Nose Reshaping

Although there is no exact definition of the perfect nose, the size, shape and appearance of your nose should be in balance and blend with your other facial features. If you feel that your nose is not a good fit, you may benefit from rhinoplasty surgery performed by plastic surgeon James Matas, MD.

Best Candidates 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 Consultation

Dr Matas and Staff 203Dr. 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 air flow 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.

How Rhinoplasty Surgery is Performed

nose_bone_file_lgPlastic 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 suture 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 outpatient and takes about two hours to complete.

Recovery from Rhinoplasty Surgery

before after BeforeAfter
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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.

Your New Look

If your nose was very large and 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.

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