Rhinoplasty is a plastic surgery procedure designed to refine and alter the contour of the nose. By improving the facial symmetry of the nose, the facial balance is redefined and other facial features are complemented. The nose may be reshaped in a variety of ways by reducing the overall size, removing an unwanted hump, changing the shape of the tip or the bridge, narrowing the width of the nostrils or changing the angle between the nose and upper lip. In addition to cosmetic improvement, breathing problems associated with a deviated septal cartilage causing inhibited airflow may be improved.

The decision to have a rhinoplasty procedure performed is appropriate for a variety of surgical candidates. A patient may have had a traumatic injury that distorted the appearance of the nose or impeded airflow. Another patient may simply be dissatisfied with the nose the individual was born with. Some patients will notice that aging changes have redefined the anatomy. All of the above are reasonable candidates for surgical correction of the nose, reshaping it to fit the structural anatomy of the face so that facial harmony can be achieved. The overall desired outcome is that of a natural appearing nose that fits the face.

Procedure Description

Dr. Hand performs the rhinoplasty procedure in our accredited Marin County outpatient surgical facility. Rhinoplasty is only performed under general anesthesia to provide for patient comfort. During rhinoplasty consultation, Dr. Hand will examine the nose and make realistic surgical recommendations after discussion of the patients concerns and goals. Most often, patients request removal of a hump on the bridge of the nose, refinement of a round nasal tip or elevation of a drooping tip. Noses that are crooked, too wide, long or flat may be significantly improved.

The surgical procedure is usually completed in 2 hours. During the procedure, small incisions are made inside the nostrils. Dr. Hand first separates the soft tissues of the nose from the underlying structures and continues on to reshape the bone and cartilage that may be causing any deformity. Sometimes a more complicated nasal procedure “open rhinoplasty” may be necessary. A small incision is made at the base of the nose that allows Dr. Hand to “lift” the nasal skin and directly view all of the cartilage and bone requiring correction. To narrow flaring nostrils, small incisions are placed in the groove where the nostril meets the cheek. Additional small corrective procedures may be discussed at consultation.

Recuperation and Healing

After rhinoplasty, the nose will most likely have an external splint and packing that has been applied during the surgical procedure. The packing will be removed in 1-2 days, the splint after 7 days. The patient will be instructed to breathe only through the mouth, returning home for a night of bed rest with head elevation.

Initial discomfort is easily controlled with oral medications. The majority of swelling and bruising subsides progressively over 2-4 weeks. A realistic approximation of the final result is evident in 3 months. The final result may continue to evolve and refine for 12 to 14 months. Light exercise may be permitted at 7-10 days. Heavy contact sports should be avoided for 4-6 weeks.

Alternative Options

Chin augmentation with a small synthetic implant may help to create better facial harmony. Why turn to Dr. Hand for rhinoplasty? Combined with his emphasis on personalized care, Dr. Hand’s extensive training and years of experience in both cosmetic surgery and reconstructive plastic surgery make him a qualified Bay Area plastic surgeon. He has been in private practice in Marin County since 1981, and uses state-of-the-art surgical techniques to enhance your appearance, while maintaining the patient’s natural look.

Dr. Hand is board certified by the American Board of Plastic Surgery (ABPS), as well as a member of the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS). Treating patients the way he would expect to be treated, with honesty, respect, professionalism, and compassion, Dr. Hand possesses the qualifications that he, himself, would seek in a plastic surgeon who performs rhinoplasty surgery in Marin.

Want to see some of his excellent patient results? Before and after rhinoplasty photos are available to view. Please call (415) 461-6742 or fill out our patient contact form to schedule your initial consultation with Dr. Hand.