Written by Shahrzad Jafari Jozani
Last Updated: 1/16/2025

Who needs Rhinoplasty?

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Who needs Rhinoplasty?

Rhinoplasty is a surgical procedure to reshape the nose, which might be motivated by wanting to change the nose's appearance, improve breathing, or both. The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can change bone, cartilage, skin, or all three. If you want to learn more about Rhinoplasty, join us in this article from the Doctour website.

Reasons for rhinoplasty 

Usually, rhinoplasty is done to repair a nose that has had an injury, to correct breathing problems, or simply because the patient is unhappy with the appearance of their nose. Some of the possible changes through rhinoplasty include: 

  • Removing a hump on the nose

  • Correcting the nose after an injury

  • A change in size

  • A change in angle

  • Straightening of the bridge

  • Reshaping of the tip

  • Opening breathing passages

  • Narrowing of the nostrils 

Even though rhinoplasty can be performed at a younger age if you need breathing impairment; in case your reasons are to improve your appearance you should wait until the nasal bone is fully grown. For girls, this is about age 15. Boys might still be growing until they’re a bit older. 

Reasons for rhinoplasty

What to ask your surgeon before the procedure? 

  • About their qualifications and experience

  • The number of nose-reshaping operations they've performed

  • How many operations they've performed where there have been complications

  • What sort of follow-up you should expect if things go wrong

  • What are their patient satisfaction rates are 

Rhinoplasty surgery procedure 

Rhinoplasty may be done inside your nose or through a small external cut (incision) at the base of your nose, between your nostrils. Your surgeon will likely readjust the bone and cartilage underneath your skin. 

During the surgery 

Rhinoplasty or nose job is usually done as an outpatient procedure, meaning there is no overnight stay. You'll get general or local anesthesia. 

Local anesthesia with sedation 

This type of anesthesia is usually used in an outpatient setting. Which is limited to a specific area of your body. Your doctor injects a pain-numbing medication into your nasal tissues and sedates you with medication injected through an intravenous (IV) line. This makes you weary but not fully asleep. 

General anesthesia 

You receive the drug (anesthetic) by inhaling it or through a small tube (IV line) placed in a vein in your hand, neck, or chest. General anesthesia affects your entire body and causes you to be unconscious during surgery. General anesthesia requires a breathing tube. 

Risks of rhinoplasty 

As with any major surgery, rhinoplasty has risks such as: 

  • Bleeding

  • Infection

  • An adverse reaction to the anesthesia 

Other possible risks specific to rhinoplasty may include:

  • Difficulty breathing through your nose

  • Permanent numbness in and around your nose

  • The possibility of an uneven-looking nose

  • Pain, discoloration, or swelling that may persist

  • Scarring

  • A hole in the septum (septal perforation)

  • A need for additional surgery

Risks of rhinoplasty

Nose Job Recovery 

Afterward, you’ll wear a nasal splint for the first week and will need to keep your head elevated for at least the first 24 hours post-surgery. Swelling and some bruising around the eyes are expected after surgery, which should begin to improve after the third day, but can last up to 2 weeks. There will be a little expected swelling which only you and your surgeon will notice, and will go away over the next 6 months. The final results of your new nose shape will be apparent after it’s fully healed. 

Your doctor may tell you to avoid the following for a few weeks after your surgery:

  • Running and other strenuous physical activities

  • Swimming

  • Blowing your nose

  • Excessive chewing

  • Laughing, smiling, or other facial expressions that require lots of movement

  • Pulling clothing over your head

  • Resting eyeglasses on your nose

  • Vigorous tooth brushing

What could go wrong during rhinoplasty? 

  • Permanent breathing difficulty

  • Damage to the cartilage wall between your nostrils

  • An altered sense of smell

  • Heavy nosebleeds

Your surgeon should explain how likely these risks and complications are, and how they would be treated if you have them.

Conclusion

In conclusion, rhinoplasty, also known as a nose job, is a surgical procedure that can benefit a wide range of individuals. Those who are dissatisfied with the size, shape, or angle of their nose may consider rhinoplasty for cosmetic reasons. It can also be beneficial for individuals who have breathing issues due to irregularities in the internal structure of the nose. Furthermore, rhinoplasty can help those who have suffered trauma to the nose or those who have a birth defect that affects the appearance or function of the nose. It’s important to note that candidates for rhinoplasty should be in good health, have realistic expectations, and preferably be non-smokers. As always, a consultation with a qualified plastic surgeon is essential to determine individual suitability for this procedure.

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FAQs

Rhinoplasty, also known as a nose job, is a surgical procedure that modifies the shape, size, or proportions of the nose.

A good candidate for rhinoplasty is typically someone who is in good health, has completed their facial growth (usually around age 16), and has realistic expectations about the results.

After rhinoplasty, patients typically wear a nasal splint for the first week. Swelling and bruising around the eyes is common but usually subsides within two weeks.

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