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Rhinoplasty, also known as a nose job, is a procedure to reshape or resize your nose. Many patients are dissatisfied by the appearance of their nose because it draws unwanted attention and is not in balance with the overall facial appearance. Even a slight variation in proportion or symmetry can detract from the beauty of other facial features.

Patients seeking rhinoplasty are often unhappy with an abnormally small or large nose disproportionate to the rest of the face. Others wish to correct a bridge that is crooked or has a bump, also known as a dorsal hump deformity. There are also patients with abnormalities of the nasal tip who wish to improve symmetry, achieve better definition, or adjust the position. While some patients have isolated concerns, others may exhibit multiple irregularities at once. The best candidates for rhinoplasty are individuals who wish to refine and reshape their nose while maintaining realistic expectations of what surgery can help them achieve.

The goal of rhinoplasty is to provide a balanced and pleasing shape to your nose while maintaining a natural look that is harmonious with the rest of your face. Rhinoplasty is a delicate operation of allusion and sculpting that can produce dramatic, beautiful results. Cosmetic changes to the nose, however, are inextricably linked to vital functions such as nasal breathing. Too often you hear from other patients who had cosmetic rhinoplasty, but then developed difficulty breathing through the nose. This link between cosmetic appearance and function makes rhinoplasty arguably the most complex and challenging of facial plastic procedures. Ultimate success requires a facial plastic surgeon, such as Dr. Hilinski, who has specialized training in not only cosmetic enhancement of the nose, but also expert knowledge of functional (breathing) nasal surgery.

“I can’t believe that it has been a year since you did my surgery! I am so happy with the results. I don’t think I can truly express how thankful I am and what a positive impact it has made on me.”

Rhinoplasty Procedure

Rhinoplasty can be performed using either an “open” or “closed” surgical technique. Open rhinoplasty involves making a small incision underneath the nasal tip, which becomes nearly imperceptible after it heals. Closed rhinoplasty involves incisions that are made entirely within the nose. There are advantages and disadvantages to both techniques. Certain individuals would benefit more from one than the other. The technique that is best suited for your nose can be discussed in detail during consultation with Dr. Hilinski.

In most cases, you will have an opportunity to sit down with Dr. Hilinski prior to surgery to view computer-generated before and after images of your face and nose. Using this cutting edge computer morphing technology you will be better able to appreciate realistic changes that are expected to result from surgery.

Dr. Hilinski performs most rhinoplasty procedures in an outpatient surgery center. Deep sedation or general anesthesia is commonly used and the surgery typically takes two to two and a half hours to complete. Most rhinoplasty patients go home the same day as their surgery.

Rhinoplasty Recovery

Patients can expect an initial recovery of five to seven days. Bruising and significant swelling are uncommon. Stitches are removed within five to seven days. Although many patients take a week off of work or school, some are able to return within a few days after surgery. Although, light activity is permitted after the first two weeks, vigorous exercise should be avoided for at least four to six weeks. While most patients are presentable in public within seven to ten days, the majority of soft tissue swelling can take several months to fade and the nose will continue to undergo healing and remodeling of the shape for upwards of a year and beyond in some cases.

For more detailed information on nasal reshaping, please also visit our online San Diego rhinoplasty tutorial and our extensive San Diego rhinoplasty blog focusing on the latest news in nasal reshaping.

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