What Are the Risks of Nose Surgery?

Question: Should I get a revision rhino? Will it look natural?
Answer: A revision rhinoplasty can improve the nose, but it may not be perfectly straight. There is no perfect nose. It’s also important to know how much cartilage is left over on the inside of the nose for potential grafting purposes. A thorough internal and external examination of the nose going to be required to make a determination about how best to proceed with both a cosmetic and functional component of your nose. Choose your second surgeon wisely based on extensive experience producing natural results. The chronic postnasal drip will not be improved with a Rhinoplasty procedure.

Question: Is it possible to reduce the projection of the nose tip while keeping the front view the same?
Answer: A Full set of facial photographs and in-person examination going to be required to make a determination about how best to proceed with a rhinoplasty procedure. The nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with the procedure.

Question: Would a nose job make me look better?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line and lifting the nasal tip. All of the incisions are placed on the inside of the nose. If you’re wanting to narrow the nostrils, then an alar-plasty procedure is performed to accomplish that. The incision is located directly at the floor of the nostrils. For more information and many before-and-after examples, please see the link and the video below.

Question: What could be done to change the overexposed nostrils?
Answer: The photograph is rather limited, however it is difficult to tell whether not there is a hanging columella present or retracted nostrils, or both. A columella-plasty accomplishes bringing in the columella in relationship to the nostrils. Nostril retraction is best treated with composite skin/ cartilage grafts harvested from the ear. For more information and many before-and-after examples, please see the link and the video below.

Question: How can the small bump on one side of nose after rhinoplasty be fixed?
Answer: It’s important to follow up with your operative surgeon to manage expectations. If there is a permanent small bump present after one year, that can be addressed with a minor touchup procedure revision rhinoplasty.

Question: Will having a septum piercing get in the way of a non surgical-rhinoplasty? 
Answer: Septal piercing will not get in the way of non—surgical nose job. In our practice, we do not recommend non-surgical nose job especially in the tip of the nose since it is only temporary, and can have rare but significant complications such as skin necrosis. It is also not FDA approved for that application. Consider a surgical rhinoplasty to permanently lift the nasal tip.

Question: Would I be able to get a rhinoplasty if I’m taking a low dosage of diclofenac?
Answer: These type of medicines are blood thinners, and the nose has lots of blood vessels in it, so it’s important to be off the medications for two weeks before AND two weeks after the procedure. Additional bruising can occur along with a severe nosebleed which will require nasal packing which will significantly complicate the healing process after elective cosmetic nasal surgery. Consider switching over to Celebrex or Tylenol as an anti-inflammatory medication. These medications will not interfere with bleeding. Always best to check with your operative surgeon. Rhinoplasty is one of the most difficult operations to perform correctly in the entire field of cosmetic surgery, so don’t try to complicate it even further with blood thinning products.

Question: How can I get a very beautiful front profile and make it look like my other angles?
Answer: A closed rhinoplasty procedure can accomplish narrowing the wide nose with a combination of techniques to refine it. Osteotomies can accomplish narrowing the nasal bones, while conservative cartilage removal and suture techniques can accomplish narrowing the wide nasal tip. Digital computer imaging be helpful to understand what can and cannot be accomplished with procedure upon your facial features.

Question: Would I benefit from and am I a good candidate for an open septoplasty?
Answer: A septoplasty is usually performed closed with a small half inch incision on the inside of the nose. A septoplasty is only performed to improve airflow dynamics in the back of the nose. To straighten the external component of the nose requires a cosmetic rhinoplasty. Both procedures can be performed together under one anesthesia with one recovery period. Rhinoplasty for the crooked nose is a very difficult endeavor, so choose your surgeon wisely based on extensive experience.

Question: Can a rhinoplasty fix/alter my radix/glabellar area?
Answer: A closed rhinoplasty procedure can accomplish adding a cartilage graft to the radix, in addition to decreasing the overall projection of the nose and refining the nasal tip and bridge line with all the incisions placed on the inside of it. No external incisions are required. Consider placement of a chin implant for the weak and recessive chin profile, which will help with better facial balance and proportions. For many examples, please see the link and the video below.


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    The Seattle Rhinoplasty Center

    Seattle Nose Surgeon ®
    William Portuese MD
    Joseph Shvidler MD

    Seattle, Washington 98104

    (206) 624-6200

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