Rhinoplasty (Nose Job)

Many young people have hated their nose for years and are interested in pursuing nasal surgery. However, if you're under 18, it can be risky to undergo rhinoplasty due to the way nasal growth progresses. The nose is a fairly slow-maturing part of the body, and reputable rhinoplasty surgeons will usually refuse to operate on patients under the age of 15 or 16, even with parental consent. This is because the nose does not finish maturing until age 15-16 in girls and 16-17 in boys. In general, it is best to wait until you are at least 18 years old to undergo rhinoplasty to be sure your results will not be ruined by additional growth of the nose after surgery.

Cartilage grafting is an essential part of nearly every rhinoplasty procedure, and the cartilage used to reshape the nose is taken from other areas of the patient's body. The ideal cartilage for harvest is located in the nasal septum. This cartilage is strong, flexible, and ideal for shaping the rest of the nose. Septum cartilage has the added bonus of requiring no extra incisions to retrieve it. If there is not enough cartilage in the nasal septum, there are two other sources that can be used: the ear or the rib. Grafts using ear or rib cartilage are usually very successful, and surgeons use them often if the need arises.

Most surgeons today prefer to use cartilage grafts whenever possible, but in some cases, it is best to use a nasal implant, typically made of silicone or Gore-Tex. Nasal implants can build up and shape the nose, and are most often used to build up a short nose.

Breaking the nose during rhinoplasty is known as “osteotomy”, and while it's not used in every single procedure, it is an essential technique in nasal surgery, and must be used to accomplish some goals. Osteotomy may sound scary, but the recovery is not much different than for a rhinoplasty performed without osteotomy. Patients may experience more bruising following surgery, but osteotomy is a safe and common technique.

In the context of nasal surgery, “open” vs. “closed” simply refers to the surgical technique used—whether or not an external incision is used. In a closed rhinoplasty procedure, the surgeon makes all of the incisions inside the nose. This eliminates visible scarring, but makes it more difficult to perform the operation. During an open rhinoplasty, a small incision is made between the nostrils, so that the nose can be opened up and accessed with ease. A small visible scar that fades over time is all that remains.

The open vs. closed argument in modern rhinoplasty leans much more toward the open rhinoplasty, as this approach gives surgeons greater access and visibility during surgery, which allows them to provide more consistent and impressive results. For this reason, most surgeons recommend the open technique in the majority of rhinoplasty cases..

The initial rhinoplasty recovery time is fairly brief, but it takes a while for patients to be able to safely resume activities like strenuous exercise. As soon as possible following surgery, you should start light activity like walking, but you will have to wait several weeks to get back to activities such as running, weight lifting, and other forms of exercise. The recovery period differs from patient to patient, but it is best to be cautious when returning to exercise, particularly with activities such as weight lifting, swimming, and contact sports, in order to promote successful healing, avoid complications, and prevent injury.

Of course! Rhinoplasty is customized to the patient's needs, and it is extremely common for a patient to have both the functional and cosmetic aspects of the nose addressed during the surgery.

Rhinoplasty is a very safe surgery, but as with any surgery, there is always some risk to the patient. Potential complications include:

• Bleeding
• Infection
• Anesthesia complications
• Poor wound healing
• Scarring
• Poor aesthetic outcome

There is no way to exactly copy a nose, although surgeons can come close. However, it is not advisable to mimic someone's nose, as beautiful noses are not “one-size-fits-all.” This means that what looks good on one person might not work for someone else due to facial balance and incompatibility of the facial features. For this reason, you should be very careful when considering copying someone's nose—you might end up dissatisfied with the results.