Rhinoplasty

Fort Worth Nose Reshaping

Rhinoplasty, also called nose surgery, nose reshaping, or “nose job,” smooths out the contours of the nose and reveals a more proportional nose for your facial features. This surgery improves the appearance of your nose and can improve nasal breathing as well. The procedure involves reshaping the nose by removing excess cartilage and/or bone, along with other techniques that change the appearance of your nose. The changes can be subtle or dramatic, depending on your specific needs and desires.

The goal of rhinoplasty surgery is to maintain a natural appearance of the nose and to optimize the proper function of the nose, while creating an appropriate balance with the rest of your face. Skin texture and thickness, previous injury, and individual healing differences can determine what type of procedure is right for you. Dr. Kirby will discuss these specific features in the setting of your facial proportions with you.

Other procedures may be performed in combination with rhinoplasty. A septoplasty is an operation to straighten the septum of the nose and to open the nasal breathing passages that may be blocked by soft tissue, cartilage, or bone. Old nasal fractures, cleft nasal deformities, severe allergies, and other problems may lead to distortion of the septum.  Chin augmentation or reduction and cheek implants may also be indicated.  Dr. Kirby will discuss these options with you during your consultation.

What kind of anesthesia will I have?

Rhinoplasty surgery is performed under general anesthesia for optimal comfort.  This means you will be asleep for the entire procedure.

Where will my incisions be?

Dr. Kirby will discuss specific details of your case with you.  Rhinoplasty incisions, however, are typically placed at the base of the columella, between the nostrils.  Additional incisions are hidden inside your nose.

How long will my surgery last?

Rhinoplasty, if performed alone, typically takes 1-3 hours, depending on your specific needs. Chin augmentation (or reduction) and facial implants may be performed in combination with a rhinoplasty for optimal results. Combination surgery will take longer.

What are the risks?

Your decision to undergo rhinoplasty surgery is a personal decision and should be made with a full understanding of the benefits and potential complications of surgery.  Rhinoplasty incisions are made in an area of the nose that is visible, resulting in scars that may be seen following surgery.  Other risks are bleeding, infection, contour irregularities, skin discoloration, asymmetry and permanently altered sensation.  Although good results are expected, there is no guarantee.  In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

How do I prepare for surgery?

Prior to any procedure, it is necessary to review medications you are taking that may affect your surgery. You may be asked to stop or to adjust some medications you are on. As always, it is important to include supplements on your list of medications. Aspirin and aspirin products (Alka-Seltzer, Carisoprodol, Excedrin, Goody’s, Midol), anti-inflammatory medications (except acetaminophen, or Tylenol), and herbal supplements must be avoided for 10 days prior to your surgery. For more details about which medications and supplements to avoid, click here. Dr. Kirby will discuss your medications with you.

Depending on your medical condition, you may be asked to get lab testing or a medical checkup prior to your surgery. You may also be asked to have an updated mammogram prior to your surgery if you have not had one recently.

Tobacco products impair your body’s ability to heal. You will be asked to stop smoking for 6 weeks prior to any surgery. Tobacco step-down products such as chewing gum and Nicoderm continue to provide your body with tobacco and must be stopped as well. Please ask Dr. Kirby if you will need assistance with quitting.

Be sure to arrange for a responsible adult to drive you to and from your surgery. You will need someone to stay with you the night following your surgery as well.

You will receive specific instructions for your surgery day from Dr. Kirby’s office.

What is my recovery from surgery like?

Immediately after surgery you will have splints inside and outside your nose.  It is more difficult to breathe through your nose after surgery due to the location of the splints, which can be uncomfortable.  You will have swelling around your nose and eyes and may have bruising in those areas as well.  The swelling will decrease over the next few weeks.  You should expect to have some soreness and possibly some temporary changes in sensation as well.  Oral pain medication will be prescribed for your discomfort.  Soft ice packs may also provide some relief.  Splints and sutures are typically removed 1 week after surgery.  Sutures inside your nose will dissolve on their own.  Depending on your job, you can expect to return to work in about 1 week.  More strenuous activity, however, cannot be resumed until at least 2-4 weeks after surgery.

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