How we perceive ourselves is more important than how we are perceived by others. When we catch a glimpse of ourselves in the rearview mirror, or look up in the mirror as we brush our teeth, we want to be happy with the reflection looking back at us. And even though others may not perceive an imperfection, how we feel about a perceived imperfection is a valid concern.
Rhinoplasty is a plastic surgery procedure offered to achieve aesthetic enhancement of the nose. This enhancement may include modification of the bones, nasal cartilage, and/or surrounding tissue. Enhancement is often sought as a result of previous injury, or to correct a congenital abnormality.
Patients seeking to enhance the shape, size, and function of the nose often do so for the following reasons:
- Nose size or shape feels out of proportion in relation to the face.
- Visible bump on the nasal bridge.
- Nose has a noticeable droop or downward angling, or is thickened or enlarged.
- Excessive nostril flare.
- Nose appears to be off-center, crooked, misshapen, or asymmetrical.
The Ideal Candidate
The best candidates for a rhinoplasty are those who are in good health, do not smoke, and have realistic expectations regarding the results. During your consultation with Dr. Chong, you will have the opportunity to discuss the areas you are most focused on and come to an agreement on a treatment plan. Photos can be taken and morphed to provide you with a better visual of some of the enhancements discussed during your consultation.
Incisions are made inside of the nose and/or alongside the natural creases of skin where the nostrils join the cheek. Incisions may also be made along the strip of skin that divides the nostrils. Nasal bone fractures may be necessary to reposition an old fracture or when a bump on the bridge is being reduced. After reshaping the nose, incisions will be closed, and sterile dressings applied to the site.
A nasal cast is worn for 7 days for the following procedure. This provides protection of nasal fractures and reduction of soft tissue swelling. In some cases, taping may be used to diminish swelling after cast removal.
Swelling, bruising and soreness may occur during your recovery process. There may be an increased incidence of bruising if your procedure involved nasal bone fracture and resetting. The occurrence and extent of bruising and swelling can be reduced by closely following pre-operative orders, avoiding medications/supplements with blood thinning properties, applying ice, and diligent adherence to post-operative instructions. Nasal packing should remain in place for 24 hours.
Recovery time, in terms of final results, may vary. Final results may evolve over the course of 6-9 months. Most patients find they are satisfied with the initial results of their procedure, some patients choose to seek additional enhancements to further address the original area of concern. Factors impacting the wound healing process include:
- Thick nasal skin
- Complexity of procedure
- Primary enhancement vs. revisional enhancement
“Very friendly and helpful team.” – J.S. (Patient since 2016)
Will insurance cover this procedure?
Most insurance coverage is limited to the establishment of medical necessity, and most often requires preauthorization and referral from a primary care provider. This can at times indicate the need to correct:
- Functional problems (nasal obstruction)
- Congenital anomalies (cleft nasal deformity)
- Reconstruction following cancer or trauma.
How soon after surgery can I resume my regular routines?
Bruising and swelling should diminish over the next several weeks and you should be able to return to your normal activities within a week.
Will there be a scar?
Due to the planning of the incisions, scarring should be inconspicuous.
What happens when I sneeze?
Dependent upon how soon after surgery you sneeze, you may notice some dried bloody mucous and possible some absorbable suture material. But not to worry, reshaping maneuvers will not be disrupted and nothing will come undone.
When will I be able to breathe through my nose?
Breathing through the nose may become more difficult at first, but will improve with time, typically normalizing within the first three months following your procedure. Additionally, a stuffy nose, affected sense of smell, and decrease in appetite may be temporarily altered.
Can I wear sunglasses?
We generally advised patients not wear heavy sunglasses until after they are three weeks post-operative. In most cases, eyewear can be carefully worn over the cast immediately, but it is important to remember to use caution when loading a surgically altered nose.
Will my final outcome look exactly like my morphs?
Computer simulation is utilized as a means of communication so that patients might have a better understanding of the types of possible outcomes based upon their current structure and facial features. Morphs are also a way for Dr. Chong to communicate her understanding of the patient’s aesthetic goals. It is a technical exercise, which should never be perceived as a warranty.
Dr. Chong is committed to providing you with outstanding patient-centric care. She will be happy to personally consult with you to help you arrive at the best treatment plan to achieve your goals.
Contact Dr. Chong for a rhinoplasty consultation at her office in Newport Beach. Call (949) 644-1400.