Rhinoplasty is a medical term used to describe a popular type of cosmetic nasal surgery that addresses aesthetic, and sometimes functional, concerns in the nose. Patients more commonly refer to the procedure as a “nose job”.
Using expert techniques, West Palm Beach facial plastic surgeon Dr. Troiano offers patients the ability to tailor the nose to make it so that it does not distract from the rest of the face’s beautiful features. Most importantly, Dr. Troiano maintains or strengthens the airway of the nose to achieve an open airway for patients to breathe.
Because our West Palm Beach rhinoplasty is a highly customizable procedure, Dr. Troiano will design a surgical plan to address your specific functional and aesthetic concerns. A rhinoplasty addresses many aesthetic and functional concerns related to the nose, such as:
Rhinoplasty is the third most popular cosmetic surgical procedure globally, after breast augmentation and liposuction.
Since the nose is in the center of the face, even a subtle change can significantly enhance the attractiveness and harmony of the face as a whole. Cosmetic reasons aside, this procedure may serve a functional role by improving breathing.
Dr. Troiano’s rhinoplasty procedure takes place in one day and does not require an overnight hospital stay. Most patients report only modest discomfort in recovery. Serious side effects are exceedingly rare. Rhinoplasty results are long-lasting and may substantially improve a patient’s appearance and quality of life while boosting confidence.
Rhinoplasty has several distinct benefits that may include:
Anyone who wants to improve the shape and appearance of their nose may be considered for rhinoplasty.
Typically, Dr. Troiano suggests waiting until late adolescence or adulthood before altering the nasal contours. The ideal candidate does not smoke, is in good overall physical health, and has realistic expectations. Women who are actively pregnant or nursing should wait to have cosmetic surgery.
There are different ways a plastic surgeon may approach facial surgery, and they may not always be the same. The technique used may depend on a surgeon’s training or personal expertise, as well as what the patient needs and what is the best approach to help them achieve their aesthetic goals.
Open rhinoplasty is usually reserved for patients who want more extensive adjustments. It requires your surgeon to make an incision along the columella, which allows them to pull back the skin of the nose in order to perform their corrections.
A closed rhinoplasty is performed using the same two incisions made in the nostrils, like an open rhinoplasty, without the third incision that pulls back the skin. A closed rhinoplasty, as the name suggests, is performed through the nostrils and is recommended for patients who want certain corrections, often that are less extensive.
Ethnic rhinoplasty is a specialized type of nose surgery that takes into consideration the unique anatomical features of individuals from various ethnic backgrounds. The goal is to enhance or modify the nose while respecting and preserving the patient's ethnic characteristics. This type of procedure requires a surgeon with expertise in diverse nasal shapes and structures.
Revision rhinoplasty is a secondary nose surgery performed to address issues or complications arising from a previous procedure. It aims to correct unsatisfactory results, functional problems, or aesthetic concerns that may not have been adequately addressed in the initial surgery. Revision rhinoplasty is often more complex than the primary procedure.
Liquid rhinoplasty, also known as non-surgical rhinoplasty, involves injectable fillers to reshape and enhance the nose without surgery. This procedure is suitable for individuals seeking minor adjustments, such as smoothing out bumps or adding volume to specific areas. While it offers a quicker recovery and less downtime, the results are temporary, lasting several months to a couple of years, depending on the type of filler used.
The cost of a rhinoplasty procedure will depend on various factors, including the extent of treatment required for the planned changes, if you have had previous procedures performed on the nose, as well as the costs of your surgical treatment and supplemental follow-ups.
Rhinoplasty surgery will vary slightly for everyone.
Typically, it is recommended for patients who have a nasal contour that is distracting from the rest of their beautiful facial features. You will be able to discuss any questions or concerns with Dr. Troiano during your initial consultation. Together, you will be able to talk about your goals, what type of rhinoplasty is best for you, and how we can help you achieve the best rhinoplasty West Palm Beach and Palm Beach has to offer.
Prior to the rhinoplasty surgery Palm Beach patients are typically administered general anesthesia, depending on the complexity of the procedure and the surgeon's preference. Local anesthesia, often combined with sedation, is commonly used for less invasive surgeries, providing numbing to the nasal area while allowing the patient to remain conscious but relaxed. In contrast, general anesthesia is employed for more extensive rhinoplasty cases, inducing a state of complete unconsciousness to ensure the patient's comfort throughout the procedure.
The length of a rhinoplasty procedure varies based on factors such as the surgical technique and the extent of the alterations. On average, rhinoplasty can take anywhere from one to three hours. During the surgery, the surgeon makes incisions either within the nostrils (closed rhinoplasty) or externally across the columella (open rhinoplasty). They then sculpt the nasal cartilage and bone to achieve the desired shape, size, or function. Once the modifications are complete, the incisions are closed with dissolvable sutures, and the nose is often supported with a splint to aid in the healing process. Patients can expect some swelling and bruising following the procedure, and the final results gradually become more apparent as the healing progresses.
After undergoing rhinoplasty, patients should anticipate a gradual progression of results over several months, with noticeable improvements appearing in the first few weeks. However, it can take up to a year for the nose to fully settle into its new shape. During the initial recovery period, patients are advised to be patient as swelling and bruising subside. Adherence to post-operative care instructions is crucial, including avoiding strenuous activities, refraining from touching the nose, and following any prescribed medications. Sun protection is recommended to prevent pigmentation changes, and regular follow-up appointments with the surgeon help monitor progress.
To maintain the results of rhinoplasty, proper incision care is essential for scar prevention. Patients should adhere to wound care instructions, keeping incision sites clean and avoiding the use of certain skincare products. Massaging the area as directed by the surgeon can also aid in scar prevention. Additionally, maintaining a healthy lifestyle with a balanced diet and proper hydration contributes to optimal healing and long-term satisfaction with the rhinoplasty results. Regular communication with the medical team, openness about concerns, and following recommended guidelines are key to a successful recovery and achieving the desired outcome.
