The nose is the central, most prominent feature of the face and a major factor in defining balance and harmony among facial features. When the nose appears out of proportion with other features or the nose does not complement the face, it can affect self-image and confidence as well as detract from other attractive characteristics of the face. In addition, many patients experience breathing difficulty or airflow issues that can be improved or corrected with nasal surgery.
Dr. Barone understands there are individual or ethnic differences in features of the nose which may complement other facial features and are therefore desirable, so he emphasizes a highly individualized approach to surgery of the nose.
For cosmetic surgery to improve the balance and appearance of the nose we consider:
- nose size in relation to the facial balance.
- width of the nose at the bridge of the nose or the nasal tip.
- nasal profile with noticeable humps or depressions on the bridge.
- nasal tip that may be enlarged, bulbous, drooping or hooked.
- nostrils that are out of balance or unusually wide or asymmetrical.
Rhinoplasty may also be chosen to correct breathing problems as a result of trauma or injury or from congenital malposition of the nasal septum or other structures. Nasal surgery to improve breathing may be done alone or in conjunction with cosmetic surgery of the nose and is considered reconstructive and may be covered by insurance.
“I was so self-conscious of my nose, I would avoid family and friends. I came to you for help and I’m so glad I did, best decision I made. I couldn’t be more grateful for you, Suzie, Kately and the rest of your awesome staff for coming with me on this journey. I trust you to give me the nose that looked good and restored my breathing. You not only did that, but you gave me my life back! Thank you for sticking with me throughout this journey, for your patience and support during my emotional moments.” -Verified evolv Patient
The cost of nose reshaping or rhinoplasty will depend on several factors and the extent of the procedure. The time and amount of surgery can vary widely, particularly if cartilage grafts and additional work on the internal structures such as the nasal septum (septoplasty), nasal valves or nasal polyps (turbinates) is needed. In some cases, medical insurance may cover the portion of the rhinoplasty related to improving airway function and breathing. In most cases however, rhinoplasty is considered cosmetic and is an out-of-pocket expense. In addition to the surgeon’s fees, there will also be a cost for anesthesia and the outpatient surgery facility. These costs will be itemized and explained to you by our patient coordinator along with financing options if needed.
Recovery time is a process and will depend upon the complexity and extent of the surgery. Nasal packing is usually placed in each nostril in order to stabilize the new shape and reduce the chance of bleeding. The packing is usually removed along with the external nasal splint on post-op day 4-6. If there is any bruising it is usually minor and fades away slowly over 7-10 days. Light and progressive activities are gradually allowed after the first office visit and packing removal. If the nasal bones were reshaped (osteotomies), care must be taken with glasses or any potential pressure in the nasal bridge area. Dr. Barone and your nurse will advise you on the specific activities recommended during your recovery based on the extent of your surgery.
Rhinoplasty Incision Options
Depending on the plan and complexity of the rhinoplasty, the surgery can be performed with the incisions hidden within the nose (endonasal rhinoplasty) or through a small incision hidden under the nasal tip (open rhinoplasty.) Dr. Barone will make a recommendation and discuss the incision type and location with each patient.
A properly planned and performed rhinoplasty or nasal reshaping should result in a natural and balanced nasal shape that improves the overall appearance and breathing function. Dr. Barone and his nurse Susie require photo and computer imaging analysis with each patient considering any rhinoplasty procedure in order to define goals and formulate a specific surgical plan. A complete history and physical exam is also done in addition to photo analysis in order to provide safe and predictable outcomes for each patients procedure. A well planned and preferred rhinoplasty should result in a natural appearance that does not have an operated look.