Rhinoplasty, also known as nose reshaping, is one of the most popular plastic surgeries done nowadays. Rhinoplasty can be done, using one of two methods: open and closed. Closed rhinoplasty changes the structure of the nose using internal cuts, while open rhinoplasty also uses additional incision on the base of the nose, in between the nostrils. Part of the nose, called the bridge, has a bone structure, while two lower parts are only supported with cartilage. Dorsal hump is an area in which cartilage builds up or bone forms around the nose ridge. Alar cartilage, situated in the lower part of the face, determines shape of the nasal tip. Small layers of cartilage separate the nose in the center. Rhinoplasty can be done under the general anesthesia, as well as under the local anesthesia with sedation. Before making the incisions, the surgeon will draw small marks on and around the nose. A small cut across the base of the nose marks the start of the procedure. Then, a small incision is made inside each nostril that exposes the framework. As part of a closed rhinoplasty, surgeon may make two little incisions in every nostril so that he could have access to the bone and cartilage.
If the nasal tip is wide, surgeon may choose to remove part of the alar cartilage from the nose tip. Depending on different nose structures, as well as the extent of required operation, sutures can be applied to blend or pull the alar cartilage inside to make a narrower lip, as well as adjust its position. In addition, the surgeon can choose removal of a dorsal hump by carving away parts of the bone and cartilage. When this happens, nose bones can be divided in what is called an osteotomy – it creates a narrower base of the nose, also helping to close an open nose roof as the physician smoothes the ridges and replaces the nose bones, squeezing them together in the center. Cartilage grafts can be used to smooth the dorsal ridge, as well as support or adjust the nasal tip. The incisions will likely be closed with dissolvable sutures. Nasal airway splints are probably going to be placed inside the nostrils to make support for the nose during healing. Bandages are applied to the outer part of the nose. Some pain, bruising and swelling are to be expected. Physicians will likely offer pain medications during the healing process. Some minor swelling may hold for several months.