Rhinoplasty (Nose Job) in Houston, TX
The nose is a crucial aesthetic element of the face. Even the slightest imperfections of the nose profile can result in a person feeling less attractive and lose confidence. Nose job, or medically termed Rhinoplasty, is an extremely prevalent cosmetic procedure that reshapes the nose. In addition, a nose job can address deformities due to old trauma to the nose and help improve nose function such as improve breathing.
Rhinoplasty is a delicate procedure and necessitates a skilled surgeon who can achieve your aesthetic goals without compromising function. Understanding the patient’s nasal deformity and aesthetic concerns in order to design a comprehensive and individualized surgical plan is the key to successful rhinoplasty. Dr. Bachilo can help you attain a nose you always wanted by listening to your desires and designing a customized surgical plan for you.
What Aesthetic and Functional Nasal Problems Can Be Corrected with Rhinoplasty?
- Nose deformity as a result of trauma.
- Nose that is large for your face.
- Crooked nose.
- Septal deviation and difficulty breathing.
- Hump on the nose.
- Wide and bulbous nasal tip.
- Nasal tip that is droopy and has poor projection.
What to Expect During Rhinoplasty Consultation?
During your consultation Dr. Bachilo will ask you about your aesthetic goals. Make sure to report any breathing difficulties and explain clearly what you don’t like about your nose. Describe your expected goals so Dr. Bachilo can design a surgical plan that addresses all of your concerns. A plan unique to your problem will be proposed to you and you will have a change to ask questions. Your medical history will be reviewed to ensure that you are healthy to undergo elective surgery safely. Dr. Bachilo will explain and discuss expected results of your rhinoplasty.
How Is Rhinoplasty Procedure Performed?
Rhinoplasty is done at an outpatient surgery center or hospital under general anesthesia and takes 2 to 3 hours. Procedure may be performed utilizing one of two techniques: an open or a closed approach depending on patients’ needs.
During open rhinoplasty Dr. Bachilo makes an incision on the outside of your nose between the nostrils. This incision is the only incision that may be slightly perceptible on the outside of the nose. The remaining incisions are completely hidden inside your nostrils. Dr. Bachilo will then expose the cartilaginous and bony structural framework of your nose. Modifications to the cartilaginous framework of the nose are done by removing some cartilage, reshaping cartilage, or adding cartilage via grafts. For grafting cartilage may be removed from the septum or from the ear. To narrow or straighten the nose alignment nasal bones may be broken and repositioned. After the cartilaginous and bony structure are reshaped the skin incisions are closed. Sutures on the outside of the nose need to be removed in 5 to 7 days, but the sutures inside the nose are absorbable and do not need removal. Dr. Bachilo may use a splint on the outside of your nose for protection and a splints and/or packing inside your nose. These remain in place until removal by Dr. Bachilo during your follow up visit.
During closed rhinoplasty technique all incisions are made inside the nose. All corrections and changes to bone and cartilage are done through these smaller incisions and therefore this option is reserved for patients who need minimal adjustments.
What to Expect During Nose Job Recovery?
Discomfort after rhinoplasty is minimal and pain is controlled with oral pain medication. Swelling and bruising and is normal and subside within two weeks. However, complete swelling resolution in the nose may take up to four months. Mild bleeding from the nostrils may continue for about a week after surgery. If you experience significant bleeding, make sure to notify your surgeon and seek medial attention immediately.
Most patients return to work within a couple of days after their rhinoplasty. Strenuous exercise can be resumed one month after surgery.
Dos and don’ts after nose surgery:
- Do not drive while taking narcotic pain medications.
- Do not lift anything heavier than a gallon of milk for 2 weeks.
- Do not smoke for 1 month after surgery.
- Do not use Afrin for more than 3 days after surgery.
- Sleep on 3 to 4 pillows to decrease swelling.
- Use saline to rinse your nose as needed.
- Wear your nasal splint and protect your nose from trauma.
What Results Can I Expect After Nose Job?
Improvement in your nose profile will be seen immediately after splints are removed, but your healing will continue and swelling will continue to decrease over time. Rhinoplasty results will vary by patient. The goal of the operation is to correct your concerns but still make you look like you. You should expect an improved profile and a nose that works well with the rest of your facial features.
