The nose is the most prominent feature of the face and, as such, even small deformities or abnormalities can lead to distracting disharmony and facial imbalance. Interestingly, despite its prominent position, the nose is not a feature of the face that is associated with beauty. As humans, we typically recognize the eyes and lips as the source of facial beauty and a nose that is in disharmony with the rest of the face causes the nose to overshadow the eyes and lips. A natural looking nose that blends into the background of the face allows the features of the face that are associated with beauty, e.g., the eyes and lips, to be more noticeable and attractive.
I'm so glad that I put my trust in Dr. Ward. His skill and sense of aesthetic are impeccable and the surgery has changed my life for the better! In addition, his staff is also incredible and hand-picked. They helped ease my nervousness and told me what to expect pre and post-op. h2>
The consultation is the chance for you and your surgeon, Dr. Ward, to meet and get to know each other. This relationship is important for several reasons. You should feel comfortable with your surgeon to ensure that you are on the same page before surgery and that you will feel comfortable voicing any concerns or questions before and after the surgery.
Dr. Ward will evaluate your nose and talk to you about your desired results. He will give you honest and realistic expectations and inform you of any potential risks involved. These risks can vary based on each individual person so it is important to be honest and up front during your consultation. Common risks associated with rhinoplasty or any nasal surgery include bleeding, infection, swelling, scarring, septal perforation (hole in the septum of the nose), poor cosmetic result, saddle nose deformity, difficulty breathing, bruising, temporary tooth numbness, amongst others. Our aim is to decrease the probability of each of these complications from happening and will do whatever we can to prevent them from happening.
At the Consultation you will have photographs of your nose taken, which can be used for computer imaging; this can be extremely useful when you want to see how you’ll look with a different nose before going through the surgery.
Follow up after rhinoplasty is important and you will be seeing Dr. Ward frequently following the procedure. This is to help ensure that you are healing properly and that you are happy with your results. We are committed to making sure you heal properly and that you are happy with the result. If you are not happy, we WANT TO KNOW! It can take 18 months before you are fully healed and we will monitor you carefully during this period to ensure proper healing.
There is not a “set” procedure for rhinoplasty; different patients require different degrees of change. Because of that variability, there isn’t a set cost for nose surgery. The only way to get a firm idea of the cost of a possible procedure would be to schedule a consultation with Dr. Ward. During that consultation, the two of you can discuss the goals of a potential procedure and Dr. Ward can then have a better idea of what would be involved with your surgery.
Insurance will not cover a purely cosmetic rhinoplasty, if you want to remove a bump on the bridge, for instance. But if your rhinoplasty is for functional purposes, to improve breathing, it could be covered by insurance. In some cases, this could be mutual. For instance, if your nose was broken years ago and you now want to fix it, this could be to improve the nasal passages that were compressed when the nose was broken. Of course, while the surgery will improve function, it will also improve the aesthetics. Dr. Ward can discuss with you if at least a portion of your surgery could be covered by insurance.
Dr. Ward offers financing through several different third parties, such as CareCredit, a healthcare credit card that is accepted at over 200,000 providers across the country. CareCredit can function exactly like a typical credit card, but often we offer “No Interest If Paid in Full” within periods ranging from six months to two years. You’ll simply make monthly payments without interest. Interest will accrue during this period, but if you pay off the balance in full by the end of the promotional period, this interest is not charged.
The typical recovery after a rhinoplasty is, in general, about one week. During that time, you will have a splint on the outside of the nose and you may have splints on the inside of the nose. Your nose and face will be swollen and you will likely have bruising around the eyes and on the cheeks. You will have some pain and discomfort, but should be able to walk around the house and even outdoors for short periods of time.
