Rhinoplasty

The nose is the very center of the face, making its size and shape a defining feature of the overall appearance. For this reason, rhinoplasty (commonly referred to as a “nose job”) is a common plastic surgery option at Lewisburg Plastic Surgery. This surgery changes the shape, size, or contour of the nose for subtle or significant adjustments to the appearance of the face.

One common reason why patients opt for a rhinoplasty is to address asymmetry of the nose. Rather due to genetics or injury, a crooked nose can be resolved through a rhinoplasty. By creating a more symmetrical and straight nose, the entire face may appear more balanced and attractive. In addition, patients who face difficulty breathing due to deviated septum or other issues may benefit from rhinoplasty.

At Lewisburg Plastic Surgery, our plastic surgeons understand that adjusting one feature can occasionally lead to visual imbalance of the other facial features. For this reason, procedures such as chin enlargement are sometimes paired with rhinoplasty to create an overall balanced and natural look.

Before

After

Podcast Episode: Options for Rhinoplasty

Rhinoplasty can involve minor reshaping of the cartilage of the nose, as well as modifications to the deeper bones of the nose.

Breathing issues or a deviated septum are just a couple of issues that can be addressed with rhinoplasty, often in consultation with an ENT specialist.

More Podcast Episodes

How is a rhinoplasty performed?

There are several methods of performing a rhinoplasty that your plastic surgeon may recommend. The first option is a standard or “closed” rhinoplasty. In this method, the incisions are made within the nostrils to best conceal any scarring. Through these incisions, the nasal cartilage, bones, and soft tissues are repositioned and reshaped to meet the ideal results.

In an open rhinoplasty, incisions are made across the columella, or the tissue between the nostrils. This is typically recommended for patients with naturally larger nostrils and allows for the most significant results.

In a tip-plasty, your plastic surgeon may use an open or closed approach to incisions. However, rather than addressing multiple areas of the nose, only the nasal tip is corrected and large nostrils are reduced through small incisions at the base of the nostrils.

Rhinoplasty may be performed under general anesthesia or local anesthesia and IV sedation, depending on the extent of your surgery.

Recovery after a rhinoplasty

Following a rhinoplasty, most patients will have a cast or splint covering the nose to protect it as it heals. The nostrils may also be packed with dressings for at least 24-48 hours. Common side effects include discomfort and swelling, which subside within about a week of the surgery, as well as bruising, which should resolve within 2-4 weeks on average. Results can begin to be seen about three months after the surgery. Final results will be noticeable about one year after rhinoplasty as all residual swelling resolves and the tissues soften.

Vectra 3D Simulation

What to expect

In a Vectra 3D simulation, your picture is taken at Lewisburg Plastic Surgery to project a preview of your possible results. Using the simulation software and 3D pictures, your plastic surgeon will present different options for your rhinoplasty result. After you have selected your preferred images, they can then create a surgical plan.

How close to the simulated result be to my actual results?

Rhinoplasty results can be very similar to simulations created with VECTRA 3D. Your plastic surgeon will explain reasonable expectations.

Can my doctor show me where the rhinoplasty scars will be?

During your consultation, your doctor will explain what scarring you can expect based on the surgical plan.

Frequently Asked Questions


  • How close will the simulated result be to the actual result?

    Actual results should be very similar to the simulations.  VECTRA simulations are based on the desired outcome determined by the surgeon and patient.

  • Can my doctor show me where the scars will be?

    You doctor should be prepared to discuss the possibility of scarring or any other effects from the surgery.


Insurance Guidelines

In most cases, rhinoplasty is considered cosmetic in nature. This means that it is not typically covered by health insurance. However, if the nasal deformity is a result of a recent injury, insurance coverage may be available. This can be determined through a consultation and discussion with your healthcare provider.

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