The nose is one of the most important parts of facial appearance. It is the centrally defining structure to the face. It reflects age, culture and can affect the appearance of other features such as the eyes, lips and chins.
Rhinoplasty is a procedure that alters the shape and structure of the nose. It can be done for purely cosmetic reasons such as removing a hump, narrowing the width or improving the angle of the nasal tip. Rhinoplasty may also be performed for functional reasons to improve breathing or to correct deformities caused by an injury or birth defects (i.e. cleft lip).
There are 2 basic types of approaches used to perform a rhinoplasty: closed and open. The closed rhinoplasty is done all through internal incisions to change the internal structure of the nose. The open rhinoplasty mostly uses internal incisions but with the addition of a small incision base of the nose between the nostrils. Dr. Chegar typically performs open rhinoplasty for revision cases or when more precise or complex maneuvers are necessary.
Patients may return to school or work 7-10 days after rhinoplasty. Dr. Chegar recommends avoiding any heavy exertion or exercise for 2 full weeks and any activities that may risk contact to the nose for 6 weeks. At the 1 week follow-up, the outer nasal dressing called a splint is removed. Bruising and swelling around the nose is normal and lasts for about 2 weeks, although minor swelling and other changes will occur for up to 1 year.
Insurance may cover rhinoplasty for functional problems with breathing or for deformities caused by injury or birth defects. Cosmetic changes to the nose can also be done with a functional rhinoplasty and are billed separate from the insurance portion of the procedure.