Rhinoplasty: Cost, Risks, Recovery

Overview

Rhinoplasty, also referred to as nose surgery or nose job, is a plastic surgery to change the shape or size of your nose by modifying the bone or cartilage. This surgery can help adjust the appearance of humps or depressions, the shape and position of the tip of your nose, and the size of your nostrils. It is one of the most common types of plastic surgery.

People choose rhinoplasty for various reasons. For example, some want to repair their nose after an injury, to correct breathing problems or a birth defect, and others may do the surgery for they’re unhappy with the appearance of their nose.

Candidates

People have the following conditions are good candidates for rhinoplasty:

  • Physically healthy
  • Nonsmokers
  • Facial growth is complete
  • Have a positive and realistic outlook of the surgery

Cost

According to 2018 statistics from the American Society of Plastic Surgeons, the average cost of rhinoplasty is $5,350. The total cost of this surgery can vary based on the surgeon’s experience, the type of procedure performed and the office location.

In addition to the surgeon’s fee, other factors that should be included in the total cost of a rhinoplasty are:

  • Medical tests
  • Hospital or surgical facility costs
  • Anesthesia fees
  • Prescriptions for medication
  • Post-surgery garments

Risks

Any surgery would carry certain risks and complications. Rhinoplasty is no exception. Possible risks of the procedure include:

  • Bleeding
  • Infection
  • Adverse reaction to the anesthesia
  • Scarring
  • Poor wound healing
  • Difficulty breathing
  • Numbness or change of skin sensation in the nose
  • Swelling and pain
  • Nasal septal perforation, a hole in the nasal septum
  • Need for a second surgery

Your surgeon will make sure that you understand these risks and complications in your consultation to help you make the decision.

Preparation

In your first visit, your surgeon will examine your medical history and ask you about any current medications and medical conditions and discuss your expectations for the surgery. He or she may ask you to:

  • Do lab tests and a physical exam
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

Also, a rhinoplasty is usually a surgery on outpatient basis, so you need to arrange for someone to drive you home and stay with you for at least 24 hours after the surgery.

Surgical steps

Your doctor will use local or general anesthesia. If it’s a simple procedure, you’ll receive local anesthesia to your nose, which will also numb your face. With general anesthesia, you’ll inhale a drug. Children are usually given general anesthesia.

Then, your surgeon will make the incisions to perform specific surgical procedures. The incisions can be hidden inside the nose, or across the columella. Through these incisions, your doctor can raise the skin that covers the nasal bones and cartilages to reshape the structure of the nose.

Techniques can vary in this step depending on how much needs to be removed or added, your nose’s structure and available materials. For small changes, the surgeon may use cartilage taken from deeper inside your nose or from your ear. For larger changes, the surgeon can use cartilage from your rib, implants or bone from other parts of your body.

Once the underlying structure of the nose is sculpted to the desired shape, your surgeon will redrape the nasal skin and tissue and close the incisions.

Recovery

Usually, a rhinoplasty recovery takes 1-2 weeks. After the surgery you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. In most cases, the internal dressings remain in place for one to seven days after surgery. Your doctor will also tape a splint to your nose for protection and support.

You should follow your surgeon’s instructions closely to lower the chances of bleeding and swelling, including avoiding strenuous activities and extreme facial expression. While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine.


Keyword: rhinoplasty.

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* The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.