Rhinoplasty, commonly known as a “nose job,” is a surgical procedure designed to alter the shape of the nose. It can address both cosmetic and functional concerns, such as improving breathing, correcting birth defects, or fixing injuries. Whether the goal is refinement of appearance or resolving structural issues, Rhinoplasty offers a versatile approach to personalized enhancement.

Types of Rhinoplasty

Cosmetic Rhinoplasty

This focuses on refining aesthetics—smoothing a hump, reshaping the nasal tip, narrowing nostrils, or adjusting overall proportions to create a more balanced facial harmony.

Functional Rhinoplasty

Functional or reconstructive rhinoplasty aims to improve breathing by correcting internal structures like the septum or nasal passages. It’s often recommended for individuals experiencing chronic nasal obstruction or after trauma.

Revision Rhinoplasty

This is for those who are unsatisfied with previous results or are dealing with complications. Revision can be more complex due to scar tissue or altered anatomy, and it requires careful planning.

Surgical Techniques

Open Rhinoplasty

The surgeon places a small incision on the underside of the nose (columella), allowing complete visibility of the nasal structures. This technique offers greater precision and control, though it leaves a subtle external scar.

Closed Rhinoplasty

All incisions are made inside the nostrils, resulting in no visible scarring. It’s less invasive and may suit simpler cases, but visibility and access are more limited.

What to Expect During the Procedure

Rhinoplasty usually takes between one and three hours and is performed under general anesthesia in a surgical center. The surgeon lifts the nasal skin away from the bone and cartilage to reshape or adjust these elements. The skin is then redraped, and incisions are closed. Your surgeon may also use a splint to support the nose during early healing.

Recovery Process

Expect swelling and bruising, particularly around the eyes, during the first few weeks. A nasal splint helps protect and shape the recovering nose in the early days. Most people can return to light daily activities within several weeks, though complete resolution of swelling and final results may take several months.

Who Is a Good Candidate?

Candidates are typically healthy, non-smoking adults with realistic expectations. People seeking changes such as smoothing a dorsal hump, narrowing the nasal bridge, refining a bulbous tip, or correcting asymmetry often pursue rhinoplasty.⁠ It’s essential that individuals are emotionally and physically prepared for recovery and potential limitations, and that they understand what the procedure can—and cannot—accomplish.

Key Considerations Before Choosing Surgery

• Set realistic goals. There’s no universally perfect nose. Outcomes vary depending on anatomy and healing.
• Research surgeons. Look for experienced professionals with specific expertise in rhinoplasty.
• Understand the risks. Complications can include bleeding, infection, adverse reaction to anesthesia, and unsatisfactory results requiring further revision.
• Recovery plan. Arrange for downtime and support, and follow post-operative care instructions carefully to optimize healing.

Final Thoughts

Rhinoplasty is both an art and a science, balancing cosmetic ideals with functional needs. It’s not just about appearance; it’s about improving quality of life, whether by enhancing breathing or boosting confidence. If you’re considering it, educate yourself, weigh the benefits and limitations thoughtfully, and work with a skilled surgeon who respects your individual goals.