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Nose Reshaping (Rhinoplasty)


The nose is the central, most prominent feature of the face and a strong factor in defining balance and harmony among facial features. Normal nasal function with respect to breathing is also paramount in maintaining health. When the nose is out of
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proportion with other facial features or doesn't complement the face, it can negatively influence an individual's self-image and confidence. A chronically obstructed nasal airway can significantly affect the life-style, sleep cycle, and even the health of any individual.

If you are bothered by the size or shape of your nose, cosmetic surgery of the nose or rhinoplasty may be right for you. Functional corrective procedures such as septoplasty, and submucous turbinate resection often complement aesthetic rhinoplasty to achieve improved function and well-being in the patient.

While independent concepts, aesthetic and functional concerns must be correctly addressed by the experienced rhinoplastic surgeon, to improve outcome, and prevent future problems.


Where do I begin?

Whether you have a personal desire to improve your appearance or you seek to improve breathing function, a consultation with Dr. Daniel Golshani is your first step. Dr. Golshani's consultations are designed to fully educate potential patients. Consultations typically include an evaluation of your individual case addressing both aesthetics and nasal airway function, a discussion of your primary concerns, the options available for surgery of the nose including both "closed" and "open" rhinoplasty techniques, the possible outcomes of surgery, risks or potential complications, and the course of treatment that may be most beneficial to you. A correct course of treatment may begin with non-operative medical management of your symptoms, or diagnostic studies if medically indicated.


Preparing for surgery

Daniel Golshani, M.D., F.A.C.S. will carefully explain the surgical procedure recommended for your case. Prior to surgery, you will be given specific instructions regarding pre-operative medical treatments, diagnostic testing, day of surgery procedures, postoperative care, and follow-up information. In addition, you will be asked to sign consent forms to assure Dr. Golshani that you fully understand the procedure that you will undergo and any potential risks or complications related to your procedure.


Following surgery

Once your procedure is completed, a splint and/or packing will likely be placed inside your nose; a splint or bandages will also be placed on the outside to support and protect the new structures during initial healing. Before you are released following surgery, you and an accompanying family member, friend, or caregiver will be given specific instructions that may include: How to care for the surgical site; Medications to apply or take orally to aid healing and reduce the potential for infection; specific concerns to look for; when to follow up with Dr. Golshani.


Progress and Healing

Initial healing may include some swelling, bruising, headache, and discomfort that can be controlled with medication and cold compresses. These are all common conditions.

Dr. Golshani will instruct you to keep your head elevated at all times until the initial swelling subsides, and to keep any nasal packing in place at all times. Following all postoperative instructions carefully is essential to the success of your outcome. A return to light, normal activity is possible as soon as you feel ready, usually within a few days of surgery.

Any packing or splints will typically be removed after the first week, although some patients may need to wear the splint for an additional week or two. You will be ready to return to work and normal activity at this time. Cosmetics can camouflage any bruising or redness that remains. Make sure to ask our clinical aesthetician or nurses regarding post-operative cosmetic options. Herbal medications such as Arnica may also be helpful during this time, but make sure to consult Dr. Golshani. Healing will continue for several weeks as swelling continues to dissipate and the improved appearance of your nose begins to become apparent. You may be instructed to perform a very gentle lymphatic massage in the nasal area during the first few weeks. Diligent sun protection is recommended as you continue to heal. You must also protect your nose from injury during any physical activity for the next 4 to 6 months.


Results and Outlook

The outcome of your nose surgery will appear gradually over time. At a minimum, a year is considered normal for the outcome of surgery of the nose to fully refine. In general, the results of rhinoplasty are permanent. However, cartilage, the main supporting structure of the nose, is a continually growing and moving tissue that may change the outcome over time. Therefore, studies note that approximately 5% of patients undergoing rhinoplasty may require a surgical revision after one year.

You should be pleased with the improved balance among your facial features resulting from surgery of the nose. Achieving your personal goals for an enhanced appearance will likely increase your self-image and self-confidence. There is also a priceless benefit to improved nasal function and breathing after surgery.



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