Everyone is a unique individual.  There are tall people, small people, big and obese people and people born with larger then normal and crooked noses that can alter or even plague their appearance.  Cosmetic surgery has a cure for these awkward shaped and formed noses – rhinoplasty.  Rhinoplasty is the medical term for plastic surgery of the nose including the cartilage and bridge.  It can also correct a nose disfigured and broken due to an accident or similar.  Many of these rhinoplasties are also done to correct inner nasal problems like deviated or blocked septums which can increase vulnerability to nasal and sinus infections like sinusitis and aggravation of allergies.

There are two different types of rhinoplasty; augmentation (building out and or restructuring of a bent or misshapen nose) and reduction (the most popular form).  A plastic or cosmetic surgeon can completely reshape a nose into almost any shape or style.  Being that the smallest changes in nose shape make for the most profound results, rhinoplasty is one of the most precise of cosmetic surgery options.  Just a millimeter too much or too little can make a nose look unnatural like with Bruce Jenner, Kenny Rogers or Michael Jackson.  

The most popular form of rhinoplasty is the nose reduction.  The surgeon nowadays will use computer imaging along with the patients wants and desires show a before and after picture so the patient can see their expected outcome.  Prior to the recently made available computer imaging, rhinoplasty reduction patients had to rely on their surgeons idea and word on how it would turn out.  Computer imaging will also show what each little amount shaved off or reduced will do.  Most good surgeons will stress that the resulting nose should fit the face and look as natural as possible (this may or may not be possible in augmentation cosmetic surgery of accident victims).  Just like with breast surgeries, face lifts, TCA peels and other skin peels, and dermabrasion, no one wants anyone to say it is obvious they had plastic or cosmetic surgery and that they look fake. 

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After the computer imaging the type of surgery is layed out and then performed.  There are several parts or areas of the nose that may need surgery – general shape, tilt, bridge, cartilages, nostrils, and columella (the bottom of the nose).  In most cases reduction rhinoplasty is a short operation (about 30 minutes) which requires full anesthesia.  After surgery, the patient will have their head wrapped in bandages to ensure proper shape of the nose while healing and to prevent the bones returning to their previous positions.  Swelling may persist for several weeks, but after removal of the bandages most patients will see a huge improvement.  To see actual before and after footage of rhinoplasty reductions watch Dr. 90210 as they usually have one on every show – reduction rhinoplasties are one of the most popular cosmetic surgery procedures performed in the U.S.

Augmentation rhinoplasty is a much more complicated operation.  Just like for many other cosmetic procedures where additional bone material is needed, surgeons will frequently take a sliver or larger piece of bone from the hip.  Implants made of plastic and silicone may also be used to help reshape or build out the nose area.  Most of the incisions for this surgery are done through the nostrils to avoid external cuts, bruises and scarring.  After surgery the patient’s head and face are bandaged and the bandages may require to stay on for upwards of a month.  Usually the augmentation surgery will require a hospital stay of around 1 week. 

Either style - reduction or augmentation rhinoplasty will have profound and lasting results.  Please consult a licensed cosmetic surgeon before embarking on this or any other cosmetic surgery as it is not for everyone and other options or treatments may be available.