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Nose Surgery (Rhinoplasty)

(Nose Reshaping / “Nose Job”)

Overview


  • Length: 2-3 hours (generally outpatient)
  • Anesthesia: General
  • Normal recovery: Return to work in 1weeks, Resume light exercise after 3 weeks, swelling resolves completely after 6-8 weeks
  • Possible side effects: Swelling, Bruising, Pain or Discomfort

No feature defines a face quite like the nose. Nose Surgery, also known as rhinoplasty improves the appearance and proportion of the nose, enhancing facial harmony and self confidence. Surgery of the nose may also correct impaired breathing caused by structural defects in the nose.

Rhinoplasty can change:

  • Nose size, in relation to facial balance
  • Nose width, at the bridge or in the size and position of the nostrils
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is enlarged or bulbous, drooping, upturned or hooked
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry

Men and women of all ages can benefit from this safe and proven procedure. If you are self-conscious about any aspect of your nose or have an injury to your nose or septum, you may be a good candidate for rhinoplasty Nose Surgeries are sometimes performed in combination with other procedures such as:

  • Facelift: Overall lifting and tightening of the facial skin and underlying tissues.
  • Brow lift or forehead lift surgery can reduce the appearance of droopy eyebrows and deep furrows and creases on the forehead.
  • Ear surgery is performed to address droopy upper Ears and puffy lower Ears, which can cause you to appear older and more tired than you feel.
  • Facial implants are made of silicone and can be placed in your nose, cheek or jaw to improve your overall facial symmetry and proportion.
  • Neck lifts are often combined with Brow Lifts. These procedures are used to remove fat and excess skin to eliminate wrinkles and bands and create a smoother, tighter neck appearance.
  • Chin surgery may involve reducing the size of the chin by removing bone or enlarging the chin with implants.
  • Otoplasty (ear surgery) is performed to reduce the appearance of excessively protrusive ears. This is one of the few plastic surgery procedures most often performed on young children.

How Does Nose Surgery Work?

There are as many different techniques and approaches to nose surgery as there are nose problem, but Dr. Min’s goal is always overall facial harmony. Generally, incisions hidden at the nostril base and/or inside the nose allow access to reshape underlying cartilage and/or bone. This may include lowering humps, narrowing of nasal bones, shaping of the nasal tip or nostril size and improving the angle between the nose and the upper lip.

Cartilage is a flexible and growing tissue, so results and recovery will vary. Swelling and discomfort will generally diminish in 1-3 weeks, but it may take 3-4 months or even longer to see full results.

Dr. Min’s Approach to Nose Surgery Surgery

Dr. Min’s focus is on natural results that give patients a balanced appearance, not the “worked on” look of the past. During your consultation, Dr. Min will work with you to understand your needs and help you create a treatment plan that will look and feel natural.

Dr. George Min is a board certified plastic surgeon with deep experience in rhinoplasty and a reputation for delivering beautiful, balanced results. He takes a conservative approach that focuses on patient safety and a natural appearance. Dr. Min does not believe in cutting corners, and our state-of-the-art Bellevue facility is unlike any you will find in the Seattle or Bellevue area. Our on-site surgical suite is equipped with the latest technology and is one of only a handful of locations to meet the stringent new safety certification standards.

We pride ourselves in being the best, not only in surgery, but also in patient care and education.

Your Nose Surgery Options

Dr. Min will recommend a procedure to meet the unique needs of your face and nose. He will, whenever possible, perform what is called a Closed or Endonasal Rhinoplasty, meaning that the incisions are made inside the nose to minimize scarring.

In an Open Rhinoplasty, the incision is made in the small column of skin between the nostrils to allow for more direct acces to nasal structiures for more extensive remodeling.

In some cases a Secondary Rhinoplasty, also called revision rhinoplasty, may be performed to correct problems that persist or develop after a previous rhinoplasty.

Filler Rhinoplasty is a technique that uses injectable fillers to smooth out sharp angles or fill depressions.

Your Initial Nose Surgery Consultation

The role of the consultation is to ensure that you feel informed, confident and excited, and we’ll take as much time as we need to get there.

The first step in your initial consultation is to evaluate your nose and understand your goals. Dr. Min will ask you about your desired appearance, as well as questions about your general health and activity levels to determine if he can meet your expectations. He will analyze your face and evaluate the shape of your nose and the underlying cartilage and bone structures. After your consultation, photographs will be taken for your medical record and additional analysis. He will walk you through your options, explain the details of the Nose Surgery procedure, and answer any questions you may have. You will have an opportunity to view extensive before and after photos. Together you will decide on the details and timing of your procedure.

Finally, Dr. Min will make sure you know exactly what will happen on the day of your procedure, what you will experience while you recover, and what you can expect in the months and years to follow.

