Rhinoplasty (Nose-Reshaping Surgery)

What's Involved

Nose-Reshaping: Before

In 2004, cosmetic surgeons performed 166,187 "nose jobs," a small decrease of 4 percent since 2003, according to the American Society for Aesthetic Plastic Surgery. During rhinoplasty, the surgeon can alter the size, shape, and angle of the nose to enhance its appearance. The procedure may also be performed to correct breathing problems, chronic congestion, and deformity caused by injury, disease, or birth defect. Depending on the desired results, the surgeon makes incisions to either remove bone or cartilage or to add tissue or a synthetic filler (for instance, to reshape the tip or bridge of the nose). Nasal packing and a splint will help support the newly shaped nose as it heals. Surgery lasts one to two hours. Rhinoplasty requires either general or local intravenous anesthesia. It is usually performed as an outpatient procedure, but may require a one-night stay in the hospital or surgical center.

Nose-Reshaping: After

Pain Level/Recovery Time: The doctor will remove the surgical packing from inside the nose within a few days. The splint and bandages will be removed after about a week. Patients can expect puffiness around the eyes; the nose will remain bruised and swollen for about two weeks. (Some subtle swelling will remain for several months.) Cold compresses, head elevation, and pain relievers will help reduce swelling. Most patients can return to their usual routines within seven to 10 days. Strenuous activities should be avoided for several weeks. The final results may not be apparent for a year or more as the nose heals.