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Rhinoplasty
Rhinoplasty techniques must vary depending on the desires of the
patient and the operative plan. There are two basic approaches:
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 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). |
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Nasal
implants or cartilage grafting may be necessary as well. Often a
goal of the 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 is about 1 week, although
bruising from resetting the nasal bones can persist for 2 or 3
weeks.
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