The nose is the most prominent feature of the face and may draw unwanted attention when it is misshapen, or disproportionate in relation to the other facial features. It is quite common for individuals who are dissatisfied with their nose to be dissatisfied with their overall appearance, so many choose to have nose reshaping surgery, also known as rhinoplasty. In Omaha, rhinoplasty is a very common procedure and one that is performed with a skill and artistry at Aesthetic Surgical Images.
*Each patient is unique and individual results may vary.
Call 800-331-5001 or Request a complimentary cosmetic consultation with one of our highly-qualified plastic surgeons to learn how rhinoplasty can improve your appearance and self-esteem.
Rhinoplasty: Analyzing A Nose
When performed properly by one of our skilled plastic surgeons in Omaha, rhinoplasty can address a full range of cosmetic and/or functional concerns. Specifically, it can:
- Refine the tip of the nose and nostrils
- Smooth a bump on the bridge of the nose
- Straighten a deviated septum to help alleviate breathing problems
At Aesthetic Surgical Images, each consultation begins with a clinical analysis to evaluate your face and nose. Your surgeon will take the time to understand your desired results and create a personalized solution that enhances your natural beauty. We also use computer imaging to help you visualize, in a realistic way, how rhinoplasty can improve the shape and size of your nose. You can expect an honest evaluation and all of the information you need to make an informed decision.
Rhinoplasty: Surgical Techniques
Your Rhinoplasty procedure
Rhinoplasty in Omaha, Nebraska is performed as an outpatient procedure under general anesthesia. Your surgeon may recommend a closed procedure, which places the incision inside the nose, or an open procedure, which places the incision across the narrow strip of tissue that separates the nasal passages. Through these incisions, the cartilage and the bone of the nose can be sculpted into the desired shape. The septum can also be straightened.
To maximize facial rejuvenation, many of our patients schedule complementary procedures such as blepharoplasty to create a brighter, more open eye area or chin and cheek implants for a more balanced look.
Swelling Following Rhinoplasty
It’s not unusual for patients undergoing rhinoplasty to have prolonged swelling. Several factors, including the use of open rhinoplasty, fracture of the nasal bones, thickness of the nasal skin, and a previous rhinoplasty have been associated with prolonged swelling.
Most patients will note significant swelling for about two weeks following surgery. After two weeks, most patients are comfortable resuming their normal lives and going out in public.
Swelling will persist in most patients for at least one year following surgery, with the nasal tip being the last site to experience resolution. In the immediate post-operative period, nasal splints, elevation of the head and ice can be used to minimize swelling.
Enjoying your results
Following surgery, a light nasal packing will be placed and usually removed the next day. A splint will be placed on the outside of the nose and removed in one week. Swelling and bruising are common and may last up to 10 days. After three weeks, however, any residual swelling is usually not noticeable by other people. Although the nose reshapes for up to a year, you will notice an immediate improvement in form and function.
Many people believe that nose reshaping surgery does more to change a person’s overall appearance than any other facial surgery. See for yourself the dramatic, yet natural-looking results that are possible with rhinoplasty when you visit our before & after photo gallery.
Rhinoplasty: Recovery Following Surgery
- Can you change the shape of your nose without Rhinoplasty?
- Rhinoplasty Recovery Time
- Choosing a Rhinoplasty Surgeon
- Makeup after facial surgery
- Late Management of Nasal Fractures
“I couldn’t have asked for a better experience. I was very weary going into this, afraid after seeing so many episodes of Botched, but I am so glad I did this. Dr. Bruneteau did my rhinoplasty a little over a month ago and I am beyond happy with the results. Before, I hated my profile and was very insecure about the ‘hump’ on my nose. I no longer have a hump and I love my new nose.”5 Stars
A person is a good candidate for a rhinoplasty if they have a problem with the appearance of their nose that can be safely and predictably changed with surgery. Typically rhinoplasty patients complain of a hump on the top of their nose, a large nasal tip, or a wide nose.
Patients are normally presentable after one week following a rhinoplasty. Swelling is still present, especially in the tip, but is usually minor enough that it is only noticed by the patient and the surgeon.
A typical rhinoplasty includes incisions on the inside of the nose. Sometimes, the nose reshaping can be done through these incisions alone. Very often, however, these incisions are connected at the base of the nose. This allows the surgeon to lift the skin off the underlying structures and actually visualize both sides at the same time. Changes in the cartilage and bone are made under direct vision. This type of rhinoplasty is called an open rhinoplasty. Your surgeon will recommend what he or she thinks is the best procedure for you.
