Rhinoplasty surgery, also known as nose surgery or nasal surgery is the second most common plastic surgery performed on the face. More than 200,000 people per year receive this surgical procedure. Rhinoplasty can affect one’s appearance dramatically since one of the most defining characteristic of the face is the nose.
Since the nose is not fully developed until ages 14-16, patients are recommended to wait until full nasal development before participating in the nose job surgery.
There are many motives to ones decision to have Rhinoplasty surgery. For example health issues, problems breathing, being unhappy with the general appearance of the nose they were born with, repairing a nose from injury and damage of its original appearance.
Internal nasal structures that may cause breathing problems can usually be corrected during the same time as nose reshaping surgery. Since everyone’s nose is different depending on size, structure, skin type, ethnicity, and bone structure, it is important to know exactly what you want your new nose to look like along with the limitations of Rhinoplasty.
Dr. Solomon focuses a large part of his practice on Rhinoplasty which is one of the many reasons he is recommended. Upon meeting with Dr. Solomon, he will assess your breathing and nasal structure. From here he will determine whether you have nasal allergies, a deviated septum or other deformities in the structure of the nose. Dr. Solomon will evaluate you for Rhinoplasty surgery by examining the interior and exterior of your nose. The nose should be vigilantly examined before surgery so the doctor can determine whether your new nose will not compliment the rest of your facial features. In some cases, a chin augmentation may be recommended for a better balance of features.
In some instances, the doctor may have to rebuild nasal support using cartilage grafts from your ear, nose or other parts of the body. In some cases, the imperfections are so slight that the nose can be smoothed using gortex implants, a material made of fine sheet.
Cosmetic or functional surgery of the nose usually takes 1½ hours to 2½ hours and generally is done under general anesthesia. Dr. Solomon generally performs Rhinoplasty where all incisions are placed inside the nose but in some cases a small incision may be made across the bridge of tissue between the nostrils called the columella. Dr. Solomon only uses this approach for severely traumatized noses and revision Rhinoplasty. In some cases the needed external incisions are in the crease where the cheek and nose join to narrow the nostril. When an external incision is used it will generally heal and leave scars that are nearly invisible. At the end of the operation, a splint will be placed on your nose. If there is any bleeding, a light dressing may be placed inside the nostrils and removed the same day or the next day. Generally sutures were placed in the nose are dissolvable and will fall out over the following weeks. External sutures when used will be removed by Dr Solomon approximately at one week after surgery. The nasal splint is usually removed in one week to ten days.
Temporary skin numbness may occur after Rhinoplasty surgery. In some cases another surgery may be needed to fine tune the final product. Bruising should last up to a week; swelling however can last up to weeks or months. Residual swelling generally affects the nasal tip.
OHIP may cover part of the nasal surgery if the patient has difficultly breathing or a nasal deformity due to trauma. If this is the case, Dr. Solomon will evaluate your condition and submit tests and photos to the Ministry of Health in order to determine whether the patient will receive health insurance coverage.
View before and after: Rhinoplasty photos!