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Rhinoplasty


Are you unhappy with the size, shape, or angle of your nose? Do you have trouble breathing through your nose? The nose is one of the most prominent facial features and contributes to overall facial proportions and appearance. Whether done for congenital, traumatic, or cosmetic reasons, a rhinoplasty can be transformative and boost your self-confidence. With Dr. Waltzman’s expertise, you will be surprised at how much better you feel about your appearance and yourself. Dr. Waltzman takes pride in helping his patients improve their appearance.

What is a rhinoplasty?

Nose reshaping, or a rhinoplasty, is a surgical procedure that reshapes the nose to a more aesthetically pleasing shape and size to improve your appearance. The surgery is typically performed under IV sedation or general anesthesia in an outpatient surgery setting. Incisions are typically made in the columella (the fleshy skin in between the nostrils) and extend into the nostrils. The underlying cartilage and soft tissues are exposed and contoured to achieve the desired results. Occasionally, Dr. Waltzman will need additional cartilage for grafting or support. This cartilage can come from the nasal septum, the ear, or from a rib.

After surgery you may have splints inside your nose and on the top of your nose to preserve the new shape, protect your new nose from trauma, reduce skin swelling and hold the bones in place while they heal. Drainage from the nostrils is common for 2-3 weeks after surgery. Your stitches and splints will be removed in the office. Swelling after a rhinoplasty is common and typically takes several months for the majority of the swelling to resolve. It is not uncommon for a small amount of swelling to remain in the tip of the nose for up to 1 year.

What are the benefits of a rhinoplasty?

The objective of a rhinoplasty is to enhance facial balance and proportion. The reasons for a rhinoplasty are almost unlimited. Perhaps you had a broken nose, there is a bump on the bridge of your nose, your nose is too large for your face or the tip of your nose points downward, the tip is too large, the nose is not centered, or an old injury caused an asymmetry.

Often the cosmetic procedure is combined with a functional procedure to repair or reshape the septum, called a septoplasty. The septum is the partition between the nasal cavities. A deviated septum is a structural and functional defect due to displacement of the cartilage. It can block one side of the nose and cause difficulty breathing. It also causes the nose to dry out and can contribute to nose bleeds.

Nasal obstruction is fairly common. Many people have trouble breathing through their nose. Often this causes a person to breathe through their mouth, which creates its own problems with dryness and dental issues, as well as poor sleep.

Is a rhinoplasty covered by insurance?

A septoplasty is often covered by insurance. But the cosmetic procedure is elective and will not be covered by insurance. A reconstructive rhinoplasty is performed to reconstruct the nose after skin cancer or major trauma. Reconstructive procedures are often covered by insurance.

Am I a candidate for a rhinoplasty?

If you are healthy and don’t smoke, and facial growth is complete, you may be a good candidate. It is important that you have realistic expectations about what can be achieved with a nose job. You are a good candidate if you desire improvement, not perfection, in the appearance of your nose.

Your consultation with Dr. Waltzman is where you will discuss your goals and preferences for surgery including changes in appearance and any breathing issues. He will evaluate your health status and provide you with options for reshaping your nose. He will take photos and recommend a course of treatment.

Just remember no nose job is absolutely perfect. Although you may desire a specific style, a nose that looks good on someone else may not look good on you. One size does not fit all. The goal is a natural appearance. An attractive nose is one that is in harmony with your facial features. With Dr. Waltzman’s technical expertise and artistic skills you will be in good hands. Give us a call today.