A rhinoplasty is designed to change the outward appearance of the nose. It is not a procedure that is intended to improve breathing. If breathing is a problem, a patient may require a septoplasty or turbinate reduction. The septum is the wall between the two nasal passages. Sometimes, it is deviated (crooked), thereby decreasing the air flow on one side of the nose. There are structures inside the nose called turbinates. These are outward projecting structures on the outside wall of the nasal passages. Sometimes, they become enlarged and reduction of the turbinate may improve breathing.
It’s not unusual for patients to have nasal congestion following rhinoplasty. This is often secondary to swelling with crusting and scabbing within the nasal passage. When this occurs, patients have an irresistible urge to blow their nose. We generally, recommend that patients avoid blowing their nose for at least two weeks following routine rhinoplasty and four to six weeks following septoplasty.
When patients blow their noses in the early postoperative period, they can potentially damage the nasal mucous and cause bleeding. For this reason, we generally recommend nasal saline irrigations in the immediate post-operative period.
It’s not unusual for patients to have difficulty breathing through their nose following surgery. In most cases, this is related to normal post-operative swelling and resolves quickly. In some cases, crusting and scabbing within the nasal passages may also contribute to this problem.
The problem is often related to the type of procedure performed. For instance, when septal work or large dorsal humps are removed, this problem seems more likely. In the vast majority of cases, breathing difficulty resolves in two to three weeks as swelling resolves. In a small percentage, swelling may persist for four to six weeks following rhinoplasty.
In a small percentage of patients, breathing problems may be permanent and related to structural changes in the nose. When this situation arises, secondary nasal surgery may be necessary.
It’s not unusual for the nasal cartilage to slowly curve after a nasal fracture. In many cases the nose may actually be straight after the swelling has resolved. With the passage of time the cartilage slowly starts to bend and results in a curved nasal dorsum.
When this situation arises the nose should be critically evaluated. Not only should nasal aesthetics be evaluated, but attention should be given to the nasal airway as well. Under these circumstances, the cartilaginous nasal septum may be deviated as well, with resultant airway obstruction.
When a patient has a crooked nose following trauma, the nasal septum and nasal bones are usually both involved. In many cases patients often develop a dorsal hump as well. Correction of this problem usually requires a rhinoplasty. If nasal airway obstruction is present, a septoplasty may be necessary as well.
In patients with post traumatic nasal deformities with associated functional impairment, consultation with a board certified surgeon is appropriate. It’s never too late to correct post traumatic nasal deformities especially if they’re associated with functional impairment.
The majority of patients are happy with the results of rhinoplasty surgery, but occasionally we see patients who are unhappy. This can occur for a variety of reasons and may require secondary rhinoplasty for correction.
In some cases, it’s not possible to accomplish the patient’s aesthetic goals on living tissue without damaging nasal blood supply. In other cases, it may be secondary to poor communication and finally in some cases it may be secondary to unrealistic patient expectations. For these reasons revision rhinoplasty may be necessary in up to five to ten percent of patients who undergo rhinoplasty.
When revision rhinoplasty is undertaken, the best results occur when twelve to eighteen months has been allowed to pass. This allows scar tissue to soften. Furthermore the nose has reached a stable position and the surgeons won’t be trying to hit a moving target.
It’s extremely important to consult a board certified plastic surgeon with experience performing revision rhinoplasty. This surgeon should be able to help you formulate an appropriate treatment plan.
Taking the next step
Learn more about rhinoplasty when you read through our list of Frequently Asked Questions. If you don’t find what you’re looking forward, we’re happy to answer any questions or address any concerns. Request a complimentary cosmetic consultation online or call (402) 390-0100 or (800) 331-5001 today.
Why Choose Aesthetic Surgical Images
- For almost 20 years, Aesthetic Surgical Images in Omaha has earned a reputation as one of the top plastic surgery practices in the Midwest.
- Dr. Edney completed his 5-year residency in general surgery at Creighton University and subsequently received his board certification in general surgery.
- Dr. Marie Montag has been in practice since 1997 and is a Board Certified by the American Board of Plastic Surgery.
- Dr. Bruneteau completed a fellowship in microvascular surgery at the University of California and a fellowship in craniofacial surgery at Harvard Medical School in Boston; also, is a Board Certified Plastic Surgeon.
- Dr. Biggerstaff completed his plastic surgery training at the University of California, Irvine; also, he is board eligible.