Rhinoplasty, or surgery of the nose, is one of the most complex cosmetic procedures. Each individual part of the nose influences the others and can have a significant effect on both function and appearance.
If you’re considering rhinoplasty
Rhinoplasty or surgery to reshape the nose is one of the most common plastic surgery procedures performed, with more than 250,000 procedures performed each year in the United States. Rhinoplasty can reduce or increase the size of the nose, change the shape of the bridge or tip, adjust the width of the nose and change the angle between the nose and the upper lip and face. Rhinoplasty can be performed to improve the appearance, breathing and/or both. It can be performed for aesthetic reasons or to correct the results of an injury.
The information included here will give you a better basic understanding of the procedure and what you generally can and cannot expect. It is a general guide only and specific questions may be directed to Dr. Shannon during your consultation and to our office. Please feel free to ask any questions at any time and to inform yourself as much as possible about this and any other procedure.
The best candidates for rhinoplasty
The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. It is helpful to have specific and realistic goals in mind for the improvement of the appearance and breathing, although it is not necessary to know every detail about how you would like your nose to change Planning your surgery.
During your consultation, Dr. Shannon will specifically go over how you would like your nose to look. He will also specifically go over any breathing difficulties you might have and will go over the factors that can influence the procedure and the results. These factors include the structure of your nasal bone and cartilage, the shape of your face, the thickness of skin, your age and your expectations. He may perform specific evaluation of the breathing to optimize that as well. He will go over the surgical plan he will use also.
During your visit you should make sure that you tell Dr. Shannon about any previous nose surgery or injuries that you have had, even if it was many years ago. You should also inform him if you have any allergies or breathing difficulties or any history of nasal or sinus infections. You should let him know about any medications, vitamins or other drugs which you might take and if you smoke. Do not hesitate to ask him any questions. He will be happy to review each one in detail with you. While insurance will rarely cover cosmetic surgery, most insurance plans may cover some or all of the functional parts of your procedure. Our office is quite accustomed to working very closely with most insurance companies and we will assist you in maximizing the coverage for your particular case.
Preparing for your surgery
The best candidates for rhinoplasty
Our office will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, and taking or avoiding certain vitamins or medications. You should stop smoking for at least two but preferably four weeks before and after surgery. While you are making preparations, be sure to arrange for a responsible adult to drive you home after surgery and to be with you at home for at least the first night after surgery.
Where your surgery will be performed
Most rhinoplasties performed by Dr. Shannon are performed on an outpatient basis, meaning that you will arrive at the surgery center the morning of your surgery and return home the same day. Most surgeries are performed in his outpatient surgery center.
Seeing the results
The nasal splint and tapes will be in place for approximately one week. A small dressing will accompany you home over the bottom of the nose which will usually be required only for the first several hours or the day after surgery. You will receive specific postoperative instructions from our office for after surgery. The splint will be removed at about a week after surgery. Most swelling will resolve in the first few weeks after surgery. However, some small amounts of swelling may persist for many months or even a year or more after surgery. The most subtle changes may take a year or more to see following surgery.
Important facts about the safety and the risks of nose surgery
A decision of rhinoplasty is extremely personal and you will have to decide if the benefits will fulfill your goals and if the risks and potential complications are acceptable.
During your consultation, Dr. Shannon will go over the specifics of your case. Please feel free to ask any questions at any time before or after surgery. Rhinoplasty is a safe procedure but does carry risks. Complications are uncommon but may include rupture of small surface vessels of the nose, infection, poor wound healing, bleeding, asymmetry, changes in sensation (numbness), changes in breathing, nasal septum perforation (a hole in the nasal septum), pain, unfavorable scarring, skin contour irregularities or discoloration or extrusion of the sutures. Due to the complex nature of rhinoplasty, a revisional surgery may be required although this is unlikely. Such a revision is typically small and usually a small touch up which is typically much smaller than any original procedure.
Here at Keystone we would like you to take this opportunity to learn more about these cosmetic surgery procedures and see before and after pictures. You may want to read some of the numerous testimonials received by Dr. Shannon and his staff , You also will have the opportunity to view Dr. Shannon’s before and after photos.