Surgery to reshape the nose is a common cosmetic procedure that can have profound results on a person's appearance and self-confidence. Rhinoplasty can accomplish any number of changes, including size augmentation or reduction, a narrowing of the nostrils, changes in the bridge or tip of the nose, or an alteration to the angle of the nose and upper lip. Regardless of the specific purpose, surgery to reshape the nose creates a more contoured and shapely nose.

The Surgery

The surgeon begins by making an incision, either from within the nose or across the columella (the vertical strip separating the nostrils). The skin is then separated from the underlying framework (the bone and cartilage) of the nose and sculpted to the desired shape and size. Finally, the surgeon reattaches the skin to the new contoured framework, and stitches the incision. Surgery usually lasts no longer than an hour or two and is performed on an outpatient basis.

After the Surgery

Following surgery, a splint is applied to the nose to maintain the new shape. The surgeon may also decide to place nasal packs or soft plastic splints in the nostrils to stabilize the septum (the dividing wall between the air passages). Patients can experience some swelling and bruising to the eyes and nose; although medication greatly reduces any discomfort you may experience. Stitches are usually removed in five to seven days and patients can return to work in ten to fourteen days. Patients who wear eye glasses must have them specially fitted to the head for up to seven weeks.

Health Concerns

As with any cosmetic surgical procedure, complications are rare, but may include infection, nosebleeds, or a reaction to the anesthesia. In certain cases, small burst blood vessels may appear as tiny red spots on the skin's surface (a minor but permanent condition). Some patients may experience mild depression--a common and temporary side effect. Minor scarring may occur if the surgeon makes the incision across the columella. To maximize the success of surgery and minimize the risk of complication, always follow your doctor's instructions for surgical preparation and postoperative care.