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Russel Palmer MD
Board Certified Plastic Surgeon
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Rhinoplasty

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Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

Commonly asked questions:
Am I a good candidate for a rhinoplasty?
What are the risks of surgery?
Where will my surgery be performed?
What type of anesthesia is used?
What does my surgery involve?
When can I return to my usual activities?
How will I look?


Am I a good candidate for a rhinoplasty? Back to top

Nose surgery is the one of the most popular surgical cosmetic procedures in the US. If you're self-conscious about your nose, you may be a good candidate. Rhinoplasty reshapes the nose for aesthetic and corrective purposes. Whether the issue is birth defect, injury, or age-related changes, rhinoplasty can help provide balance and proportion to your nose and face. Surgery can either be performed on the entire nose, or just on the tip.

What are the risks of surgery? Back to top

When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection, nosebleed, or difficulty inhaling . You can reduce your risks by closely following your surgeon's instructions both before and after surgery.

When rhinoplasty is performed from inside the nose, there is no visible scarring at all; this is the technique Dr. Palmer uses. When an "open" technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible.

In about one case out of ten, a second procedure may be required-for example, to correct a minor deformity. Such cases are unpredictable and happen even to patients of the most skilled surgeons. The corrective surgery is usually minor.

Where will my surgery be performed? Back to top

Most of our patients prefer to have their surgery performed in our fully certified office surgical facility. Some patients prefer to have their surgery in the hospital or outpatient surgery center. We can easily accommodate these requests.

What type of anesthesia is used? Back to top

Dr. Palmer performs virtually all of his office surgery under an IV sedation anesthetic administered buy a certified anesthesia provider.

Due to his expertise in pain control, his patients do not need general anesthesia. There is no pain, discomfort, or awareness during surgery. Some smaller cases can be done under local anesthesia.

What does my surgery involve? Back to top

Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and your surgeon's preferred technique. Finally, the skin is redraped over the new framework.

When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.

When can I return to my usual activities? Back to top

Most rhinoplasty patients are up and about within a day, and able to return to school or sedentary work within 6 days or so following surgery.

Avoid strenuous activity (jogging, swimming, bending, and sexual relations-any activity that increases your blood pressure) for two to three weeks. Avoid hitting or rubbing your nose, or getting it sunburned, for eight weeks. Be gentle when washing your face and hair or using cosmetics.

How will I look? Back to top

Immediately after surgery, there will be some mild swelling. Often, the patients have bruising around the eyes that lasts about a week. The splint will stay on for 6 days. You will notice major improvements in the nose immediately after the splint is removed, and the nose will continue to improve in appearance for 6-12 months. Dr. Palmer will make every effort to ensure you don’t look like you had a nose job. He will make you look natural, and shape your nose to fit your face.