Safety & Risks of Nose Surgery Surgery

Our approach at Newvue is always to put our patients’ safety above all other concerns, and Dr. Min is a recognized expert with an impeccable track record for rhinoplasty. We have invested in absolutely state of the art tools, and our on-site surgical suite is one of the first in the region to be fully approved under the stringent new safety standards.

Nose Surgery is a very common and safe procedure. Nonetheless, we feel it is important that all our patients fully understand the risk associated with this—or any—surgical procedure. The most important thing to know is that Dr. Min and Newvue will stand by you should any complications arise and do everything we can to help you achieve your desired result.

Risks associated with Nose Surgery include:

  • Reaction to Anesthesia: Some patients experience an adverse reaction to anesthesia that may result in nausea or vomiting, allergic reactions and in very rare cases death. Be sure to discuss any medical allergies with your surgeon.
  • Infection: as with any surgical procedure, there is a risk of infection. Infection will generally occur within days or weeks of your procedure, and in most cases can be treated with medication. In rare cases, and additional surgery may be required to treat severe infections
  • Bleeding & Hematoma: Some patients are more prone to bruising than others and, in extreme cases, may experience excessive bruising, bleeding or skin death.
  • Facial Nerve Injury/Loss of Sensation: Some patients may experience temporary or permanent loss of sensation in or around the treated area.
  • Asymmetry: Some patients may experience asymmetry in their results over time due to the body’s natural aging or partial rejection of the surgical procedure, which can generally be addressed with an additional correctional surgery.

Prior to Your Nose Surgery Procedure

Prior to your surgery, we will schedule a preoperative appointment with Dr. Min. The purpose of this meeting is to make sure that your procedure goes smoothly and efficiently. Our staff will review your consent forms with you, answer any questions you might have, and the risks and benefits of surgery will be thoroughly reviewed. You may be given your prescriptions to be filled prior to your surgery. You will be given a list of medications and supplements to avoid for two weeks before and after surgery. If you are a smoker, you will be advised to stop smoking at least two weeks prior to surgery. You should not smoke for at least two weeks following surgery.

Men will need to shave at least their upper lip prior to the procedure.

Your Nose Surgery Procedure

We will do everything in our power to help you feel informed and relaxed on the day of your procedure. After you arrive at our Bellevue office, you will meet with Dr. Min and with your anesthesiologist. Once any questions you have are answered, you will be given medication to help you relax.

You will be brought into the surgical suite, where you will be prepped for surgery and given a general anesthetic. Surgery usually takes 2-3 hours.

You will wake up in the recovery room, where you’ll be closely monitored. We’ll let you know how everything went and advise you on what to expect as you recover. You’ll want to be sure to arrange for someone to pick you up and stay with you for the first couple days as you adjust.

After Your Nose Surgery Procedure

You’re still our patient after you leave, and we will be there for you as you recover to answer any questions you may have and advise you on any side effects you may be feeling. Nose Surgeries are generally performed as outpatient procedures, and you can expect to return home that day. You can expect to feel tired and sore after the surgery. Nose Surgeries are generally not painful surgeries, but you will experience some swelling, tightness and numbness, as well as visible bruising in your neck, all of which can be managed with medication. Dr. Min will provide you with detailed instructions for care and recovery.

Recoveries will vary depending on the extent of the procedure. While some movement is permissible, most patients will want to avoid strenuous exercise for several weeks. Dr. Min will advise you on the specifics of your recovery program.

Most patients return to work after a week, but you should avoid strenuous activity for at least 3 weeks, and avoid high impact activities (skiing, wakeboarding, contact sports) for the duration of your recovery (6-8 weeks).

Here’s a timeline of a typical recovery:

First 24 hours:

  • Rest, eat and drink normally (no alcohol), avoid activity

1 day:

  • Effects of anesthesia will be gone
  • Resume light activity

3days:

  • Your 1st follow up consultation with Dr. Min
  • Swelling will peak and begin to subside
  • You can shower normally
  • Bandage removal

1 week

  • Your 2nd follow up consultation with Dr. Min
  • Most patients can return to work at this point

3 weeks

  • 3rd follow up consultation
  • Resume normal (light) exercise and physical activity (such as jogging)

2 months

  • 4th follow up visit
  • Resume all activities (including things like skiing, wakeboarding)
  • Full results will be visible

1 year

  • 1st annual checkup

Results

Some results will be visible immediately, and will improve as swelling diminishes (1-2 weeks), but cartilage is a living, growing tissue, and full results may not be visible for several months. Scarring varies and will fade over time. Dr. Min and the Newvue staff are always available to help you with any questions or concerns you may have, during your recovery and after. We want to ensure that you are completely thrilled with your new look, and we’ll consider you our patient for life.

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