A rhinoplasty, or more commonly, a nose job, involves reshaping of the nose to correct defects or damage in the shape, size, and function of the nose and outer nasal passages.
The most common reasons for considering a rhinoplasty includes:
- Your nose appears too large for your face
- Presence of a bump on the nasal bridge
- The nose seems wide and out of proportion with the rest of your face
- The tip of your nose droops or points downward or is thickened or enlarged
- Your nostrils flare excessively
- Your nose is off-center or crooked
- A previous injury has left you with a misshapen or asymmetrical nose
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 the procedure, Dr. Chong will most often make incisions inside of your nose and/or alongside the natural creases of skin where the nostrils join the cheek or along the columella, the strip of skin that divides the nostrils. In any case, the resultant scarring will be inconspicuous. Dr. Chong will reshape the nose, close the incisions and apply sterile dressings.
Your nose and face will likely experience swelling, bruising and soreness as your nose heals. This should diminish over the next several weeks and you should be able to return to your normal activities within a week.
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.
Will I have black eyes?
Yes, if the procedure requires nasal bone fracture & resetting. “Raccoon eyes” can be diminished by avoiding certain medications, applying ice & observing all post-op instructions.
Do you have to break my nose?
Nasal bone fractures may be necessary to reposition an old fracture or when a bump on the bridge is being reduced. Alternatively, if the nasal tip is the prime concern, osteotomies (= nasal bone fractures) are not needed.
How long do I wear the cast?
The nasal cast is worn for 7 days. It serves at least two functions: 1. Protection of any nasal fractures; and 2. Reduction of soft tissue swelling, especially around the nasal tip. In some instances, taping may be used to diminish swelling after the cast is removed.
What happens when I sneeze?
Not much. The reshaping maneuvers will not be disrupted. Sneezing is a protective response of the upper respiratory tract to get rid of unwanted debris. Depending on how soon, post-op you sneeze, you may shed some dried bloody mucus and absorbable suture material. Don’t worry, nothing will come undone.
How long before my final result?
Of all cosmetic procedures, this is the one which demands the greatest patience for the final result, which may evolve over the course of 6-9 months. Other factors which may cause delay are: 1. Thick nasal skin; 2. Complexity due to multiple steps; 3. Whether this is a 1st effort or revision.
Will insurance cover this procedure?
Insurance coverage is limited to the correction of 1. Functional problems (nasal obstruction); 2. Congenital anomalies (cleft nasal deformity); and/or 3. Reconstruction following cancer or trauma. Reconstructive nasal surgery can be scheduled concurrently with cosmetic modification, however, the insurance coverage depends on precise coding, documentation and should be pre-authorized, before booking surgery.
When will I be able to breathe through my nose?
Nasal breathing is always worse before it improves and may take up to 90 days to normalize. Along with a stuffy nose, your sense of smell & appetite may be temporarily altered.
How long does the packing stay in?
The average cosmetic rhinoplasty patient only has to endure nasal packing for 24 hours.
Can I wear sunglasses?
Loading a surgically altered nose should be done with caution. Generally eyewear can be worn, carefully over the cast immediately. As for wearing heavy sunglasses for prolonged periods of time, we prefer to delay this until 3 weeks post-op.
Do you morph photos of my nose? If so, how accurate are they?
Computer simulation is available as a means of communication so that patients can understand what can be done & the Plastic Surgeon comprehends a patient’s aesthetic goals. It is a technical exercise, which should never be perceived as a warranty.
Contact Dr. Chong for a rhinoplasty consultation at her office in Newport Beach. Call (949) 644-1400.