What is a Rhinoplasty?
Rhinoplasty, commonly known as a nose job, is one of the most common plastic surgery procedures performed to restore function or aesthetically improve the appearance of the nose. During a rhinoplasty, Dr. Roberto Garcia is able to reshape, reduce or augment a patient’s nose for cosmetic, and oftentimes functional, purposes. A nose job may also be performed to correct a birth defect, repair an injury, improve breathing or simply to improve a patient’s appearance.
Rhinoplasty surgery can change:
- Nose size, in relation to the other facial structures
- Nose width, at the bridge
- Nose profile, with visible humps or depressions on the bridge
- Nasal tip, that is large or bulbous, drooping, or too upturned
Candidates for rhinoplasty
Candidates for rhinoplasty should be at least 15 to 17 years old since facial growth should be completed before proceeding with this surgery. Patients considering rhinoplasty should be in overall good health, should not be smokers, and should have realistic expectations about the outcome.
Schedule a consultation at Contoura Facial Plastic Surgery to find out if you are a good candidate. We see patients from Ponte Vedra Beach, Jacksonville, St. Augustine and surrounding areas.
How is a nose job performed?
Rhinoplasty nose surgery is usually an outpatient procedure performed under IV sedation or general anesthesia. The procedure usually takes between 2 to 3 hours to complete. At Contoura Facial Plastic Surgery, Dr. Roberto Garcia uses one of two techniques when performing nose surgery. The two methods for performing a rhinoplasty are open and closed. Dr. Roberto Garcia has extensive experience in both and will discuss the advantages and disadvantages of each method with the patient during the consultation.
In a closed rhinoplasty, incisions are made within the nostrils. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils. With both methods, Dr. Roberto 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. 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 operation on the nose. 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. Roberto 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.
Rhinoplasty Before and After
*Individual Results May Vary
Before & After Gallery
The gallery of images contains photographs illustrating patients’ appearances before and after surgery.
What are the benefits of a rhinoplasty?
Rhinoplasty has several specific goals. Some facilitate breathing as well as improve facial appearance. During a rhinoplasty, Dr. Garcia may make your appearance more pleasing to you by:
- Removing a hump on your nose
- Modifying the bridge of your nose
- Reshaping the tip of your nose
- Reshaping or resizing your nostrils
- Repairing your nose after an injury
- Increasing or decreasing the size of your nose
What to expect Immediately after A Rhinoplasty
Immediately after surgery, the patient’s nose and eyes can be bruised and swollen. Dr. Garcia does not believe in packing the nose, as such, the patient is able to breathe normally on the first day! Most patients feel like themselves the next day and are able to return to regular activities in about a week.
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.
Are there restrictions in the weeks following a rhinoplasty?
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
- Avoid blowing your nose
- Avoid constipation
- 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
What are the possible risks of rhinoplasty?
As with any surgical procedure, there are risks involved in a rhinoplasty, including excessive bleeding, adverse reaction to anesthesia, localized pain, discoloration or numbness. On rare occasions, a patient may be dissatisfied with the cosmetic results of the operation and a second surgery, called a revision rhinoplasty, may be desired. In our extensive experience, however, a rhinoplasty is an uncomplicated procedure with pleasing results.
Although rare, complications arising from a rhinoplasty are rare and, when they do occur, are usually minor. These may include infection, nosebleed, or a reaction to the anesthesia. Some patients may experience recurring nosebleed or numbness in or around the nose. On rare occasions, the nasal septum may be perforated, but this can be repaired. In general, a rhinoplasty is considered a very safe surgical procedure.
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, 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’s results?
Dr. Garcia is dedicated to his patients throughout the surgical process, and has protocols to help speed post-surgical healing, reduce down time, and improve each patient’s recovery experience. During your pre operative appointment, you will be instructed on all of the post surgical instructions you are recommended to follow. We will instruct you on the importance of not overlooking the importance of 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. 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.
What can I expect during recovery?
Immediately after surgery, the nose and eyes are usually bruised and swollen. The patient may have a splint on their nose for several days. During this period, the patient may experience some nasal pain or a dull headache, as well as some bleeding and drainage from the nose. Most patients are comfortable enough to return to regular activities in about a week. Contact lenses can be worn immediately after the procedure, but glasses may need to be taped to their forehead or propped on your cheeks for up to six weeks.
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.
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. 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
Find out if you are a good candidate for a nose job. Call (904) 686-8020 to schedule a consultation at Contoura Facial Plastic Surgery. Our practice serves Ponte Vedra Beach, St. Augustine, Jacksonville and surrounding areas.