Rhinoplasty cosmetic surgery procedure will involve different surgical techniques, depending on whether the patient wants to increase or decrease the nose size, or the specific reshaping of the nasal tip, bridge, and nostrils. However, the primary steps in the rhinoplasty procedure will largely remain the same in each case.
The nose surgeon will explain about the various steps in the procedure, and address all related questions that the patient may have. Some degree of pre-surgery anxiety is natural, and the surgeon will provide reassuring answers to relieve the patient of any anxiety.
Pre-operative consultation is the first important step in the rhinoplasty procedure. The surgeon will educate the patient about the procedure, address their doubts and concerns, establish a good rapport with the patient, and determine candidacy by examining the nasal and facial anatomy and assessing the patient’s health history and personal aesthetic goals.
If any diagnostic tests are necessary, these may be order at this stage. Any current or past sinus or nasal breathing concerns, and the quality and thickness of the nose skin will also be evaluated. The consultation may include a review of rhinoplasty cosmetic surgery before and after photos to help the patient to develop realistic expectations.
Based on the information collected during a comprehensive consultation process, the nose surgeon will prepare a rhinoplasty plan that is tailored to meet the patient’s unique needs. The plan will create a conservative balance between the patient’s cosmetic needs and expectations and their natural nasal structure and facial anatomy.
During the planning stage, the surgeon will engage with the patient to determine the type of nose changes required and whether an open or closed rhinoplasty will be performed. The choice of anesthesia, the location of incisions, and the choice of surgical venue will also be determined.
The surgeon may perform rhinoplasty using light general anesthesia or local anesthesia with IV sedation. The procedure may be performed by an anesthesiologist or a registered anesthetist nurse, who will remain present throughout the surgery. The patient must be declared fit for general anesthesia before the surgery is scheduled.
Open or closed rhinoplasty technique may be used, depending on the degree of nasal correction required. Tissue from the nose area may be removed, added or modified as part of the surgery. Grafting or synthetic implants may be used in some cases. Open rhinoplasty will be more substantive, but it will leave a minor scar in the columella. Closed rhinoplasty can performed from inside the nostrils, and will leave no external scarring.
The surgeon will carefully close the incisions with absorbable or removable sutures following rhinoplasty surgery. Most patients can return home the same day. Nasal packing may be applied initially to provide support for the nose. Recovery instructions will be given to the patient before they leave.