Nose Surgery – Rhinoplasty

Project decription


Nose surgery, or rhinoplasty, improves facial harmony and the proportions of your nose. Nose surgery can also correct impaired breathing, caused by structural defects in the nose, such as a deviated septum. There are numerous techniques used to address nasal deformities and are individualized for each patient, depending on their age, specific problems of their nose function and anatomy, previous surgeries or injuries, skin thickness and quality, and anatomy of other facial structures. Nose surgery to restore missing tissue and improve function after injuries or cancer, may be covered by insurance.

The procedure has variable duration, depending on the specific problems being addressed during surgery.

Rhinoplasties can be divided in two basic approaches, each with its benefits and limitations: the closed approach and the open approach. There is not one type that fits all and there are proponents of both methods within the surgical community. The closed method places the incisions inside the nose and allows for less scarring and faster healing. Open rhinoplasty requires incisions inside the nostrils and on the midportion between the nostrils (columella) and allows wider and better exposure of the structural framework of the nose that may need modification. Commonly performed modifications include trimming or addition of cartilage, various types of suturing, shaving of cartilage or bone, use of grafts from the nose, ear or ribs, depending on the patient’s specific problems that need to be addressed during rhinoplasty. Routinely, packing of the nostrils and nose splint are used after the end of the procedure.

The treatment that best fits your needs and expectations can be further discussed with your surgeon during your consultation.


Nose surgery can change:
  • Nose size in relation to facial balance
  • Nose width at the bridge or in the size and position of the nostrils
  • Nose profile with visible humps or depressions on the bridge
  • Nasal tip that is enlarged, drooping, upturned, or hooked
  • Nostrils that are large, wide, or upturned
  • Nasal asymmetry


Nose surgery is a good option for patients who wish to correct or improve specific areas of their nose, are in good health and have realistic expectations. Patients who smoke, have high blood pressure that is not under control, have blood disorders or take blood thinners, such as Aspirin, Coumadin or Plavix, may experience higher risk of healing problems.


Most patients tolerate the procedure well and are able to go home the same day. Medications for pain and nausea to be taken by mouth are routinely prescribed with an occasional short course of antibiotics. Some bruising and swelling are expected but are generally well tolerated and improve over several days. Using extra pillows while you sleep will help reduce swelling. Strenuous exercises and lifting heavy objects should be avoided for few weeks.

The nose packing is removed at the office during your follow up appointment. The splint is removed few weeks later, especially if the bony structures of the nose were modified, in order to maintain the new shape while the bone is healing. Contact sports and all activities that may cause injury to the nose should be avoided for 8 weeks.

Patients that use reading glasses are instructed to tape them on the forehead or alternatively use contact lenses for about 8 weeks, because the weight of the glasses may interfere with the healing process.

All patients considering elective surgery should abstain from smoking, including secondhand smoke and avoid any nicotine containing products, both before and after surgery. Dr. Ziakas strongly advises all his patients to quit smoking for good. The sutures used in nose surgery are absorbable and dissolve over time. All patients are advised to use a good quality sunscreen when outdoors (minimum SPF 30) to minimize the hazardous effects of sun radiation on the incisions and the rest of the skin. The majority of patients are able to return to their routine activities in about a month and have their final look in about six months.

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