About Rhinoplasty


The Rudiments of Rhinoplasty Procedures: Seeking the Perfect Proboscis

What is a Nose Job (Rhinoplasty)?

The Nose Job –or “rhinoplasty” in medical mumbo jumbo–  is a procedure that attempts to adjust the appearance or function of the nose. Procedures may be done to correct the symmetry, remove a bump or even correct a deviation that may be the result of an injury or birth defect. Boise Plastic Surgery and Rhinoplasy Clinic are Specialists in Rhinoplasty. We Specialize in Ethnic Rhinoplasty and African American Rhinoplasty.

The nose is the most prominent feature of the face, and the opinion one has of their nose plays a big part in their self-esteem and appearance –something very important to the vast majority of people.

Nose surgery, rhinoplasty or the nose job can adjust the aspect  of the nose –and more specifically its dimensions– and this can have a profound effect on the appearance of the face as a whole –and this can translate into an improved self esteem and confidence.

The effects of a successful nose job are life changing at best, and can greatly improve one’s physical presentation. The procedure is not painful either and leaves no visible scars.

What Conditions does Rhinoplasty Address?

Rhinoplasty is used to correct a number of aspects of the nose and its form,it can also be used to facilitate breathing. A Nose Job can:

-Make the Nose Smaller or larger

-Remove a Bump

-Make the nostrils Narrower

-Change the angle of the upper lip

-Change the tip or bridge of the Nose

-Relieve Breathing Problems

Overview of Rhinoplasty Procedures

When the rhinoplasty procedure is being performed incisions made be made along the inside of the nostrils or running between either nostril. When the size is being reduced, some of the cartilage that forms the structural center of the nose –the septum– is removed.  The reverse is true when making the nose larger –bone and cartilage may be added that will build the nose to its desired proportions.

Changing the tip or bridge of the nose, this cartilage will be reshaped to achieve a more aesthetically pleasing form –the same is true for resizing the nostrils, an incision is made at the base of each nostril to adjust size as desired.

Different Options in Rhinoplasty

There are also different ways to perform the various procedures mentioned above. You should be sure to get a full explanation of any procedures you may be interested in having done from your surgeon before going under the knife.

Open Rhinoplasty (External Rhinoplasty)

When performing rhinoplasty –also called external rhinoplasty– your surgeon will make a small bridging incision –also known as a transcolumellar incision– through the membrane dividing the left and right nostrils.

The incision is relatively small –only around 4 to 5 mm– but it allows the surgeon to fold the skin upward and gain access to the full nasal structure with clear visibility.   This increased visibility of the nasal framework allows the surgeon to view and adjust the cartilage and soft tissue without distortion.

The surgeon is also able to view the framework in its natural alignment. This form of surgery is used specifically in addressing the more complex deformities including twisted noses, severe post-rhinoplasty deformities and cleft-lip rhinoplasty.

Even though, there are many advantages to this type of rhinoplasty, in regards to improved accuracy in diagnosis as well as greater precision in re-engineering misshapen noses; the technical demands this type of procedure places are high.

In addition to the technical aspect scarring from external rhinoplasty is a frequent issue, for this reason most surgeons will proffer closed rhinoplasty as well.

Closed Rhinoplasty

The other option n rhinoplasty is to go with the closed procedure  – also known as endonasal surgery–  which your surgeon may recommend for one reason or another.  During this surgery all the incisions are made on the inside of the nose in oredr to reduce visibility of scars

The advantage of this is obvious enough –by limiting the the visibility of the incisions made to the inside of the nasal cavity the issue of scarring can be circumvented entirely –an advantage that many patients find highly appealing.

When performing a closed rhinoplasty, the incisions a surgeon will make will be well hidden behind more than a half of the nostril lining  –but because no part of this is visible from the outside, there is no need to worry about scar tissue.

Because the aim of this type of surgery is to eliminate the presence of visible scarring, incisions in the left and right nostril may not connected, which means that the repositioning of the skin and soft tissues will be a bit more difficult.

The fact that the procedure must be performed through such narrow incisions means that the cartilage will also be susceptible to distortion as the nasal skin is pulled into shape. Is the limited amount of surgical access that makes this type of surgery particularly challenging –nevertheless, due to the high level of experience of many surgeons this is one of the most widely selected procedures.

Frequently Asked Questions on Rhinoplasty Procedures


How long Does a Typical Procedure Take?

The entire procedure can take anywhere from 2 to 3 hours, during which you will be under a total anaesthetic.

Will I have to stay in the hospital long?

Under most conditions a patient is kept for observation overnight and then released the next day.

How long is the recovery time after the procedure?

Most people are able to resume their regular activities within the first week of surgery –once they can remove the tape. Within 4 weeks just about everyone can resume regular sports and within 8 weeks the nose is ready to take any action that contact sports may require.

What is the Difference between Rhinoplasty and Septoplasty?

Rhinoplasty is a procedure done for the purpose of improving the appearance of the nose and its form. Septoplasty –also called deviated septum– is used to address an misshapen septum. The septum is the bridge that separates the nostrils.  When patients develop problems with breathing this is sometimes due to irregularities in the septum –septoplasty is the response proffered by the medical community.