Surgery of the nose is also known as rhinoplasty, an operation that can alter the appearance, structure and function of the nose in order to improve the proportion of the nose to the face, producing a pleasing appearance. Dr. Ferland also performs this surgery to improve unfavorable results from previous surgeries done elsewhere.
Nose Surgery May Be Right For You If:
- Your nose is too large or too small
- You have a dorsal hump
- Your nose is too wide or too narrow
- Your nasal tip droops down or the tip is too large or boxy
- Your nostrils are excessively flared
- Your nose is off-center, crooked or asymmetrical from previous injury
- You are having trouble breathing through your nose
- You are healthy and have realistic expectations
Dr. Ferland is a board certified plastic surgeon and a member of the American Society for Aesthetic Plastic Surgery. During your consultation Dr. Ferland will also employ her 3D Vectra Camera to simulate what surgery can achieve on your nasal structure. Although this does not imply results, simulations are helpful to patients and surgeon in discussion surgical goals.
Before your procedure, Dr. Ferland will discuss with you:
- The need to stop smoking and avoid all tobacco products including
- Nicotine patches, gum and nicotine-containing e-cigarettes
- The need to avoid aspirin, nonsteroidal anti-inflammatory medications (NSAIDS: Advil, Motrin, Aleve, diclofenac etc.) and vitamins or homeopathic regimens at least 2 weeks or longer before surgery as they can increase bleeding.
- Dr. Ferland will see you in the office 2 weeks before surgery for your pre-operative visit at which time she will make sure you are fit for surgery, order the appropriate labs or EKG, write your prescriptions, review the plan for surgery and review each item on the informed consent so that you are well informed of the possible risks and complications. You will also be instructed on how to prepare yourself for surgery.
Where is surgery performed?
Rhinoplasty procedure is usually performed on an outpatient basis at Henrico Doctor’s Hospital’s Ambulatory Surgery Center (ASC) where you go home the same day. You must arrange for a responsible adult to drive you home and stay with you for the next 1 to 2 days.
- Rhinoplasty procedure is usually performed under general anesthesia at the ASC.
- Dr. Ferland will draw on your nose in the holding area before the surgery.
- In the operating room the incisions are placed inside the nose (called the endonasal approach) and often extend outside to the columella (called the open approach). If the base of the nose is too wide or the nostrils too large, inconspicuous incisions are made at the base of the nostrils to narrow them.
- Nasal humps and large tips can be reduced and unattractive or weak tips can be altered with cartilage grafts. Breathing problems from septal deviation or weakened side walls can be corrected with cartilage work and grafting. Wide noses are narrowed.
- All these procedural steps will depend upon the aesthetic and functional goals of the surgery.
Recovery and Results
- Typically a nasal splint is applied on the nose and a nasal drip pad placed at the tip. There may be packing or internal nasal splints depending on the procedure done. Discomfort is well controlled with pain medications.
- Despite the splint and drip pad you will already see an improvement in shape. Once the splint is removed you will be able to enjoy the new shape but the final shape of the nose will be fully appreciated at one year after surgery.