The nose is the most prominent facial feature. If it is misshapen or out of proportion with the other structures of the face, the nose can distract from an overall pleasant aesthetic. Unfortunately, this situation can affect an individual’s confidence and self-esteem. Children and teens are frequently teased for an unusual nose. Adults, uncomfortable with their appearance, may find themselves shying away from social situations. Unfortunately, the only way to change the aesthetic appeal of the nose is through a surgical intervention.
Rhinoplasty is an invasive procedure designed to dramatically improve the look of the nose. The surgical procedure can be used to correct a variety of aesthetic problems such as a humped nasal bridge, a bulbous tip, or poorly sized nostrils, as well as a nose disproportionate in size. In addition to the outward appearance, Rhinoplasty can also correct impaired nasal function such as chronic congestion or difficulty breathing.
The Rhinoplasty is often considered one of the most difficult cosmetic procedures performed today. Through more than 10 years of experience, Dr. Moynihan has developed his own, innovative techniques for nasal improvements. His Rhinoplasty is considered among the safest and most effective available. As leaders in the field of Rhinoplasty, Gold Coast Plastic Surgery’s procedures are sought by patients around the Chicago area, as well as nationally and internationally.
The Rhinoplasty Consultation
Before scheduling a Rhinoplasty, patients will need to schedule a consultation with Dr. Moynihan. This initial visit will provide a time for the surgeon and patient to begin developing mutual trust. Dr. Moynihan will start out by performing a brief physical exam of the nasal structures. He will then review the patient’s medical history, current medications, and aesthetic goals. During this appointment, he will explain all of the surgical and noninvasive options for nasal repair. Dr. Moynihan will use cutting-edge computer imagery and Before and After photos of his recent Rhinoplasty patients to assist patients visualize their potential results. If Rhinoplasty is determined to be the right procedure for a patient’s needs, a unique surgical plan will be created.
Photo Imaging – Have you ever wondered what you would look like if you didn’t have that hump on your nasal bridge, a shorter tip, or a less wide bridge and nostrils? Well now you can! At Gold Coast Plastic Surgery we have the most advance technology to take your actual photo and image it to show you what you can look like after surgery. This is a great way for patients to communicate their desires and concerns to Dr. Moynihan while reviewing your actual photos.
The Rhinoplasty Procedure
Dr. Moynihan’s Rhinoplasty will take between one and four hours to complete, under general anesthesia. The procedure is normally performed on an outpatient basis at a nearby, accredited day surgery center. The same afternoon, patients are able to rest and heal in the comfort of their own home.
There are two different Rhinoplasty techniques used at the Gold Coast Group: Closed Rhinoplasty and Open Rhinoplasty. The Closed Rhinoplasty is a less invasive procedure, but more complicated correction needs may not be suited for this technique. The Open Rhinoplasty provides extensive visualization and access to all nasal structures. At the consultation appointment, Dr. Moynihan will determine which Rhinoplasty is best suited for the individual patient.
Closed Rhinoplasty – The Closed Rhinoplasty procedure utilizes small incisions on the inside of the nostrils. Through these, Dr. Moynihan will remove excess tissue and sculpt the cartridge, as needed. The incisions are then closed with dissolving sutures. No visible scarring will occur after a Closed Rhinoplasty. This is the preferred technique at Gold Coast Plastic Surgery.
Open Rhinoplasty – An Open Rhinoplasty is performed using a small, Trans-Columellar incision at the base of the nose, between the nostrils. From this point, Dr. Moynihan will excise excess skin, reshape the cartilage, or place a nasal implant. Once corrections have been made, the incisions are sutured closed. Visible scarring does occur, although these are well hidden within the natural curvature of the nose.
After the Rhinoplasty
After the Rhinoplasty procedure, patients will go to the recovery room to wake from anesthesia. They may initially feel groggy and tired, as well as nauseous. It is normal to have some bit of dark brown or black vomit. This is due to excess blood swallowed during the procedure. Patients will find their nose to be packed with gauze, and a splint in place. These will be in place for up to six days. A feeling of congestion or a “head cold” is common.
