Dr. Gaston Schwarz

Montreal Plastic Surgery

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514-932-8200

Surgery of the Nose (Rhinoplasty)

nose-rhinoplasty-schwarzThe objective of a rhinoplasty is to refine certain features of the nose, thus improving the profile giving a better harmony to the face.

The earliest recommended age for a rhinoplasty is usually around 15-16 years of age. It is very important to discuss with the surgeon what they would like improved so that realistic expectations are met.

Common indications for a rhinoplasty:

The objective of a rhinoplasty is to address “imperfections” on the nose. Depending on the case a rhinoplasty can help in the following scenarios

  • Reducing the “hump”, or “bump” creating a nicer profile
  • When the nose doesn’t seem to match the rest of the face being to long or too short
  • Narrowing a widened upper part of the nose
  • Refining the tip
  • Reducing the size of the nostrils
  • Correcting a downward-pointing or “droopy” nasal tip, frequently seen, when one smiles
  • Improving some asymmetries
  • In some cases breathing problems (deviated septum) can be corrected at the same time.

Nasal surgery should address only what the patient wants to improve.

Dr. Schwarz’s goal is to give you a natural appearance so that people that see you after the operation will not know what you did, there is usually a softer look in the face that, relatively speaking, makes the eyes appear more important in the face

How is a rhinoplasty performed?

The operation is performed entirely through the nostrils. There are no scars outside the nose. Through these incisions structures inside the nose like bone, soft tissue and cartilage can be modified.

In the upper part of the nose, “the hump” can be removed and the width of the nose narrowed by bringing the bones closer to one another. If nostrils need to be made smaller, it is done through small incisions hidden in the fold at the base of the nostrils.

At the end of the surgery, which takes about an hour, nasal packs are placed inside the nostrils and a plastic splint applied over the bridge of the nose. These are removed in the postoperative appointments.

There are number patients that can benefit by undergoing a CHIN AUGMENTATION at the same time.

A marked improvement of the patients profile is obtained and will not be apparent to others after the operation.

Anesthesia

Rhinoplasties are usually performed under local anesthesia with sedation; the IV medication puts the patient in a twilight state, and is completely painless.

Some patients especially the younger ones opt for general anesthesia.

Postoperative care and Recovery

Following the surgery patients stay in the recovery room until they are alert and comfortable then they are able to go home with oral and written instructions for home care and pain management.

There is very little pain following a Rhinoplasty, a large percentage of patients take just acetaminophen (Tylenol).

On the third day the nasal packs are removed and the splint is removed around 5 days following the surgery. By then most of the swelling and bruising are beginning to subside and one is presentable by about 10 days. There is always some residual swelling that may take several months to settle down, especially on the region of the tip where the skin is thick and porous.

Complications from a rhinoplasty are very rare; Dr. Schwarz will discuss these with you at the time of the consultation.

The final result of any treatment or esthetic procedure may vary from patient to patient.

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