Rhinoplasty

While there is no exact definition of the “perfect” nose, features like the nasal size, shape, and proportions should be in balance and blend with your other facial features. If you feel your nose is more disproportionate than you’d like, you may benefit from a rhinoplasty procedure performed by plastic surgeon James Matas, MD. Also called “nose reshaping” surgery or a “nose job,” rhinoplasty can help you achieve a more balanced and harmonious facial appearance. 

What is Rhinoplasty?

Rhinoplasty is a type of nose surgery performed to improve the appearance of the nose in relation to your surrounding facial features. The procedure is also designed to repair breathing issues caused by a deviated (or crooked) septum. There are a wide range of enhancements possible with rhinoplasty, including the ability to straighten humps in the nasal bridge, improve the angle of the nasal tip, adjust the size of the nose, and reduce the nostrils. In most cases, even small adjustments to the nose shape can make a big difference to one’s aesthetic facial balance. If you dislike the appearance of your nose, Dr. Matas can listen to your concerns in a consultation to help you understand how rhinoplasty techniques may help you achieve your desired look. Fortunately, this nose recontouring procedure is designed to create results that last for the long-term future. 

Who is a Good Candidate for Rhinoplasty?

  • Men and women of all ages
  • Emotionally mature children after age 14 or 15
  • Nose appears too large or too wide for your face
  • Nasal tip droops or is too thick
  • Small or large bump on the nasal bridge seen on profile
  • Nostrils are too wide or too large
  • Nose is crooked or off-center
  • Previous injury has left your nose crooked
  • Breathing is obstructed from a deviated septum

What to Expect at Your Rhinoplasty Consultation

Dr. James Matas has extensive experience performing facial plastic surgery procedures, specifically rhinoplasty. The process begins with a personal consultation, during which you and Dr. Matas will discuss the cosmetic concerns you wish to improve with rhinoplasty surgery and your desired outcome. The consultation also includes a physical/emotional evaluation and an assessment of your medical history. At this time you should mention any prior surgeries, nose injuries, breathing problems, and past/current medical conditions. Be sure to mention if you are taking any prescription medications, over-the-counter medications, supplements, or herbs.

Dr. Matas will perform an examination of your nose and nasal structures, noting your skin thickness and the proportions of your nose as they relate to your other features. Based on his findings, he will suggest the approach, incisions, and techniques that are best-suited for achieving your aesthetic goals.

He may recommend that other procedures be performed at the same time as rhinoplasty, in order to correct a breathing difficulty or further balance the facial features. To correct breathing problems, the nasal turbinates may also need to be reduced to allow for better airflow passing through the nostrils. Sometimes, a septoplasty is performed to straighten the septum, which is the cartilage that divides the two sides of the nose. For certain patients, chin augmentation surgery may be included in the surgical plan to give the chin more prominence, which can complement the end result of rhinoplasty.

At the end of your consultation you will be presented with an estimate for the cost of your rhinoplasty surgery and the opportunity to move forward with scheduling your procedure.

Open Rhinoplasty vs. Closed Rhinoplasty

There are two techniques that can enhance the proportions and function of the nose: open rhinoplasty and closed rhinoplasty. The distinction between these different approaches involves the location of the incision used to alter the nasal framework. Open rhinoplasty places the incision where the base of the nose meets the upper lip, allowing scarring to blend in with the natural crease. This technique can provide the highest level of surgical precision, as Dr. Matas is able to fully view the bones, cartilage, and soft tissues of the nose. During closed rhinoplasty, the incision is made internally rather than placed on the outside of the nose. With a closed incision, patients are given the benefit of enjoying no visible scarring. That said, not all improvements may be possible with closed rhinoplasty. Both forms of rhinoplasty are capable of achieving very discreet and undetectable scarring, and Dr. Matas will help you decide the most beneficial technique to achieve your goals. 

How is the Rhinoplasty Procedure Performed?

Plastic surgeons perform rhinoplasty in two ways, either making the incisions inside the nostrils (closed rhinoplasty) or under the nose across the columella (open rhinoplasty). Under most circumstances, Dr. Matas prefers to use the open rhinoplasty technique because it provides him with the best visualization and control.

After making an incision to the columella, the small strip of skin under the nose that separates the nostrils, the nasal structures can be accessed by Dr. Matas. Depending upon your individual circumstances, Dr. Matas may break and then reshape the bone in your nose. Then, he trims and reshapes the cartilage, placing sutures along the way to reinforce its new position. In some patients, he may build up the nasal bridge by taking a piece of your own cartilage and shaping it into a graft. If your nostrils need to be narrowed, he will remove a wedge of skin at the base of the nostrils. Once he has made all the changes necessary, the skin and soft tissues are then redraped over the newly shaped framework of bone and cartilage. The surgery is performed as an outpatient and takes about two hours to complete.

What Can I Expect From the Rhinoplasty Recovery Period?

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You will be discharged wearing a nasal splint across the bridge of your nose and gauze packing inside your nostrils. The packing will be removed the following day, but the splint will protect your nose and hold it in place during the first week. You will also have a small bandage beneath the tip of your nose.

You will keep your head elevated, get plenty of rest and apply cold compresses over the eyes to help reduce bruising and swelling. There is minimal discomfort with this procedure, and it can be easily controlled with prescribed pain medication.

Bruising below the eyes and over the cheeks sometimes occurs, and we provide homeopathic medications to reduce the amount of bruising you will experience. Most people return to work in about a week after nasal surgery, using makeup if there is any residual bruising. There will be subtle swelling of the nose that subsides over the first few weeks. It will be a few weeks before strenuous activities or contact sports may be resumed.

It is normal to have reduced sensation in the beginning, and this should resolve within a few weeks or months. Although you will be able to see the major changes within the first week or two, your final results will begin to emerge 6 months to one year.

Dr. Matas, I want to personally thank you for sculpting my nose into a beautiful work of art. You are such a talented surgeon and I thank you and your entire staff for comforting and reassuring me before and after surgery. God Bless You!
A.M.

How Much Does Rhinoplasty Cost?

Rhinoplasty costs are personalized according to the details of a patient’s individual treatment plan, such as the types of improvements desired, the surgical technique utilized, and the overall complexity of surgery. That said, an accurate quote cannot be calculated until Dr. Matas evaluates your concerns in a consultation. In general, the cost of rhinoplasty in Orlando typically ranges from $5,000 to $7,000 depending on your unique procedure.

We understand that budgeting for the anticipated costs of rhinoplasty is central to making the decision to pursue surgery. We encourage you to utilize our free cost analysis tool to gain an initial idea of how much your rhinoplasty expenses may amount to. Dr. Matas also accepts financing options provided by CareCredit®, which is a trusted healthcare lending company that allows qualified patients to pay for their procedure in low- to no-interest installments instead of a lump sum. Please contact our office if you have any questions about the cost of rhinoplasty or plastic surgery financing in general

Contact Us to Achieve Your New Look

If your nose was comparatively large and/or you had a large bump removed, your changes will be quite dramatic and noticeable to others. Otherwise, your friends, family, and coworkers may not know you’ve had nasal surgery unless you tell them.

Please contact the Advanced Centre for Plastic Surgery to schedule a consultation with Dr. James Matas or to learn more about our services.

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