Rhinoplasty or Nose Job

What Is Rhinoplasty?

Rhinoplasty is a surgical procedure, commonly also called a nose job, that involves reshaping 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 include:

  • 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 or 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)

 

The Rhinoplasty Procedure with Dr. Jaibaji

Rhinoplasty is usually performed under general anesthesia as a same day surgery. Depending on the desired results 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 are suited to your specific aesthetic concerns and functional requirements and the placement of the incisions are determined will be discussed at length by Dr. Jaibaji during your 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 Your 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 yor 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 bruising is usually resolved and swelling is reduced at this time.

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. Any swelling will be significantly reduced at that point.

Within 3-6 months, most of the swelling will be gone. Any remaining swelling will disappear within six months to a year.

Schedule a Rhinoplasty 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.

Patient Case Study

This patient from Orange County was interested in rhinoplasty. She was concerned about the high nose bridge, the wide and poorly defined tip and her nose tip points slightly down. She had a consultation with Dr. Jaibaji, double board certified plastic surgeon, at his San Diego office. The patients goals were to correct the hump, improve her tip shape and rotate the tip upward. The operation discussed was open rhinoplasty. In this procedure an incision is made in the narrowest part of the columella . This would allow complete visualization of the nose cartilages and allow to shape the cartilage to give her a better tip. At the same time, the dorsal hump was removed.

Patient Case Study

Rhinoplasty San Diego
Gender: Female, Age:19
Facial Surgery San Diego
Facial Procedure: Nose Job San Diego, Coronado.
Smoking History: Non-Smoker
Rhinoplasty Options: Open Rhinoplasty

This patient was concerned about the wide and depressed nasal tip. She also had a bump at the back of her nose. She had open rhinoplasty. 

Patient Case Study

Gender: Female
Facial Surgery San Diego
Facial Procedure: Nose Job San Diego
Smoking History: Non-Smoker
Rhinoplasty Options: Open Rhinoplasty

This patient, from San Diego, was concerned about the shape of her nose. She had a bump at the bridge and wide nose base. Images show before and after results.

Patient Case Study

 

Patient Case Study

This patient was concerned by the bump at the back of her nose. She also had trauma to the nose. She underwent removal of the bump and her recovery was uneventful.

Patient Case Study

Gender: Female, Height: 5′ 4″
Months Post-Op: 2
Facial Surgery Procedure: Rhinoplasty
Smoking History: Non-Smoker
Rhinoplasty Options: Open Rhinoplasty

This patient had tip surgery, removal of the bump at the nose dorsum, and narrowing of the bones. Images are shown for the before and after.

Patient Case Study

Patient Age: 45
Patient Height: 5.2
Patient Weight: 112

This patient had silicone nasal implant to augment the nose bridge. The procedure was performed in the far east. Initially, she was pleased with the results, but, as the swelling started to subside she noticed deformity of the nose. The implant was shifted to the right side causing widening of the nose and was giving her constant pain. She saw Dr. Jaibaji for a consultation. After complete evaluation of her nose and her goals, she elected to have a nose revision surgery. During surgery, diced cartilage graft was used to replace the silicone implant. The silicone nose implant was removed.

Rhinoplasty FAQs

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.