Cosmetic Nose Surgery – FAQs

Read below commonly asked questions about facial cosmetic nose surgery (Rhinoplasty).

Nose surgery

How is cosmetic nose surgery done?

Anesthesia

Rhinoplasty can be done under local anesthetic with sedation “twilight sedation “ or general anesthetic both of which are extremely safe.  It ultimately comes down to patient preference.

How is the procedure done?

Incisions needed for nasal surgery are made just inside the rim of each nostril. Working through these incisions, Dr Bartlett can shave away excess bone and cartilage to reduce a hump, and reposition cartilage and bone to narrow the nose. Surgery may also involve sculpting and narrowing the tip to achieve a more refined looking tip.

In some cases, Dr Bartlett may make an additional incision across the base of the nose, between the nostrils. This is referred to as an external rhinoplasty.

To reduce flaring nostrils, incisions also may be made on each side of the nose where the nostril joins the face. These incisions if they are made are usually undetectable when they heal.

At the completion of the procedure, the tissues are redraped over the new frame and the incisions are closed. A plastic splint is then placed over the nose and worn for 5 – 7 days

What should I expect after cosmetic nose surgery?

Most patients report mild discomfort for the first few days, easily controlled with mild pain medication. Your nose will be stuffy for a few days, but you must not blow your nose for at least a week. If you wear glasses, they must not put pressure on your nose for the first two weeks. This can be achieved with use of tape to secure your glasses to your forehead.

There is usually a light internal nasal dressing which you remove the day after surgery. An outer splint remains on for five to seven days, removed at the first postoperative visit with Dr Bartlett. You should expect to experience some swelling and bruising around your eyes. Cold compresses will help reduce this and make you feel more comfortable. Most of the bruising and swelling subsides in about ten days after surgery. Cover makeup can be applied to the skin to camouflage any bruising.

When can I return to work?

Most patients return to work within a week.

RealSelf.com Q & A with J. Andrew Bartlett, MD, FRCS