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Enhance Your Facial Harmony with Expert Rhinoplasty at MirAge Clinic

Are you seeking a refined nose shape that complements your facial features? Look no further than our comprehensive rhinoplasty services. At MirAge Clinic, our skilled and experienced plastic surgeons specialize in creating natural and harmonious results tailored to your unique facial structure.

Conditions Addressed by Rhinoplasty

Rhinoplasty, commonly known as a „nose job,” is a transformative procedure that changes the appearance of the nose and improves breathing. It can address a variety of concerns, including:
  • Nasal Bridge

Correction of a dorsal hump or concavity.

  • Nasal Tip

Reshaping and refining the tip of the nose.

  • Nasal Symmetry

Balancing uneven features for a more symmetrical appearance.

  • Nasal Size

Reduction or augmentation to achieve the desired size.

  • Functional Issues

Correction of breathing difficulties or structural abnormalities.

Open Rhynoplasty

All incisions are placed inside the nose except for a tiny incision in the little column of skin that separates the nostrils. Open rhinoplasty allows to lift up the skin and soft tissue to expose the underlying cartilage and bone for precise adjustments. This offers more visibility and access. For patients who need significant tip alteration and for revision surgeries, open rhinoplasty is usually the best option.

Closed Rhinoplasty

This is the traditional technique that surgeons have been performing for many decades. All incisions are placed inside the nose, limiting access and visibility. The technique is most common for patients who want to narrow the nose, or to reduce or augment the bridge of the nose. Closed rhinoplasty is an excellent choice when significant changes to the nose tip are not required. It is considered less invasive than open rhinoplasty, allowing for faster surgery and recovery time. 

Septoplasty

You’ve probably heard the term “deviated septum” quite a bit. The septum is the internal cartilage that separates the nostrils. For patients who have deviated noses or obstructed nasal airways, a deviated septum is frequently the cause. Septoplasty is designed to open the nasal airways, straighten the septum, and possibly straighten the nose. The septum is also the best source of cartilage grafts when needed for more complex nose adjustments. Oftentimes, patients who opt for septoplasty have both cosmetic and functional goals for surgery.

Tip Grafts

Refining the nasal tip is one of the most challenging aspects of rhinoplasty. Tip grafts typically come from the septum, ears or ribs. They may be used to improve projection and contour of the nasal tip. Grafts allow the surgeon to achieve more substantial changes than would be possible only by adjusting existing cartilage. This technique benefits patients who have flat or asymmetrical noses and is usually critical for revision rhinoplasty.

Spreader Grafts

Imagine putting a clothespin on the soft portion of your nose and trying to breathe. That is what it’s like for patients with obstructed nasal airways due to narrow internal valves. To remedy this I recommend spreader grafts. Spreader grafts are internal cartilage grafts used to widen the nasal airways and improve breathing function. The grafts are not visible externally unless desired, and are usually created with cartilage from the septum or ears.

The Procedure

You receive medicine, called anesthetic, through an IV line. General anesthesia affects your entire body and causes you to be asleep during surgery. General anesthesia requires a breathing tube. The surgeon makes an incision, at the base of the nose, between the nostrils in case of the open rhinoplasty or inside of the nose in case of the closed rhinoplasty. The bone and cartilage are readjusted. It can be done in several ways. It depends on how much needs to be taken out or added, the nose’s structure and available materials. For small changes, cartilage may be taken from deeper inside the nose or from the ear. For larger changes, cartilage from a rib, implants or bone from other parts of the body can be used. After these changes are made, the skin on the nose and tissue are put back, and the cuts are sewn together. Sometimes, the wall between the two sides of the nose, known as the septum, is bent or crooked. This is called a deviated septum. It can be straightened during surgery to make breathing easier. After the surgery, you’re in a recovery room. You’re watched while you wake up. You stay overnight. The length of a rhinoplasty procedure typically ranges from 1 to 3 hours, depending on the complexity of the surgery and the specific changes required.

Aftercare

After the surgery, you need to rest in bed with your head raised higher than your chest. This reduces bleeding and swelling. Your nose may be stuffed up because of swelling. It could also be from the splints put inside your nose during surgery. Most of the time, the internal bandages stay in place for 1 to 7 days after surgery. A splint may be taped to your nose for protection and support. It’s usually in place for about one week. You may have a little bleeding and drainage of mucus and old blood for a few days after the surgery or after removing the dressing. A drip pad — a small piece of gauze held in place with tape — may be put under your nose to absorb drainage. Change the gauze as directed by your plastic surgeon. Don’t put the drip pad tight against your nose.