The First 24 Hours:
The first 24 hours after surgery are the most difficult part of the recovery process. Knowing what to expect can ensure stress-free recuperation:
- Moderate discomfort and tenderness
- Swelling at the surgical site
- Temporary bruising or black eyes
- Bloody nasal discharge
- Numbness of the nasal tip, roof of the mouth, and upper-front teeth
Potential Complications From the Rhinoplasty
The Rhinoplasty is considered a safe, effective procedure for corrective aesthetic and functional problems of the nose. As it is an invasive procedure, however, there is always the small chance for complications. The risks from Rhinoplasty, although rare, can include excess bleeding, infection, and scarring. By choosing a reputable, well-trained cosmetic surgeon, the chance for complications will be greatly reduced. Dr. Moynihan is double Board Certified by the Facial Plastic Surgeon by the American Board of Facial Plastic Surgery and the American Board of Otolaryngology-Head and Neck Surgery. His exemplary training and know-how provide patients with a safe, satisfying Rhinoplasty procedure.
For more information on the Rhinoplasty procedure, or the Revision Rhinoplasty, contact Gold Coast Plastic Surgery at (312) 988-9300. If you are coming from outside of Chicago, talk to a patient coordinator for information on an online-consultation. Travel assistance can also be provided upon request.
What is Rhinoplasty?
Rhinoplasty, also known as nasal surgery or a nose job, is a plastic surgery procedure designed to alter the external appearance of the nose. Changes may include a reduction or increase in the overall size, the removal of a hump, alterations of a bulbous nasal tip, or repair of poorly shaped nostrils. Functional problems such as chronic congestion can also be corrected through Rhinoplasty.
Who is a good candidate for Rhinoplasty?
Healthy individuals who are seeking an improvement in the appearance of the nose may make a good candidate for Rhinoplasty. Ideal candidates will have realistic expectations for their procedure.
What happens during the Rhinoplasty consultation?
During the consultation in our downtown Chicago office, the structure of your nose and face will be evaluated, your medical history taken, and your goals discussed. Aspects of the procedure such as the anesthesia, the recovery, the risks, and the costs will be explained.
Where is the Rhinoplasty performed?
Dr. Moynihan performs all of his Rhinoplasty procedures in an outpatient surgical center or hospital located in the Chicago area.
What is the anesthesia used for Rhinoplasty?
IV sedation or general anesthesia is used for Rhinoplasty.
How is Rhinoplasty performed?
Most Rhinoplasty cases are performed with a Closed technique, in which all incisions are made on the inside of the nose. If an Open Rhinoplasty technique is used, an additional small incision is made on the skin between the nostrils.
How long is the surgical time for Rhinoplasty?
The surgical time for Rhinoplasty will depend on the complexity of the particular case. Generally speaking, Rhinoplasty may take anywhere from one and a half to four hours to complete.
Where are the incisions made for Rhinoplasty?
For most Rhinoplasty cases, the incisions are made on the inside of the nose; this technique is referred to as a Closed Rhinoplasty. In some cases, an additional small incision is made on the skin between the nostrils, which is referred to as an Open Rhinoplasty.
Will I have scars after my Rhinoplasty?
Closed Rhinoplasty, in which all incisions are confined to the inside of the nose, results in no visible scarring. For an Open Rhinoplasty, there will be a small, well-concealed scar on the underside of the nose, between the nostrils.
How much pain occurs after Rhinoplasty?
Patients may experience some discomfort after a Rhinoplasty. More specifically, the nose and head may ache for the first few days. Dr. Moynihan will prescribe medication can help to manage this.
What is the Rhinoplasty recovery like?
Patients can expect their Rhinoplasty recovery time to take about seven days. Bruising and swelling are common, especially around the eyes. The majority of swelling will begin to fade in about two weeks. After five to six days, the dressings, splints, and stitches will be removed.
How much time should I plan to take off from work after my Rhinoplasty procedure?
Patients normally feel well enough to return to work about eight days after a Rhinoplasty procedure.
Can I exercise after my Rhinoplasty procedure?
After a Rhinoplasty, you will be able to resume light exercise after about one week, though more strenuous activities will need to be postponed for about four weeks.
When are the stitches removed after the Rhinoplasty procedure?
The stitches are removed one week after the Rhinoplasty procedure.
Are there any risks associated with the Rhinoplasty procedure?
The Rhinoplasty is a surgical procedure, therefore has the chance for complications including infection, scarring, cosmetic asymmetry, septal perforation, and epistaxis (nosebleed).
Will my insurance company cover the cost of Rhinoplasty?
Patients will need to check with their own insurer. However, Rhinoplasty performed for purely cosmetic reasons is typically not covered by insurance. Some coverage may be available when treating breathing problems or deformities.
Can I finance my Rhinoplasty procedure?
Yes, patients have the option of paying with cash, credit card, or with healthcare financing through CareCredit.