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Rhinoplasty (Nose)

Rhinoplasty, or surgery to change the shape of the nose, can alter the nose in a variety of ways to achieve a patient’s aesthetic and functional goal. Because noses vary from face to face, depending on your facial proportions, ethnic background, skin type and other variables, it is important that you have a thorough and realistic expectation of your goals.

Rhinoplasty Consultation

At the time of your consultation, you will meet with your chosen board-certified surgeon who will talk with you about your goals and the best way to achieve your desired outcomes. Our goal is to make sure every one of your questions is answered and you feel comfortable with your knowledge of the procedure. In your initial consultation, your surgeon ill evaluate your health, discuss your medical history and carefully examine and assess your nose features. You will see “before and after” photographs of prior patients with similar noses. The doctor will then review your goals and make recommendations based on his evaluation. The techniques used in rhinoplasty will be described in detail, and informational materials will be provided. Photos will be taken of your nose to document your results.

Be sure to inquire if there are additional facial procedures that would enhance the effect of your nose surgery. This procedure is often performed in combination with chin or cheek implants, balancing the proportions of a patient’s facial features.

We have three Patient Care Coordinators who work closely with you through your entire time in our practice, serving as your resource for any questions or concerns you have along the way. After your time talking to the surgeon, your Patient Coordinator will provide you with a detailed, written estimate of surgical fees for your procedure when you have your initial consultation at Cool Springs Plastic Surgery in Nashville, Tennessee. She will assist you in selecting a date for your surgery, convenient for your schedule. Your Patient Care Coordinator will also inform you about all payment options available in our office. Information regarding “Payment Options” are detailed under the “About” tab at the top of our web page.

To learn more about rhinoplasty and what we can do for you, please contact us today for a consultation.

What to Expect

Pre-Operative

It is imperative that you do not take aspirin, ibuprofen or products containing these medicines for at least two weeks prior to surgery. Moreover, do not wear any eye makeup for two days before surgery.

Please shower the morning of your procedure, but do not apply deodorant, creams, lotions, powders or oil to your skin. Please do not wear jewelry or makeup, and do not bring valuables with you to surgery.

Day of Surgery

Rhinoplasty is performed on an outpatient basis. It lasts roughly one to two hours, unless performed with another procedure. Incisions are typically hidden under or inside the nose.

Post-Operative

Most rhinoplasty patients are active within two days. Rest on the first day, keeping your head elevated. Your nose and head will ache, and your face will feel puffy at first. The doctor will prescribe medication to help alleviate these irritations. After about three days, the swelling and bruising around your eyes will begin to diminish. For about a week, you will wear a small splint over your nose to protect and stabilize it. Your swelling should be virtually gone in about three weeks. Cold compresses can help reduce your swelling. Residual swelling resolves slowly in up to a year.

A small amount of bleeding is common during the first few days after surgery. You will also experience some stuffiness that may last a few weeks. Do not blow your nose during the first week, when your tissues are healing. Within seven days, your dressings, splints and sutures will be removed and you can return to normal activities. Strenuous activities (running, bumping or rubbing your nose) should be avoided for three weeks.

Pain medication will be prescribed. Report any pain not readily relieved by the medication. Here is some advice regarding post-operative care:

DO

  • Use cool compresses for the first three days
  • Sleep on your back, head elevated 30–40 degrees, for two weeks
  • Sit or stand as much as possible for the first three days
  • Wear a “mustache dressing” for the first 24–48 hours
  • Apply lipstick with a lip brush only
  • Open your mouth if you sneeze
  • Bathe or wash hair normally

DON’T

  • Wear eyeglasses directly on the nose for about six weeks (this could permanently disfigure your nose!)
  • Drive while taking pain mediation
  • Bend or lift objects heavier than 20 pounds for two weeks
  • Apply makeup for 10 days after surgery
  • Tweeze eyebrows or use a salon hair dryer for one week
  • Put anything in your nose unless specifically directed by the doctor
  • Sniff or blow nose until given approval by the doctor
  • Use any nose sprays (other than saline spray)
  • Participate in strenuous exercise for two weeks

Risks

Risks of complications are quite low but do exist. Possible problems include infection and bleeding.

Insurance

Most health insurance plans do not cover cosmetic procedures. If you have problems with breathing, rhinoplasty is sometimes covered by insurance. If insurance does not cover your procedure and it is considered a cosmetic surgery, it may not be submitted later to insurance companies. In some instances, if you attempt to secure insurance reimbursement for cosmetic procedures, your insurance company may view it as fraud.

Costs

Your Patient Coordinator will provide you with a detailed, written estimate of fees for your procedure when you have your initial consultation at Cool Springs Plastic Surgery. Your “Estimate of Surgical Fees” will include: implants, surgeon’s fee, operating room and the anesthesiologist’s fee.

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