Most West Palm Beach rhinoplasty patients take at least a week off to recover.
Dr. Troiano will place a nasal splint to support the nasal tissues as they heal. You will also be prescribed nasal spray and pain medications. Temporary nasal congestion is common during the initial recovery period, although this resolves as the swelling resolves.
Swelling or bruising is most pronounced in the first two weeks and may extend to the under-eye area. These effects are a normal response to surgery and will subside over the next few weeks. It will take a full year, and even up to 2 to 3 years in some instances, for all the swelling to resolve before the final rhinoplasty results become apparent.
For many patients, rhinoplasty helps to make the nose less obvious, which acts to enhance the other features of your face, like your eyes, cheeks and lips.
Ultimately, patients should have realistic expectations and understand the risks of cosmetic surgery, but those who undergo a rhinoplasty often feel it was an excellent decision.
Palm Beach and Palm Beach facial plastic surgeon Dr. Chelsea Troiano is a fellowship-trained facial plastic surgeon who specializes in facial, neck, and reconstructive procedures. She is committed to offering a private, refined, and customized practice that delivers natural results to patients seeking aesthetic enhancements.
She is double-board eligible, which is a prestigious certification granted to a select few who finish a meticulous 5-year training program focused in Head and Neck Surgery. Dr. Troiano offers the best level of treatment to patients in South Florida who are seeking to improve upon their facial structure.Schedule Consultation
Rhinoplasty is a plastic surgery procedure that can help to restructure bones, cartilage, soft tissue, and skin of the nose. The results are meant to be permanent. It takes an entire year, or longer for the nose, or longer, for any part of the body, to completely heal from any kind of surgery.
Sometimes, despite our best efforts, there will be changes that occur in the nose over the course of the year that need to be addressed to obtain an optimal outcome. We have also come to appreciate that the nose changes significantly over our lifetime, whether or not surgery has been performed. This is one of the reasons why revision rhinoplasty is performed and it is a very common procedure. Some patients may opt to have follow-up surgery down the line if they wish to further correct or refine their nose.
Rhinoplasty can be performed on adults of almost any age, so long as they are in good general health and cleared for facial enhancement surgery. It is sometimes performed on teenagers to help them achieve a more harmonious facial profile.
A rhinoplasty may temporarily alter the appearance of your smile, but these changes are not permanent. Depending on the type and extent of surgery, the columella may swell, causing the upper lip to drop slightly. As the tissues heal, the lip should return to a normal position.
In some cases, rhinoplasty may cause subtle differences in voice. These changes are exceedingly rare and typically do not affect speech function or tonality in everyday conversation. Overall, the changes are hardly perceptible and tend to be noticed only by the patient. Rhinoplasty may improve an overly nasal voice to an extent by opening up the nasal passages.
Typically, plastic surgery is considered an elective procedure, and generally not covered by insurance. However, rhinoplasty can sometimes be required for patients who are looking to correct a structural or functional issue, such as a deviated septum or issues with sleep apnea. In these cases, you may be able to have a portion of your procedure covered by your insurance policy. Dr. Troiano does not accept insurance but will provide all of the documentation and codes needed to be reimbursed by the insurance company.
The incisions can be made in two primary locations: the closed (endonasal) and open (external) approaches. In closed rhinoplasty, incisions are concealed within the nostrils, eliminating external scarring. This method is suitable for less complex procedures, resulting in a faster recovery and less visible signs of surgery. Open rhinoplasty involves an incision across the columella (the strip of tissue between the nostrils). Although this approach may leave a small external scar, it provides the surgeon with better visibility and access to nasal structures, making it preferable for more intricate or extensive nasal reshaping.
Yes, this procedure can be combined with other cosmetic procedures in a single surgery, a practice often referred to as "combination surgery" when performed alongside other aesthetic enhancements. Common combinations include rhinoplasty with chin augmentation, eyelid surgery, or facelifts. Combining procedures can be advantageous as it reduces overall recovery time and addresses multiple concerns simultaneously. However, the decision to combine surgeries should be thoroughly discussed with a qualified plastic surgeon, taking into consideration individual health, recovery expectations, and the surgeon's expertise.
In most cases, this is considered a cosmetic procedure and is not covered by medical insurance. However, if the surgery is deemed medically necessary to address functional issues like breathing difficulties caused by a deviated septum, insurance coverage may be applicable. The criteria for coverage vary among insurance providers, and documentation of medical necessity is usually required. Patients should consult both their surgeon and insurance provider to determine coverage eligibility, understand documentation requirements, and explore potential financial implications.
Nasal surgery is typically performed under general anesthesia, so patients are comfortably sleeping during the process and don’t feel any pain. During your rhinoplasty recovery process, it is not uncommon to feel some discomfort, swelling, and pressure. Discomfort is managed with ice, head elevation above your heart, and tylenol and ibuprofen. Bleeding from the nose is expected for the first few days after surgery. It is very common to have black and blue eyes as well. This bruising generally resolves in 2-3 weeks.
Septoplasty is a surgical procedure specifically designed to address issues with the nasal septum, the cartilage, and the bone that divides the nasal cavity. If you experience difficulty breathing, chronic nasal congestion, recurrent sinus infections, or snoring due to a deviated septum, septoplasty may be recommended. Consulting with an ear, nose, and throat specialist or a plastic surgeon can help determine if septoplasty is necessary. They may conduct a physical examination, assess medical history, and use imaging techniques, such as a CT scan, to evaluate the nasal structures.