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Nose Reshaping Providence

Click for information on Correction of a Deviated Septum

Who is a candidate? If you have an abnormal appearance of the nose as a result of birth defects, injury, or disease. Nose that is cosmetically unattractive or does not “fit” with other facial features.

Intended results: More attractive nasal shape. Nose in better proportion to other facial features.

Procedure description:

  • The procedure is done on an outpatient basis under MAC (Monitored Anesthesia Care).
  • STANDARD RHINOPLASTY: Incisions are made inside the nostrils. The nasal bones, cartilage, and soft tissues are reshaped to improve the external contour.
  • OPEN RHINOPLASTY: Frequently used for difficult or larger noses. Involves one external incision across the columella (strut between the nostrils). Bones, cartilage, and soft tissues are reshaped under direct vision.
  • TIP-PLASTY: If only the nasal tip is abnormal, it may be corrected with either a standard or external (open) approach.
  • Large nostrils may be reduced through tiny incisions at the outer base of the nostrils with either type of rhinoplasty.

Recuperation and healing: The patient goes home with an external cast or splint in place. The nose may be packed for 24-48 hours. The cast or splint is usually removed in 7-10 days. Initial discomfort is easily controlled with oral medication. Majority of swelling and bruising subsides progressively over 2-4 weeks. External sutures (if any) are removed in 4-6 days. Internal sutures dissolve. Semifinal result is evident in 3 months. Final result is evident in 12-14 months.

Other options: Additional procedures that may enhance the result is a chin enlargement. If you need to improve breathing, correction of a deviated septum (Septoplasty) may also be appropriate.

Insurance guidelines: This procedure is not covered by insurance if being done for cosmetic reasons. If however, the nasal deformity is due to recent injury, insurance coverage may be available. Pre-authorization information can be obtained from your insurance company.

Note: The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

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© RICHARD ZIENOWICZ MD - Rhode Island Plastic Surgeon · 10 BRIDGE ST. · PROVIDENCE, RI 02903 · (401) 453-0120