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Your nose projects a lot about you as an individual. It engenders character and personality while uniting the other features of your face. Aesthetically, it functions to lift a casual observer’s visual focus to your eyes. Through either trauma or natural evolution, a nose can become disharmonious with your face and thereby interrupt its aesthetic function. The effect is to make people around you aware of your nose: It’s too big; it’s unattractive; it doesn’t fit your face. The goal of Aesthetic Nasal Surgery (Rhinoplasty) is to restore harmony to your face.

The best candidates for Rhinoplasty are those who have a specific nasal feature they find unappealing, such as a broad base, a large hump on the dorsum, or a bulbous tip. Each of these components can be treated during the procedure. The nose is reshaped by removing the hump from the bridge of the nose, narrowing the base, and rotating the tip either up or down. The end result creates a nose that appears smaller by shaping it to fit your face.

The procedure is performed under general anesthesia. The surgical approach is either “open” or “closed.” The open approach has a 4-mm external incision across the columella (the structure dividing the two nostrils) combined with internal incisions. The “open” approach is used for more complex problems that require better visualization of the nasal solution. The “closed” approach has no external incision. The recovery time for both approaches is the same and the incision heals imperceptibly. Post-operatively, a splint is worn for about 5 days. There will be some swelling and bruising for a week or so. The external sutures are removed in 5 days and the internal sutures dissolve. The nose gradually continues to heal over several months. The final shape is appreciated in about six to nine months.

Rhinoplasty is a complex aesthetic procedure, a blend of art and science. The best outcome requires specific insight into the problem from both the surgeon and the patient, but with patience and a technically sound procedure, harmony and balance can be restored to your face.

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Before and after images:

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