FAQ - RHINOPLASTY
Rhinoplasty or nose surgery can be combined with other cosmetic surgeries. You can resume your normal activities (with certain restrictions) after 2 weeks. Our procedures for rhinoplasty in Montreal are generally performed as outpatients under general anesthesia.
It is normal to have many questions. Below are some of the most frequent questions asked about rhinoplasty that may help you decide whether rhinoplasty is right for you.
Patients who desire nonsurgical rhinoplasty should have realistic expectations and understand that results are limited and temporary. Periodic re-injections at 6 to 12-month intervals are necessary to maintain the desired appearance.
Furthermore, it is not possible to improve the respiratory function of the nose using injectable fillers.
It is appropriate for adults, as well as teens, as long as they are about 16 years old and their facial growth is complete. Candidates must also be in good health and have reasonable expectations of what can be achieved by surgery. Our patients often choose rhinoplasty for the following reasons:
- Enhancing the size or shape of the nose
- Repairing damage caused by injury
- Improving breathing
- Combination with another facial procedure, such as eyelid surgery or facelift
Rhinoplasty procedures involve techniques that restore structural support to weakened areas of the nose. Most often this is achieved using special suture techniques or synthetic resorbable implants (PDS plate). When greater structural support is necessary, cartilage grafts harvested from another site of the body is the best option. The potential sites where cartilage grafts can be harvested for rhinoplasty include:
- Nasal septum – is the first choice of most rhinoplasty surgeons to harvest cartilage grafts. It has the advantage of a hidden donor site, is in the same field of surgery, and yields high-quality cartilage for nasal grafting.
- Ear cartilage – the curved cartilage of the ear is especially useful to recontour the gentle curves of the nasal tip. The scars are well concealed in the natural folds of the ear.
- Rib cartilage – Finally, if a larger amount of cartilage is needed, the surgeon can sometimes remove cartilage from a rib. A 3 cm incision hidden under the breast crease can yield large quantities of cartilage to rebuild a complex nasal deformity.
After an open rhinoplasty, there are columellar skin sutures that require removal 6 to 10 days after surgery. Sutures inside the nostrils are resorbable and will dissolve.
Nasal packing is often used to control the position of tissues during rhinoplasty. It is usually removed during a quick office visit 1-3 days after surgery.
No, rhinoplasty is generally not painful. Most patients are annoyed by the temporary disruption in their normal breathing patterns. This soon resolves after removal of the occluding nasal packs placed at surgery. You may also experience some discomfort from the soft tissue swelling and dryness inside the nose. This will usually resolve spontaneously 2-4 weeks after surgery. Headaches can usually be relieved with Tylenol.
Low impact activities such as brisk walks, stationary cycling, and training on an elliptical exercise machine can be resumed 3 weeks after rhinoplasty. High impact activities such as running and high-intensity fitness classes can resume 6 weeks after surgery. Contact sports that involve risk of nasal trauma (i.e. martial arts) should be suspended for a minimum of 3 months.
The risk of infection is significantly lower 1 year after rhinoplasty. We recommended you wait more than 12 months after rhinoplasty before piercing your nose.