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The nose is arguably the most defining feature of the human face. As a result, more than half-a-million individuals consult with cosmetic surgeons every year to discuss rhinoplasty.

Commonly referred to as a “nose job,” rhinoplasty is a surgical procedure that re-shapes the nose, enabling the patient to achieve a wide range of aesthetic, reconstructive, and corrective goals.

Rhinoplasty is typically used to correct any of the following:

• A large hump on the nasal bridge

• A wide, thick or bulbous nasal tip

• A long nose, or a plunging or drooping nasal tip

• An excessively wide nose

• Excessively flared nostrils

• Breathing problems

Other cosmetic procedures such as chin augmentation are performed in conjunction with rhinoplasty in order to achieve enhanced aesthetic results.

The Rhinoplasty Procedure

Rhinoplasty can be performed under local anesthesia (patient is awake) or under general anesthesia (patient is asleep). The procedure normally requires one to three hours in surgery depending on the amount of reshaping to be done, and is often performed in a doctor's outpatient surgical suite.

Rhinoplasty procedures fall into two general categories:

• Closed Rhinoplasty – In the closed approach, incisions are made inside the nose through which cartilage and bone are reduced, sculpted and repositioned to improve contours. The closed approach is typically used when a lesser amount of re-contouring is desired.

• Open Rhinoplasty – The open approach involves a small incision across the narrow strip of tissue that separates the nostrils (the columella), in addition to incisions inside the nose. This incision allows a more complete visualization of the tip and dorsal structure for sculpting and repositioning.
The optimal surgical approach is usually decided upon at the time of consultation and depends on each patient’s unique anatomic characteristics, as well as their aesthetic or corrective goals.
Ideal Rhinoplasty Candidates
Candidates for rhinoplasty may feel self-conscious or unhappy with the nose they were born with. Other candidates may feel similarly about the effects aging has had on their nose. Those who have suffered facial injuries or have difficulty breathing due to nasal abnormalities are often prime candidates for rhinoplasty.
Although many young people consider rhinoplasty, the procedure should wait until after the growth period that occurs in the mid-teens – typically from ages 13 to 15 for females, and somewhat later for males.
The ideal rhinoplasty candidate seeks to improve the appearance of their nose, but does not expect perfection. They are happy and otherwise well adjusted and do not expect the procedure to transform them into someone else.
If you live in the Los Angeles area and feel you are a good candidate for rhinoplasty, or want to learn more about the rhinoplasty procedure, contact Bray Plastic Surgery Medical Center today to schedule your initial consultation.

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