In preparation for your recovery, you should have some basic items available to help take care of the rhinoplasty incisions. Hydrogen peroxide can be used to help gently clean off the dried blood along the rhinoplasty incisions. This is typically followed by application of an ointment, which will be recommended by Dr. Ward’s nursing team. You will need to be sure that you have made arrangements to have your prescriptions ready and you will need somebody to help you after the rhinoplasty. You will need somebody to stay with your for 24 hours after surgery and you may need help for longer than that to help make sure that you can take care of yourself and your incisions.
There is no “best” age for rhinoplasty, although there are some ages that are better than others. In only very rare circumstances will we offer rhinoplasty to patients prior to puberty. In general, puberty should have begun and the nose and face be nearly, if not fully, grown before rhinoplasty.
Rhinoplasty is a procedure that usually lasts 90 minutes to 3-4 hours. It is performed on an outpatient basis, meaning that you are not admitted to the hospital after the procedure. The incisions vary depending on what needs to be done, but usually involves a small incision on the columella of the nose (the soft tissue between the nostrils) as well as small incisions inside the nose. These incisions are closed with a dissolving suture and the incisions heal remarkably well with little to no scar. At the conclusion of the procedure, a splint is usually placed over the nose and splints are usually also placed in the nose to help provide support as the nose heals. The splints are usually removed 6-10 days after the procedure.
Patients usually have three areas that come into play when considering nose surgery: cosmetic issues, injury repair, or to improve function.
Cosmetic – If a person feels his or her nose it soo bulbous or there’s a bump on the bridge, it can be a real issue. Here are common aesthetic reasons patients seek to make some changes:
Injury – People often injure their nose, but don’t always opt to correct it. Things like touch football games or even simply bumping into an unseen wall in a dark room can alter the look and the function. Dr. Ward can correct both the appearance and the function.
Function – Some people are born with nasal passages that are too narrow. Restricted airflow can lead to snoring and even sleep apnea. Rhinoplasty can open constricted airways and vastly improve breathing function.
Rhinoplasty recovery doesn’t involve severe pain in the vast majority of cases. There is some dull aching and potential headaches for a short time. Most patients take pain medication for the first day or two after surgery, and then can switch to an over-the-counter pain medication.
There will be swelling, bruising, and congestion, but this is not associated with pain. Dr. Ward will place a splint on your nose and may place a splint in your nose. He does not pack the nose after surgery. The splints will stay in place for about one week. A cold compress will help minimize swelling. You’ll need to keep your head elevated as much as possible, even when sleeping, for about a week. You’ll need to avoid strenuous exercise that increases blood flow to the face for a number of weeks.
There are the general risks that accompany any surgery: anesthesia reaction, infection, bleeding, poor wound healing, scarring, and changes in skin sensation. Specific to this procedure, the patient may have temporary difficulty breathing, skin discoloration and continued swelling, possible perforation of the nasal septum, or unsatisfactory final results. If further changes are needed, revision surgery may be necessary.
The recovery usually lasts about one week. However, there are some patients who may require a longer period of recovery. There is usually bruising that may show up as black eyes or bruising on the cheeks. This usually resolves by about one week, but may last longer. All patients have swelling and although the majority of swelling goes away by about three months, the swelling can take 12-18 months to resolve.
You can wear your glasses as soon as the nasal bones have healed enough so that they are not likely to be damaged by the wearing of glasses. If you did not have any work done to the bones, you can probably wear glasses after about one to two weeks. If bony work was done, you may want to wait for about six weeks. Asking Dr. Ward or a member of his team when wearing glasses is safe is the best advice.
This patient didn’t like the bulbous nature of her nasal tip and the hump on the nasal dorsum (the bridge of the nose). She underwent rhinoplasty with lateral crural repositioning. The lateral crura are the lateral extensions of the cartilages that form the nasal tip. In this patient’s case, her cartilages were angled too much in the vertical dimension (toward the inner corner of the eyes) and not enough in the horizontal dimension (they should point toward the outer corner of the eyes). By removing the dorsal hump and repositioning the lateral crura to a more appropriate position, her nose gained a more refined appearance.
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