Rhinoplasty techniques must vary depending on the desires of the patient and the operative plan. There are two basic approaches to rhinoplasty: open and closed. For reducing the hump on the top of the nose and improving a person’s profile, the closed technique works very well. This involves incisions inside the nose only and may or may not involve breaking the nasal bones to reset their position. If there are to be extensive changes to the tip of the nose (usually to change a boxy tip), then the open rhinoplasty approach is often used. This involves the incisions inside the nose as well as a small incision across the columella (the thin strip of skin extending from the upper lip to the tip of the nose).
Nasal implants or cartilage grafting may be necessary as well. Often a goal of rhinoplasty surgery is to improve airflow and may require additional procedures. Swelling in the nose can persist for quite some time. If extensive work is done on the tip, the final results may not be visible for a year after surgery, although much of the swelling may be resolved within a few weeks. Recovery from rhinoplasty is about 1 week, although bruising from resetting the nasal bones can persist for 2 or 3 weeks.
It is important to consider factors other than cost when searching for a plastic surgeon to perform your rhinoplasty. Surgical techniques and experience vary greatly from doctor to doctor. When searching for a doctor to perform your rhinoplasty, you should look for a plastic surgeon who is certified by the American Board of Plastic Surgery (not all surgeons performing plastic surgery in Ohio are) and a member of the American Society of Plastic Surgeons.