Rhinoplasty

In 2019, nearly 210,000 people got rhinoplasty surgery in the United States — a number that has stayed roughly the same each year. Rhinoplasty remains a top cosmetic procedure because it fixes one of the most common issues people would like to change about their face: A misshapen nose.

Whether you feel that your nose is too big, has a ridge that you’d like to get rid of, or simply doesn’t fit the rest of your face, rhinoplasty — colloquially known as a “nose job” — may be able to help.

What Is Rhinoplasty?

Rhinoplasty is a surgical procedure that changes the size or shape of the nose and/or a functional aspect of the nose — for example, a deviated septum. A variety of techniques can be used to reshape the nose and improve its structure and aesthetics. These techniques largely employ the use of discreetly placed incisions, through which Dr. Mohan will manipulate the nasal bone and cartilage to produce the desired result.

Who Is a Good Candidate for Rhinoplasty?

The best way to know if you are a good candidate for rhinoplasty is to book a consultation appointment with Dr. Mohan. At your consultation, Dr. Mohan will give you a short physical examination in order to determine whether you are a good candidate and to see what specific improvements he’ll be able to make to correct the issues you’re facing.

Patients who are in good overall physical and mental health and who are non-smokers are generally cleared for the procedure, but again, you’ll need to discuss your medical history with Dr. Mohan in order for him to make his final determination.

Lastly, remember that patients need to have realistic expectations. While rhinoplasty can certainly change your nose’s appearance and/or function for the better, it’s important to have balanced and achievable goals.

Options and Variations

All patients are unique and thus require a unique surgical plan when it comes to rhinoplasty. At the same time, most procedures will fall into one of two categories: either requiring an open procedure or a closed procedure. Once this has been decided upon, Dr. Mohan will design a unique manipulation plan for the nasal cartilage and bone in order to achieve the patient’s desired results.

Dr. Mohan takes every effort to design your surgical plan to meet your specific needs and expectations. The goal is for you to be completely satisfied with your rhinoplasty surgery.

What Are the Different Techniques for Rhinoplasty?

There are basically two different surgical techniques that may be performed for any given rhinoplasty surgery: closed and open. Dr. Mohan will give you a physical examination and ask you about your goals and expectations for surgery in order to choose which method is best for you.

Closed Procedure

The closed procedure results in zero visible scarring. That’s because all of the incisions are made inside the nose. Naturally, this is a benefit for many patients. This procedure tends to also have less swelling throughout recovery. The closed procedure tends to be performed on patients who don’t need a lot of detail oriented work performed.

Open Procedure

The open procedure is often the optimal procedure for patients who have more work to be done beneath the nasal skin. An open surgery means making a small incision on the bridge of tissue between the nostrils. Although this may possibly result in a slight scar, most of the time, the scar is nearly invisible after complete healing has taken place. An open procedure rhinoplasty allows Dr. Mohan to see the complete anatomy of the nose and to spend significant time creating detailed changes that meet the patient’s goals and expectations.

The Initial Consultation

The first step to improving and enhancing your nose is booking a consultation appointment.

During your consultation, Dr. Mohan will perform a close examination of your nose in order to get a better idea of what he’ll be working with during the procedure. It’s at this time that you’ll want to explain what your surgical goals are as well.

You can bring in pictures of yourself at a different time in life or pictures of celebrities or others who may have a nose that you would like to emulate. Keep in mind that not all faces will look good with one type of nose. Dallas rhinoplasty surgeon, Dr. Mohan, can help you choose a nose size and shape that fits the other features on your face and enhances your natural appearance.

Again, be ready to discuss your medical history with Dr. Mohan. While pre-existing health conditions don’t restrict you from undergoing rhinoplasty, it’s important that Dr. Mohan knows about them so that he can ensure your safety during surgery.

Before the Procedure

It is critical that you follow the presurgical care guidelines given to you by Dr. Mohan. Based on your unique surgical plan, Dr. Mohan will provide these instructions to help you prepare for both the surgery itself and the recovery process. The presurgical instructions will also provide a list of any possible complications related to the surgery that you should be aware of.

The Day of the Procedure

Your surgery will take place at an accredited surgery center. When you arrive at the center, Dr. Mohan’s staff will greet you and direct you to a pre-surgery room where you will be prepped for your procedure. You will get the opportunity to speak with Dr. Mohan before your procedure and ask any questions you may have. You will then be taken to the operating room where anesthesia will be administered before the surgery commences.

The Procedure

The administration of anesthesia will be the first step of your procedure. An anesthesiologist will use either general anesthesia or intravenous sedation.

From there, depending on whether your surgery is closed or open, Dr. Mohan will make small incisions to begin surgery. For closed surgery, the incisions will be made on the inside of the nose. For open surgery, the incisions will be made on the outside of the nose across the strip of tissue separating the nostrils (columella).

