutrients to support the healing process. Focus on consuming plenty of fruits, vegetables, lean protein, and whole grains. Avoid consuming foods that are salty, spicy, or acidic by any means, as these may irritate the nasal lining and cause discomfort.

In addition to that, make sure that you stay hydrated by drinking an adequate amount of water and avoiding caffeine and alcohol, which can dehydrate the body. Seek advice from a registered dietician or your surgeon to get personalized dietary recommendations that align with your recovery needs.

Summary: After a nose job, it's essential to follow a healthy and balanced diet to promote healing and reduce inflammation. Some recommended foods include lean proteins, green vegetables, fresh fruits, whole grains, and healthy fats. Avoiding salty and processed foods and staying hydrated are also essential.

Is a nose job safe?

Nose jobs, or rhinoplasties, are generally safe when performed by qualified and experienced surgeons. Having said that, as with any surgical procedure, there are risks involved, such as bleeding, infection, adverse reactions to anesthesia, and unsatisfactory results. Patients can minimize these risks by carefully choosing their surgeon, following preoperative and postoperative instructions, and discussing any concerns with their healthcare provider.

Summary: A nose job, like any surgery, carries some risks, but it is generally considered safe when performed by a qualified and experienced surgeon in an accredited facility. The surgeon and patient can work together to minimize risks by discussing the procedure thoroughly and following all pre- and post-operative instructions carefully.

Is a nose job painful?

The level of pain experienced during a nose job, or rhinoplasty, can vary depending on the individual and the extent of the procedure. Be that as it may, anesthesia is administered during the surgery in order to ensure the patient's comfort and minimize discomfort.

Following the procedure, patients may experience some discomfort, which can be easily managed or alleviated with certain pain medications prescribed by the surgeon or healthcare provider. Most patients find that any pain or discomfort they experience during a nose job is manageable and temporary, and they can return to their normal activities within a few weeks.

Summary: A nose job is a surgical procedure that may cause discomfort and pain during the recovery period. That being said, proper pain management techniques can help alleviate pain and discomfort, and most patients report that the pain is manageable and temporary.

How long does it take to recover from a nose job?

Recovery time after a nose job varies from person to person, but in most cases, patients can expect some swelling and bruising around the nose and eyes for the first 7 to 10 days after the surgery. Strenuous activities and exercise should be avoided for at least 2 to 3 weeks, and patients should follow their surgeon's post-operative instructions carefully to promote healing and ensure optimal results. Full recovery and the final results of the nose job may take several months, and it's crucial to attend all scheduled follow-up appointments with the surgeon to monitor progress and address any concerns.

Summary: The recovery period for a nose job varies, but most patients can expect swelling and bruising to subside within a few weeks, with final results visible after several months. During recovery, patients should follow postoperative instructions, avoid strenuous activities, and attend follow-up appointments with their surgeon.

What are the side effects of a nose job?

  • Bleeding
  • Infection
  • Pain
  • Swelling
  • Difficulty breathing

Summary: Experienced and skilled plastic surgeons, such as those at Pristyn Care, can help minimize side effects such as bleeding, swelling, infection, and bruising associated with a nose job.

Nose job aftercare:

Here are some key aftercare instructions for a nose job or rhinoplasty:

  • Closely follow your healthcare provider's (or surgeon's) postoperative instructions
  • Take prescribed medications as directed
  • For a few weeks, avoid all strenuous activity and exercise
  • Avoid blowing your nose or wearing glasses for the first few weeks
  • Keep your head elevated as you sleep for the first few weeks post surgery
  • Don't miss any scheduled follow-up appointments with your surgeon
  • Practice good hygiene and avoid any trauma or pressure to the nose while it heals
  • Apply cold compresses in order to reduce pain, discomfort, and swelling
  • Stay well-hydrated and eat a wholesome, balanced diet to support healing
  • Have patience, stay calm, and give yourself time to fully recover

Summary: Following a nose job, or rhinoplasty, patients should rest and avoid strenuous activities for a few weeks. It's also important to avoid blowing your nose or wearing glasses, keep your head elevated while sleeping, and take prescribed medications as directed. Additionally, maintaining good hygiene and avoiding any trauma or pressure to the nose while it heals are essential. Patients should attend all scheduled follow-up appointments to monitor their progress and address any concerns with their surgeon

Conclusion:

A nose job, or rhinoplasty, is a cosmetic procedure that can enhance the appearance of the nose, improve breathing, and boost self-confidence. The procedure involves reshaping and restructuring the nasal bones and cartilage to achieve the desired results. While there are some potential risks and side effects associated with the procedure, choosing an experienced and skilled surgeon can help minimize these risks.

All in all, a nose job can provide significant benefits for those who are unhappy with the appearance or function of their nose, and it is important to carefully consider all aspects of the procedure before making a decision.

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Written ByDr. Santosh BhatiaMS - General Surgery,M. Ch. (Plastic Surgery),MBBS Bachelor of Medicine and Bachelor of SurgeryCosmetic/Plastic Surgery
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