Rhinoplasty (Nose Surgery)
Our nose is one of the most prominent parts of the face that we notice. It can also be one of the most disliked parts of someones face. If you have had life-long self-consciousness about the appearance of your nose, the most commonly performed procedure by Dr. Roberto Garcia can adjust nasal shape, and have a positive effect on the entire facial aesthetic. Rhinoplasty can increase or decrease nose size, reduce the bridge or tip, and even alter the shape of the nostrils. Nose surgery, also referred to as nose resculpting, can also help those with nasal breathing problems.
Patients that see Dr. Roberto Garcia for a consultation are those who are unhappy with the appearance of their nose. When Dr. Garcia performs Rhinoplasty, he can change your overall facial appearance, transforming your look and boosting self-confidence.
To schedule a consultation for rhinoplasty (nose surgery) at our practice in Ponte Vedra Beach or St. Augustine, please contact Contoura Facial Plastic Surgery today. During your initial consultation, you will be able to view a computer-generated image of what you may look like once the procedure has been performed. The advanced Vectra 3-D imaging technology will allow you to see the possible results of nose surgery before setting foot in the operating room.
What is Rhinoplasty?
Rhinoplasty, also called a nose job, is one of the most popular face procedures Dr. Roberto Garcia performs at his office serving the Jacksonville area. It can address both cosmetic and functional concerns of the nose. Nose surgery can improve the following:
- Aesthetic appearance
- Nose size in relation to the other facial structures
- Width of the nose at the bridge
- Nose profile with visible humps or depressions on the bridge
- Nasal tip, that is large or bulbous, drooping, or too upturned
- Breathing and function
For some patients, the surgery can be performed to correct a birth defect or repair an injury.
A good candidate for rhinoplasty should be at least 15 to 17 years old. This is to make sure that facial growth is complete before proceeding with surgery. The patient should be in overall good health, a non-smoker, and should have realistic expectations about the outcome.
Rhinoplasty typically achieves outstanding results. However, the nose is a unique facial feature that will almost always have subtle irregularities. During your consultation with Dr. Garcia, he will address your concerns and desired results in detail. Our goal is for our patients to have a full understanding of the procedure and be comfortable throughout the whole process.
How Does Dr. Roberto Garcia Perform Rhinoplasty?
Nose surgery is performed as an outpatient procedure and is conducted with the use of IV sedation or general anesthesia. The procedure takes between 2 to 3 hours to complete. At Contoura Facial Plastic Surgery, Dr. Roberto Garcia uses one of two techniques when performing cosmetic surgery to refine the appearance of the nose. Rhinoplasty may be performed as an “open” or “closed” procedure. Dr. Garcia has extensive experience in both, and will discuss the pros and cons of each method during the patient consultation.
Patient Testimonials for Nose Surgery
Rhinoplasty Before and After photos
*Individual Results May Vary
Before & After Gallery
The gallery of images contains photographs illustrating patients’ appearances before and after surgery.
How To Prepare for Nose Surgery
Our team provides detailed information to patients scheduled for rhinoplasty. We also encourage you to contact our office if you have any questions leading up to your procedure. Before nose surgery, patients may be scheduled for blood-work. General preparations also include:
- Stop smoking
- Certain medications may need to be adjusted before surgery
- Herbal supplements, anti-inflammatory drugs, and aspirin should be avoided before surgery
- Pain prescriptions should be filled before the day of surgery.
- Arrange the home to be a comfortable recovery center, including extra pillows to sleep with your head elevated
- Arrange for approximately 10 days off work
- Secure reliable child and pet care
- Arrange for reliable transportation to and from your procedure, and temporary in-home care as needed
- Wear a button-up shirt to the surgery center
Open Vs. Closed Rhinoplasty
In an open rhinoplasty the incision is made across the columella, the tissue between the nostrils. During a closed rhinoplasty, incisions are made within the nostrils. With both methods, Dr. Garcia gently lifts the soft tissues covering the nose and sculpts the bone and cartilage to the desired shape.
Any additional cartilage needed to augment the nose can often be taken from the septum. If the patient has a deviated septum, adjustments can be made to the septum and the inner structures of the nose to improve breathing through nose septum surgery. Then the tissues are re-draped and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of a rhinoplasty.
Revision or secondary rhinoplasty is a procedure that corrects deformities caused by a previous nose surgery. Some patients who have undergone a previous rhinoplasty, or nose job, may be unhappy with the results, either for functional or cosmetic reasons. In some cases, a revision rhinoplasty may be performed.
A revision rhinoplasty can be a more difficult procedure to perform than primary rhinoplasty because there may be less cartilage to work with and there may be scarring or tissue contracture or tightening within the nose. In some cases, additional cartilage may be taken from the ear or even the ribs to reconstruct the nose.
Dr. Garcia has performed thousands of nasal surgeries and has extensive experience in the nuances and challenges of this complicated procedure.