Septoplasty is a specialized nose surgery to specifically correct a deviated septum, which refers to a condition affecting the bone and cartilage between the two nostrils that often causes breathing difficulties. The septoplasty procedure straightens the nasal septum and repositions it in the center of the nose. In many instances, this procedure may be covered by health insurance.
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Frequently Asked Questions
Surgical rhinoplasty is a safe and effective procedure that is performed yearly on thousands of patients worldwide. Almost any healthy adult may be a good candidate for this procedure, and the procedure may even be performed on teens and children under certain circumstances. If you are unhappy with the size or shape of your nose, if you’ve had an injury that left your nose misshapen, or if you have trouble breathing due to a structural problem in your nose, a rhinoplasty may be ideal for you.
Rhinoplasty is a highly personalized procedure because no two noses are exactly alike, and every patient has a different set of aesthetic goals. Some patients may successfully undergo a non-surgical rhinoplasty, while others will require surgery to obtain maximum results. Non-surgical rhinoplasty may be performed using a combination of dermal fillers, but this procedure does not produce permanent results. In the case of a surgical rhinoplasty, it is typically performed under general anesthesia and involves minor incisions camouflaged neatly in the skin’s natural folds. The surgeon will reshape the nose in response to the patient’s specific condition.
Open rhinoplasty is the most common type of nose job that is performed today. During an open rhinoplasty procedure, the surgeon derives total access to the internal nasal structure by making an incision on the inside and outside of the nose, allowing the doctor to lift the skin of the nose and re-sculpt the internal structure as needed.
The closed rhinoplasty procedure is less frequently used and uses no external incisions, so it leaves no external scars. This procedure is less common because it limits the surgeon’s access to the internal nasal structures. If you are seeking a closed Rhinoplasty procedure, make sure you are having the procedure done by an experienced surgeon with lots of experience in nasal surgery, such as Dr. Bachilo in Houston.
The costs of a nose job will vary greatly among patients, depending on how your procedure is performed, whether you will require general anesthesia and any other procedures that you may wish to combine with your rhinoplasty. For a complete, surgical rhinoplasty, costs may fall anywhere between $5,000 and $10,000.
Secondary rhinoplasty or redo rhinoplasty is sometimes performed on patients who did not have their cosmetic goals met with their first operation or patients who now have difficulty breathing through their nose as a result. Redo rhinoplasty is a much more challenging procedure as there is scarring in the nose and alteration of nose anatomy. Wait period of at least one year after the first rhinoplasty is recommended prior to undergoing a corrective procedure. During revision, rhinoplasty cartilage to reshape the nose is often taken from the ear or from the rib.
As with any surgical procedure, there are risks and Dr. Bachilo will explain risks specific to rhinoplasty during your consultation.
Yes. Patients often take advantage of the surgical session to incorporate other cosmetic procedures, such as an Eyelid Lift, Brow Lift, or Neck Lift. You may also combine the surgical procedure with a non-surgical treatment such as dermal filler injections.
Plan to have a ride home after your surgery and assistance once you get home, as you may need help around the house for a few days while you recover. On the first day following your procedure, it is common to experience tenderness and inflammation at the surgical site. Your face may feel sore and swollen. During the first 24 hours, you will have to keep your head elevated in order to minimize swelling, so you’ll have to sleep in a sitting position propped up by pillows. After about 10 days, some of the swelling will subside naturally, and you will be able to appreciate the early results of your operation. You may engage in light, non-strenuous activities after the first two weeks, but more strenuous physical activity will have to wait until about 6 weeks after surgery. It may take up to 6 months for all swelling to disappear. You must take care to prevent any injury or blow to the face or nose during the recovery period, so it’s best to take it easy during this time.
Health insurance will typically cover the cost or a portion of the cost of a rhinoplasty procedure if the procedure is performed for functional rather than cosmetic reasons, so if you have a structural problem in your nose or septum that requires surgery, it may be covered. Cosmetic rhinoplasty performed merely for aesthetic reasons is not usually covered under general health insurance policies.