Whether it is performed to correct breathing problems or to improve a cosmetic issue, rhinoplasty or nose surgery is one of the most popular facial plastic surgery procedures available. The goal of rhinoplasty is to reshape the nose in a way that is natural in appearance and in harmony with the other features of the face.
Dr. Robert Singer is an extremely experienced rhinoplasty surgeon, having performed around 2000 rhinoplasties in his practice. In order to ensure optimal results, Dr. Singer customizes each nose surgery for his patients at his La Jolla, San Diego practice.
The degree of improvement possible through rhinoplasty is limited by your basic nasal skeleton and skin thickness. Wide noses and nostrils can be narrowed, noses with a hump can be straightened, drooping noses can be lifted, and bulbous tips can be reduced.
Dr. Singer can also perform nose surgery at the same time as a facelift, eyelid surgery, chin augmentation, or another facial plastic surgery procedure for a more comprehensive rejuvenation with combined recovery time.
Who Needs Rhinoplasty?
Many patients seek out nose reshaping surgery to adjust the appearance of the nose and bring it into proportion and balance with other facial features, while others choose it to improve breathing problems.
Rhinoplasty for cosmetic reasons or to correct deformities from injuries is frequently performed in combination with internal nasal surgical procedures to correct breathing problems.
In general, nose surgery patients should be in their mid-teens or older, after the growth and shape of the nose has stabilized.
Your Nose Surgery Consultation
During your rhinoplasty consultation, Dr. Singer will listen to your expectations and desires for surgery. He will then examine your facial and nasal features and speak with you about your nose surgery options for cosmetic or breathing improvement or both. Dr. Singer can tailor your nose surgery to fit your needs and achieve your desired result.
Computer imaging may be done, which is an excellent communication tool to show the direction you want to go in improving the appearance of your nose. However, you have to be realistic that it is only a computer drawing, and you may not get that exact result because it does not show the unpredictable aspects of healing.
The Rhinoplasty Procedure
During nose surgery, which typically lasts 1-3 hours depending on the complexity of your case. Dr. Singer will make a small incision either across the columella (the skin that separates the nostrils) or inside the nose. He will then shape and sculpt the cartilage and bone that give the nose its appearance until the desired result is achieved. The incisions are then stitched closed.
If functional rhinoplasty is being performed at the same time as cosmetic rhinoplasty, Dr. Singer will correct the blockage, such as a nasal valve, turbinates, or a deviated septum.
The basic procedure is similar between male and female patients, but there are subtle variations in a male rhinoplasty to make it look masculine and blend with the other facial features and not appear feminized. For example, the bridge of the nose should be a little higher, and the angle between the nose and the lip should not be as high as in women and girls.
Anesthesia at our Accredited Operating Facility
At our AAAASF-accredited (American Association for Accreditation of Ambulatory Surgery Facilities) private operating facility in La Jolla, you will be taken care of by thoroughly trained personnel, including carefully selected, experienced, board-certified physician anesthesiologists.
Most of our patients have their nasal surgery performed with general anesthesia to maximize safety and comfort. We will discuss these options with you during your consultation.
Recovery from Nose Surgery
Most patients are urged to take at least 1 week off from work, school, and social activities for recovery. Bruising and swelling around the eyes are to be expected and are quite variable. It usually starts to subside after 48-72 hours following the surgery.
You will be fitted with a splint to help your nose hold its new shape during the healing process. In most patients, the bruising will have disappeared or can easily be concealed at 10-14 days, when the splint comes off. The tip of the nose may feel numb for 4-12 months.
Most patients look socially acceptable at 10-14 days, but swelling continues to diminish over several months. You may temporarily feel self-conscious about your appearance, but after a couple of weeks, any residual after-effects should not be noticeable to others. It may take up to one year for your nose to achieve its ultimate appearance, however.
Most patients are pleasantly surprised that there is discomfort after rhinoplasty, but not a lot of pain. Your degree of discomfort will depend, of course, on the extent of your surgical plan. You can take oral pain medications for a few days to keep your discomfort to a minimum.
We urge you to avoid strenuous exercise that raises your pulse rate, including jogging, aerobics, swimming, workouts, brisk walking, and sex for a minimum of 3 weeks after surgery. Contact sports should be avoided for 4-6 weeks. Once exercise is resumed, you may experience temporary throbbing of the nose and slight additional swelling for a few hours.
You need to be involved in your care and follow all of the instructions in order to help diminish post-operative problems like bleeding.
Have a Question? Read our Rhinoplasty FAQs
Schedule a rhinoplasty consultation with Dr. Robert Singer of San Diego, California
Dr. Singer will help you decide which procedures and treatments will allow you to achieve the results you desire. Call our La Jolla, San Diego Plastic Surgery Centre today for a consultation at 858-455-0290.