You may be given other instructions to further lower the chances of bleeding and swelling. These should be followed for several weeks after surgery:

  • Avoid intense physical activities such as aerobics and jogging.
  • Take baths instead of showers while you have bandages on your nose.
  • Don't blow your nose.
  • Sneeze and cough with your mouth open.
  • Avoid certain facial expressions, such as smiling or laughing.
  • Eat high-fiber foods, such as fruits and vegetables, to keep from getting constipated. Constipation can cause you to push hard, putting pressure on the surgery site.
  • Brush your teeth gently to keep your upper lip from moving.
  • Wear clothes that fasten in the front. Don't pull clothing, such as shirts or sweaters, over your head.

In addition, don’t rest eyeglasses or sunglasses on your nose for at least four weeks after the surgery. They can put pressure on your nose. You can use cheek rests or tape the glasses to your forehead until your nose has healed.

Use SPF 30 sunscreen when you’re outside, especially on your nose. Too much sun may cause permanent discoloration on the skin of the nose.

You may have some short-term swelling or black-and-blue coloration of your eyelids 2 to 3 weeks after the surgery. Swelling of the nose can last longer, sometimes up to a year. Eating less sodium will help the swelling go away faster. Don’t put anything such as ice or cold packs on your nose after surgery.

Your nose changes throughout your life whether you have surgery or not. For this reason, it’s hard to say when you have reached your final result from the surgery. However, most of the swelling is gone within a year.

Results

Subtle alterations to the structure of your nose, even mere millimeters, can significantly impact its appearance. A skilled surgeon can often achieve satisfactory results that meet both your expectations. However, in certain instances, these subtle adjustments may not be sufficient. In such cases, you and your surgeon might opt for a secondary surgery to implement further changes. It’s essential to wait at least a year for the follow-up procedure because your nose may undergo natural changes during this period. The final results of rhinoplasty may not be immediately apparent, and it typically takes time for the swelling to subside and the nose to fully settle into its new shape. Most individuals can expect to see the initial outcomes within a few weeks to a month after the surgery. However, complete resolution of swelling and the final, stabilized appearance may take several months. Patients are often advised to be patient and allow the healing process to progress, as the nose gradually refines its shape over time. Full appreciation of the final results is usually achieved within a year after the rhinoplasty procedure.

Risks

Rhinoplasty, like any surgical procedure, carries inherent risks and potential complications. It’s crucial for patients to be aware of these factors before deciding to undergo the surgery. While complications are infrequent, they can include:
  • Infection
Though rare, infections can occur after surgery. Proper post-operative care and adherence to the surgeon’s instructions help minimize this risk.
  • Bleeding
Some bleeding is normal after rhinoplasty, but excessive bleeding can occur in rare cases. Patients should inform their surgeon if they experience prolonged or heavy bleeding.
  • Scarring
While efforts are made to minimize visible scarring, there is always a risk of scarring, especially in open rhinoplasty where a small incision is made between the nostrils.
  • Anesthesia Risks
Anesthesia carries its own set of risks, and patients must discuss their medical history with the anesthesiologist to ensure a safe procedure.
  • Unsatisfactory Results
Despite the surgeon’s best efforts, aesthetic expectations may not be fully met. Open communication during the consultation is vital to align expectations with achievable outcomes.
  • Breathing Issues
Changes to the nasal structure may impact breathing. This is more common when functional corrections are part of the procedure.
  • Nasal Septum Perforation
Rarely, a hole (perforation) may develop in the nasal septum, affecting the nasal structure and airflow.
  • Skin Discoloration and Swelling
Temporary changes in skin color and prolonged swelling can occur, taking several months to fully resolve.
  • Numbness
Some degree of temporary numbness in the nasal area is common and usually resolves over time. However, in rare cases, it may persist.
  • Revision Surgery
In cases where the desired results are not achieved or complications arise, revision surgery may be necessary. This involves additional risks and considerations.

Patients should thoroughly discuss potential risks with their surgeon during the consultation to make informed decisions about the procedure. Choosing a qualified and experienced surgeon can significantly minimize these risks.

Embark on your Rhinoplasty Journey with Confidence

If you’re considering rhinoplasty to enhance your facial aesthetics or address functional issues, our team at MirAge Clinic is here to guide you. Schedule a consultation with our experienced plastic surgeons to discuss your goals and discover the transformative possibilities of rhinoplasty.

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