Rhinoplasty (Nose Job): Surgery, Recovery, Before & After

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Rhinoplasty, commonly known as a nose job, is a surgical procedure that changes the shape of the nose. It can be done for cosmetic reasons to improve appearance, or for functional reasons to correct breathing problems or deformities caused by injury or birth defects.


Types of Rhinoplasty

  1. Open Rhinoplasty: Incisions are made across the columella (the tissue between the nostrils) allowing better visibility and access for the surgeon.

  2. Closed Rhinoplasty: Incisions are made inside the nostrils, resulting in no visible scars, but with limited access for the surgeon.


What Happens During Surgery?

  • Performed under general anesthesia or sedation.

  • Surgeon reshapes bone, cartilage, and sometimes skin to achieve desired nasal structure.

  • May include reduction or augmentation of the nasal bridge, reshaping of the nasal tip, narrowing of the nostrils, or correction of a deviated septum.

  • Surgery typically lasts 1 to 3 hours.


Recovery Timeline

  • First Week: Swelling and bruising around the eyes and nose are common; nasal splints and packing may be used.

  • 1-2 Weeks: Most bruising fades; many return to work or school.

  • 3-4 Weeks: Swelling continues to decrease; light exercise can resume.

  • 3-6 Months: The nose takes shape as swelling subsides.

  • 1 Year: Final results are usually visible with complete healing.


Before & After Considerations

Before:

  • Consultation with a board-certified plastic surgeon.

  • Discuss goals, expectations, and potential risks.

  • Medical evaluation and photos for comparison.

  • Avoid smoking and certain medications to reduce complications.

After:

  • Follow post-op care instructions carefully.

  • Avoid strenuous activities and contact sports for several weeks.

  • Protect the nose from trauma and sun exposure.

  • Attend follow-up appointments for monitoring healing.


Risks and Complications

  • Infection

  • Bleeding

  • Poor wound healing or scarring

  • Difficulty breathing

  • Unsatisfactory cosmetic outcome requiring revision

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