Rhinoplasty by Melissa Johnson MD, FACS
Rhinoplasty (nose surgery)
Rhinoplasty, commonly referred to as a nose job, is a surgical procedure that changes the appearance and structure of the nose. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip, narrow the width of the nostrils, or change the angle between the nose and the upper lip. This operation can also help correct birth defects and nasal injuries. There is not a universal type of rhinoplasty surgery that will meet the needs of every patient. Rhinoplasty surgery is customized for you, depending on your desired outcome.
Am I a good candidate for a nose job?
A rhinoplasty will improve the appearance and structure of your nose. If you are unhappy with the size or shape of your nose, if you have a visible hump or depression, or if you are unhappy with nasal asymmetry or deviation, you may benefit from a rhinoplasty. During your consultation, we will provide you with our expert opinion on whether you are a good candidate. We will discuss the surgical process along with any possible risks and complications of the surgery.
How should I prepare for my consultation?
Researching rhinoplasty on reputable internet sites such as the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons can be very informative to help provide an overview. However, the best information will be obtained by making an appointment and speaking with Dr. Johnson. At the time of your consultation it may also be helpful to review before and after photos of patients that have had the procedure. At the time of your consultation we will provide you with all the needed information for you to be able to make a comfortable, confident decision about having surgery. It's a good idea to write down any questions or concerns you have so they can be fully addressed at your consultation. Know what your surgical expectations are so Dr. Johnson can discuss them with you. If you are a smoker, we recommend you quit to help reduce the risk of wound healing complications. We also recommend a healthy lifestyle to help your recovery process.
Will I be seen by the surgeon?
Yes. Dr. Johnson will meet with you and she will discuss all your surgical options. Dr. Johnson will provide you with the necessary information so that you feel confident and comfortable with your surgical decision.
Will I be charged for an initial consultation?
Yes. There is a $100 cosmetic consultation fee. If you choose to have surgery with Dr. Johnson, the $100 will go towards the surgical fee.
Are there different types of rhinoplasty procedures?
There is no one technique used on every patient. Every nose is different and the procedures performed are dependent on your desired results. The procedure will be determined on a patient-by-patient basis. The procedure is started with a small incision at the columella and the skin is gently raised off the structures allowing access to reduce or augment the structures depending on your complaints and desires. To augment the nose, a piece of cartilage from a different area is used. If the septum is deviated, it is straightened. The incision is closed with a few external sutures. A nasal splint is placed.
What is the surgical process for rhinoplasty?
The surgery is performed at a hospital. During surgery you will receive general anesthesia. The surgery will take between 2-4 hours depending on the extent of the procedure. Once you are awake you are taken to the recovery room for another 1-2 hours and then discharged home.
Are there risks involved with nose job surgery?
Yes, there are risks with any surgical procedure. Some of the possible risks with a rhinoplasty are pain, infection, bruising, swelling, wound healing complications, bleeding, numbness of the skin, asymmetry of the nose, unsatisfactory results or scars that may require a revision surgery, septal perforation or post-surgical breathing difficulties.
What is the recovery process after nose surgery?
The first few days you may have discomfort or a pressure feeling of the nose and face. The extent of the procedure performed determines the amount of discomfort that you have. You are sent home on pain medications which will decrease your discomfort. You will have bruising and swelling of the nose and face. We will recommend that you ice the area for the first 72 hours to help minimize swelling. We will see you about one week after surgery to remove the nasal splint and evaluate your healing process. We request that you do no strenuous exercise for at least four weeks after surgery.
Will my insurance cover rhinoplasty surgery?
Rhinoplasty done to improve the appearance of the nose is not covered by insurance carriers. However, if you are having difficulties breathing, it may be considered reconstructive and might be covered by your insurance carrier.
Can I finance my rhinoplasty procedure?
What forms of payment are accepted?
We accept all major credit cards, debit cards, cash, money orders, and certified bank checks, or you can finance through CareCredit.
Can I make payments online?
Yes. You can make credit card payments securely online.