Next, the skin covering the nasal cartilage and bone will be raised so that Dr. Mohan can manipulate the underlying structure. It is at this time that cartilage will be grafted onto the nose or cartilage and/or bone and skin will be removed. The manipulation process depends, of course, upon the goals of the patient. If a deviated septum needs to be fixed, this will be done at this time as well.

Finally, the nasal skin will be replaced, the incisions will be closed, and the patient will be taken to their recovery room.

After the Procedure

Rhinoplasty can either be performed as an outpatient procedure or an inpatient procedure. This means that you may go home on the day of surgery or you may have to stay overnight. It usually depends on your overall physical health and the extent of the surgery that was performed. Either way, it’s important to have someone you trust there to take you home when you are discharged.

Directly after your surgery upon waking, you’ll feel groggy and slightly disoriented. There will be bruising and tenderness around your nose as well as on your cheeks and around your eyes. This will last for about a week. You’ll have bandage dressings and a splint inside and/or outside of your nose for approximately a week as well.

Some drainage from the nose is to be expected, which will include mucus and blood. A small absorbable pad will be placed beneath your nose to catch this drainage, and Dr. Mohan may have you change this dressing periodically with care.

How Long Does It Take to Recover From Rhinoplasty Surgery?

Recovery from rhinoplasty surgery can be extensive. It’s important to follow the postoperative care instructions given to you by Dr. Mohan and to rest as much as possible, which will help expediate your healing and aid in your recovery.

Swelling and slight bruising and discomfort will be present for the first one to two weeks after your surgery. You’ll need to abstain from any significant physical activity and rest in bed for at least the first few days. It’s also important to keep your head higher than your chest while resting. These first few days are usually when the pain is at its worst, but Dr. Mohan will prescribe pain medication and care instructions to alleviate a significant amount of your discomfort.

Swelling will reduce significantly in the first days and weeks of your recovery. But keep in mind that swelling will come and go in the months to come. In fact, all of the swelling may not go away for up to a year.

Limitations, Risks, and Possible Complications of Rhinoplasty

As with any cosmetic surgery, there are limitations, risks, and possible complications associated with this surgery. The most notable risks associated with rhinoplasty include:

  • Poor healing of the incision wounds
  • Infection
  • Scarring
  • Difficulty breathing
  • Alterations in skin sensation, such as pain or numbness
  • Risks related to anesthesia
  • Nasal septal perforation
  • Dissatisfaction with the ultimate appearance of the nose
  • The possible need for revision rhinoplasty surgery

FAQ

Q: How much does rhinoplasty cost?

A: The overall cost of rhinoplasty will vary, depending on the work that needs to be done. In general, patients can expect to pay $6000 or more for rhinoplasty. Keep in mind that health insurance will likely only pay for rhinoplasty surgeries that aim to improve breathing or other functional aspects of the nose.

Q: What if I’m not happy with my rhinoplasty results?

A: Even small changes of a few millimeters can alter the entire appearance of a person’s nose and overall face. With this in mind, it’s easy to see that even slight changes may not provide optimal results for some patients. In these cases, it is possible to have what’s called revision rhinoplasty surgery. Keep in mind, however, that revision rhinoplasty can only take place after the initial rhinoplasty surgery is completely healed.

Q: Can you see rhinoplasty scars?

A: If your surgeon performs open rhinoplasty, a small incision will usually be made on the underside of the strip of skin that divides both nostrils. Generally speaking, this incision is so small that it is hardly noticeable after healing takes place.

REAL FACTS: In a patient who has already undergone rhinoplasty but who was unsatisfied with the results, a second surgery called revision rhinoplasty is an option.

Why Choose Dr. Raja Mohan?

Dr. Mohan has a wide variety of attributes that make him an excellent rhinoplasty surgeon for patients throughout the Dallas-Fort Worth region. Not only is he a leader in the fields of plastic surgery and cosmetic surgery, but his bedside manner cannot be matched.

Past patients of Dr. Mohan praise him for his commitments to excellence and close attention to detail. His training and equipment continues to remain on the cutting edge of his profession, and he is continually looking for ways to further his knowledge and skill.

When you’re looking for a thorough surgeon with extensive experience and expertise, look no further than Dr. Raja Mohan. You’ll love the results you see.

Schedule a Dallas Rhinoplasty Consultation

Interested in learning more about rhinoplasty surgery? Give us a call at (469) 301-1725 to book a consultation with Dallas-Fort Worth plastic surgeon Dr. Raja Mohan. Dr. Mohan operates in Grapevine, Plano, Southlake, Arlington, Frisco, Coppell, Irving, and Dallas.

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