Rhinoplasty - What To Know Before You Get Yours

Many cosmetic surgeons now use cosmetic computer imaging with patients to help them get a better idea of potential results

. While this can help someone get a reasonable visual of an overall smaller nose or one with a straighter bridge, it can be highly unrealistic and unreliable.

Part of the reason not to put too much stock into computer imaging is that it doesn't take into account individual internal structure and healing, which varies greatly from person to person. The nose also takes several years to fully heal and scar over, meaning it can continue to change shape over time. Computer imaging can be helpful as long as it is used responsibly and the patient has realistic expectations and understands its purpose is for a guideline and not a promise.

Nose Taping

This practice is encouraged by some plastic surgeons and ignored by an equal amount. After rhinoplasty, your surgeon may or may not ask you to use surgical tape to "hold" the shape of your nose in place. This may be performed daily for a few weeks and then only at night, or it might only be performed for a few days immediately following cast removal. The benefits are often debated and it is unclear whether this practice has significant merit.

Perfect Symmetry

It's time to get over thinking that a crooked nose will ever become perfectly balanced and straight after a rhinoplasty. In fact, take a look at someone who has what you would define as the most perfectly symmetrical and straight nose ever. Guess what? It isn't!

A crooked nose will probably always have some degree of curvature, albeit after surgery it will be largely imperceptible or at least greatly diminished. Both nostrils will likely always be just a tad bit "off" and you may notice slight imperfections in the nose tip. These are fairly normal and should only be of concern if they are highly noticeable or become a distraction.

Once is Enough

While most patients are satisfied with the results of their primary surgery, there is a small percentage who could benefit from a revision. It isn't always a case of a surgical fault, but sometimes people heal unexpectedly or a surgeon was too conservative, or perhaps even the nose experienced a trauma later on that altered its appearance once again.

Whatever the case may be, revision rhinoplasty is not all that uncommon and should be taken into consideration. Fortunately, the second time around can usually correct many problems that were not addressed through the first surgery. In rare cases is a third procedure necessary.

by: Andrew Stratton

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