For dissatisfied patients, revision rhinoplasty is not always the only option available to correct problems with a previous surgery. Many times, Dr. Garcia can correct small deformities or fill gaps or grooves within the nose with injections of synthetic fillers.
Patients should request a consultation with Dr. Garcia if they are dissatisfied with the results of a previous rhinoplasty to determine what options are available to improve the appearance and the function of the nose.
What to expect Immediately after A Rhinoplasty
Immediately after rhinoplasty surgery the nose and eyes will have bruising and swelling. Dr. Garcia does not believe in packing the nose, as such, the patient is able to breathe normally on the first day! The patient may have a splint on their nose for several days. During this period, the patient may experience nasal pain or a dull headache, as well as some bleeding or drainage from the nose. Most patients are comfortable enough to return to regular activities in about 1 week. Contact lenses can be worn after the procedure, but glasses may need to be taped to their forehead or propped on your cheeks for up to six weeks.
Rhinoplasty Recovery Time
During the recovery process, the rhinoplasty patient should refrain from strenuous exercise, avoid nose blowing, vigorous toothbrushing or any activity that puts pressure on the nose. Healing from rhinoplasty can be hastened with proper pre-operative supplements and avoidance of certain herbs, supplements, and medications that cause increased bruising.
Our team at Contoura Facial Plastic Surgery will review specific instructions with you in detail and give you several recommendations to improve recovery during the time of your visit.
How Long Does It Take To Heal After A Rhinoplasty?
Comfort significantly improves within the first three days after rhinoplasty surgery. Patients can expect discomfort to be manageable with Tylenol or prescribed pain medication. Bruising and swelling that occur after surgery may appear worse initially, but improve progressively over the following weeks. Within two weeks, patients are able to return to work with only minor swelling remaining. This can take up to one year to resolve fully.
Are There Restrictions After Cosmetic Nasal Surgery?
While the patient will be able to resume normal activities about a week after surgery, they will have to protect their nose while it heals by observing the following directives during the post-operative period:
- Avoid strenuous activities
- Take baths with lukewarm water
- Blowing your nose
- Avoid making exaggerated facial expressions
- Brush your teeth gently
- Avoid pulling clothing over your head
- Use sunscreen of SPF 30 or higher
- Limit dietary sodium
- Do not use ice packs
Are most patients pleased with the results of a rhinoplasty?
Patients with realistic goals for rhinoplasty are generally very happy with the new shape of their nose. The exact results depend on nasal bone and cartilage structure, facial shape, the thickness of the skin and age. While the patient will look and feel fine within a week or two, he/she may have minimal swelling for as long as a year after the rhinoplasty procedure. Although the results may not be absolutely optimal until a year has passed.
How can I help optimize my nose job results?
Dr. Garcia dedicates himself to his patients throughout the surgical process. He has protocols to help speed post-surgical healing, reduce downtime, as well as improve the recovery experience. During your pre-operative appointment, our team will instruct you on all of the post-surgical instructions we recommend to follow. Specifically, it’s important to not overlook good nutrition; protein is the building block of healing and immunity. We will also provide you with recommendations for vitamins and supplements to optimize healing. In addition, to guide you through your recovery and optimize your results, Dr. Roberto Garcia and his staff will schedule regular post-op visits to monitor your healing and answer your questions.
Will I have noticeable scars after my rhinoplasty?
Rhinoplasty can be performed by utilizing either open or closed surgical approaches. When a closed approach is used, the incisions are placed inside the nostrils. In contrast, an open approach utilizes incisions and connects them by making a small incision across the columella. This incision allows the nasal skin to be lifted upward to provide exposure to the underlying anatomic structures. In the vast majority of patients, the incisions using an open approach heals almost imperceptibly.
When will I be able to see my final results?
Results are visible right away after a rhinoplasty but swelling will be present for up to a year after surgery.
Bleeding, infection and adverse reaction to anesthesia are the most common surgical risks. Additionally, rhinoplasty carries risks including:
- Difficulty breathing through the nose
- Recurring nosebleeds
- Persistent pain, discoloration or swelling
- Permanent numbness in and around the nose
- Hole in septum (septal perforation)
The Rhinoplasty Consultation Using 3D Imaging
At Contoura Facial Plastic Surgery we offer the Vectra 3D, a state-of-the-art imaging system that allows patients to preview their expected results prior to undergoing a procedure.
During your consultation, Dr. Roberto Garcia will take photographs of a patient’s face or specific part that will be performed on. He will then create a 3D digital replication of the same body part using the VECTRA simulator. These images will allow Dr. Garcia to preview the various surgical/nonsurgical options with the patient.
Learn more about the Vectra 3D.
*Individual Results May Vary
Schedule a consultation
To schedule a consultation for rhinoplasty nose surgery, please call (904) 686-8020 to schedule a consultation at Contoura Facial Plastic Surgery. Our practice serves Ponte Vedra Beach, Jacksonville and surrounding areas.