Rhinoplasty

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Frequently Asked Questions

What is Rhinoplasty?

Rhinoplasty is the clinical terminology for cosmetic reshaping of the nose by changing the size, shape or overall appearance.  Rhinoplasty is one of the most common procedures performed to enhance this central facial feature, thereby improving the patient's appearance offering increased confidence and self-esteem.

Occasionally patient's also require correction of functional aspects of the nose, such as deviated septum or other airway obstructions.  These reconstructive procedures can be corrected along with the aesthetic improvements for a single combined procedure.

Who is the best candidate for Rhinoplasty?

The best candidate for rhinoplasty is a person seeking improvement, not perfection, in the appearance of the nose.  If you are physically healthy, psychologically stable and realistic in your expectations, you may be a good candidate for rhinoplasty.

Overview of Rhinoplasty

Rhinoplasty is generally performed on an out-patient basis with intravenous sedation.  The procedure is usually completed within approximately three to four hours.

There are two approaches to performing rhinoplasty, open or closed.  A closed rhinoplasty is performed by making small incisions inside the nose.  An open rhinoplasty is performed by making small incision on the columella (the small piece of tissue between the nostrils) and inside the nose.

In either case, the immediate post-operative recovery time is approximately seven to ten days.  The final result cannot be judged until one year from the procedure.

What can I expect from surgery?

Rhinoplasty is a same day procedure that takes a few hours.  Conscious sedation and sometimes general anesthesia is employed so that there is no discomfort during the procedure.  A person undergoing rhinoplasty may go home the same day to the comfort of his/her own home.  Dr. Gruber often sees the patient the next day.  A light splint is worn on the nose for protection and to minimize swelling.  Surprisingly, there is little pain following rhinoplasty, still pain relievers are made available.

At about day five to seven day, the splint is removed.  Over the next several weeks minor swelling continues to subside and the nose begins to feel more natural.  In time, the nose should look and feel like the person was born with that nose, not that the person had a "nose job".  The goal that Dr. Gruber seeks is a natural looking nose that fits the face and does not look like it had surgery performed upon it.

Patient Expectations

Rhinoplasty results are permanent, and scars, if any, are minimal and inconspicuous.  Most patients return to work after seven to ten days and physical activity should be kept to a minimum for the first three weeks.  It is important to keep in mind that minor swelling can persist for several months following surgery and that final results may not be seen for up to one year.  Patience and realistic expectations are important during this time.

 

Ronald P. Gruber, M.D., F.A.C.S 3318 Elm Street Oakland, California 94609