Rhinoplasty or Nose Job
What Is Rhinoplasty?
Rhinoplasty is a surgical procedure, commonly also called a nose job, that involves reshaping of the nose. The goal is to enhance facial balance and harmony, improving your overall appearance. There are many different reasons to undergo rhinoplasty, including a crooked nose, humped nose, wide nose and more. When to Choose Rhinoplasty Common reasons patients seek Dr. Jaibaji for nose surgery are:
- A hump on the bridge of the nose
- A wide bridge and /or a wide nasal tip
- Being able to see the nostrils too much
- Large of wide nostrils
- A crooked nose
- A “ski-jump” nose
- High or flared nostrils
Before surgery, Dr. Jaibaji will evaluate your nose and look at many different factors, such as:
- Your general health and any medical problems
- Previous nasal injury, surgery or allergy
- How you breathe through your nose, and whether or not this needs to be addressed at the time of surgery; i.e. performing septal surgery
- The size and shape of each part of your nose (tip, bridge, nostrils, etc.) in relation to the other parts of your nose; i.e. is it proportional
- The size and shape of your nose relative to the rest of your facial features (your chin, lower jaw, etc)
Rhinoplasty with Dr. Jaibaji Rhinoplasty is usually performed under general anesthesia as a same day surgery. Depending on the desired result and the complexity of your specific problem, the surgery may take anywhere from 1-3 hours. The details of the specific type of nose surgery suited to your specific aesthetic concerns and functional requirements and the placement of the incisions are determined and discussed at length by Dr. Jaibaji during the first consultation. There are risks and complications with all surgical procedures such as bleeding and infection. These as well as complications specific to rhinoplasty will be discussed at the time of your consultation. After Rhinoplasty in San Diego Following your rhinoplasty, you will have your first postoperative visit within 48 hours to check for bleeding, level of discomfort, and to answer any immediate concerns. One week after surgery, the splint is removed. External sutures (if any) are removed. Despite swelling, the difference in the appearance of nose is often immediately evident. At this time, you may resume normal light daily activities You may return to work 10-14 days after surgery. Most of the bruising is usually resolved and swelling is reduced. Vigorous activity (exercise, heavy lifting) are usually restricted until about three weeks after surgery. Contact sports can be resumed at 6-8 weeks after surgery. You may resume normal activities and exercising 6- 8 weeks after surgery. Swelling will be significantly reduced. Within 3-6 months, most of swelling will be gone. Any remaining swelling will disappear after six months to a year. Schedule a Cosmetic Surgery Consultation with Dr. Moneer Jaibaji Schedule a consultation with Dr. Jaibaji to learn how rhinoplasty can benefit you. Call our San Diego or Coronado plastic surgery offices to inquire about an appointment.
What is a Dorsal Hump?
The dorsum of the nose refers to the top of the nose. Normally, it is straight or has a gentle convexity towards a more projecting nasal tip. The dorsum of the nose may be satisfactory when viewed from the front, but may show too much projection when viewed from the side.
The nasal dorsum determines the character of the nose. When the dorsum of the nose is concave or has a bump or a hump, this may interfere with the desired profile. In addition to the height and configuration of the nasal dorsum, the projection and shape of the nasal tip affects the nasal profile, and the contribution of both of these factors must be considered.
Moreover, the quality of the skin is especially important in nose surgery. Thick skin may not allow the altered anatomy to show through, whereas very thin skin may show any slight irregularity. When doing a nose reshaping surgery, a number of surgical techniques are available to reduce the dorsal hump to create better balance to the shape of the nose.
Can a wide nasal tip be changed with rhinoplasty?
Another common concern with which rhinoplasty patients seek Dr. Jaibaji is a wide, bulbous or boxy tip. This is most often the result of heredity and may be partly a result of a thick nasal skin. Most patients seek refinement of the tip, and this must be carried out by the surgeon in such a manner as to maintain the natural appearance of the nose. A tip that is too pointy or small, particularly in proportion to the rest of the nose may result in an unnatural “operated on” appearance.
In patients with thin nasal skin, a wide tip is a consequence of large or splayed cartilages that form the tip.
In order to increase the precision of reshaping and resizing the tip, Dr. Jaibaji uses an “open approach” rhinoplasty technique. This method facilitates direct visualization of the nasal cartilages. It also increases the predictability of the final surgical result. The open approach also allows for precise suturing of the nasal cartilages to reshape and refine them as well as position them more accurately.
Can a crooked or asymmetrical nose be corrected?
A nose may be crooked as a result of heredity, previous surgery, or trauma. It may be crooked in certain portions (tip, bridge, nostrils) or the entire nose may be asymmetrical.
Regardless of the cause, Dr. Jaibaji will determine the structural problem causing the asymmetry. It may be a cartilage problem (e.g. the septum), a bone problem, or a combination of both. The specific procedures to address the asymmetry will depend on these structural factors. Often, obstructed nasal breathing accompanies asymmetry of the nose, and these can be corrected using the techniques mentioned below.
The surgery may include cutting and repositioning the nasal bones (osteotomies), reshaping the nasal septum (septoplasty), septal extension, cartilage grafts and a variety of other techniques with which Dr. Jaibaji is familiar.