Indications: this operation is done to reshape the nose. The operation can refine the appearance and reduce the size. In some patients who have difficulty breathing, this operation may help them breath more normally. The operation can be done in all age groups, including teens and the elderly.

Method: The method of surgery is to separate the skin of the nose from the underlying skeleton of bone and cartilage. The bone and cartilage are then reshaped and the skin re-draped over the surface. Patients who have a deviated septum may benefit by correction of this problem at the time of surgery. The incisions are placed inside the nose, unless the surgeon uses an open approach in which case the scars lie across the columella (the tissue between the nostrils). Sometimes if the nostrils flare the surgeon may make an incision at the junction between the nose and the skin of the upper lip to narrow the flared appearance. It is not unusual to combine rhinoplasty with chin augmentation to improve the profile. The operation is done under either local anesthetic (you are awake) or general anesthetic (you are asleep). Most patients are happier when they are asleep. You can choose. Most of the time this is an outpatient operation and a stay in the hospital is not needed.

Problems: All operations have some risk. The risks of surgery are divided into two groups. First those that are seen in all operations and second those that are unique or special for this operation. In the first group, the main risks are swelling, bruising, bleeding, infection, a scar and numbness or change in feeling. The main problem which is special for this operation is the need for secondary surgery, usually minor, in about 5-10% of patients. A rare complication is the development of small cyst called mucous cyst.

Postoperative care: The recovery takes one to two weeks. Most people are back to work within a week or two.

For more information schedule your free consultation with Dr. Wittenberg to discuss this procedure in full. Our experienced and professional office staff members are here to help you with all your questions. Call our offices at (831) 636-9808.