Rhinoplasty

Plastic Surgeons serving Denver, Littleton, and Surrounding Areas in Colorado

 

If you are unhappy with the size or shape of your nose, you may want to consider a rhinoplasty, or nose job, to improve its aesthetic appearance. Even a slight alteration to your nose can have a dramatic effect on your facial appearance, resulting in a boost in your self-confidence.

There are certain characteristics and properties that virtually all pretty noses have. Similarly, there are features that are best in a female nose while other features are best suited to a masculine one. Our board certified plastic surgeons will discuss each of these with you at your consultation.

If you would like to receive individualized recommendations for your desired rhinoplasty procedure, please call Grossman Plastic Surgery at (866) 221-9665 today to schedule a consultation. Our office is located in downtown Denver.

Am I a Candidate for Rhinoplasty?

Denver Rhinoplasty Surgeon - Grossman Plastic SurgeryFacial plastic surgery is a serious commitment. Dr. Grossman and Dr. Capraro recognize this and treat the procedures with the seriousness they deserve. Part of this commitment is recognizing when a procedure is not an appropriate choice.

The ideal candidate for a rhinoplasty:

  • Has fully matured – Many concerns with the size or shape of a nose arise during the teen years, when bodies are still developing and insecurities are at their strongest. However, it’s best to wait to undergo a rhinoplasty until your nose has developed fully since some concerns might be addressed naturally as your nose matures.
     
  • Is in sound overall health – Surgery poses a risk to someone whose body and immune system are already weakened. You should delay any surgery until you are fully healthy.
     
  • Is dissatisfied with the size or shape of their nose – Common concerns include bumps on the nasal bridge, a downward hook at the tip of the nose, or a general sense that the nose is too large or prominent.
     
  • Needs to correct a deviated septum – The rhinoplasty procedure can also have a medical purpose. Many patients struggle to breathe through their nose due to a deviated septum, and rhinoplasty can address this concern.

In addition, the relationship between the nose and the other facial features is extremely important. This is particularly true of the nose/chin relationship. Often, a small chin will cause the nose to appear much larger than it really is. Therefore, when appropriate, Dr. Grossman and Dr. Capraro may suggest a chin implant improve the balance and shape of your face.

The Rhinoplasty Procedure

Denver Rhinoplasty Surgeon - Grossman Plastic Surgery

There are several different ways to perform a rhinoplasty. Dr. Grossman and Dr. Capraro will select the approach that is best suited to your condition. These include:

  • Standard (closed) rhinoplasty – Incisions are made inside the nostrils only. The nasal bones, cartilage, and soft tissues are then reshaped to improve the contour of your nose.
     
  • Open or partially open rhinoplasty – One external incision is made across the columella (strut between the nostrils). Bones, cartilage, and soft tissues are then reshaped. This is an excellent option for difficult or larger noses.
     
  • Limited rhinoplasty or tip-plasty – This procedure is an excellent option if you only want to alter the appearance of the tip of your nose.
     
  • Nostril reduction – Nostrils are sometimes very wide and oriented horizontally instead of vertically. This can be corrected at the time of the rhinoplasty. If you would like to reduce large nostrils, we will make a tiny incision at the base of the nostrils. This can also be performed with both the standard and open methods.
     
  • Nasal rejuvenation – Often, later middle-aged people complain that their nose seems to be “growing.” What they’re really referring to is that the nose stretches and droops over time. This issue is easily corrected with a procedure that Dr. Grossman developed years ago. In this surgery, the tip is lifted and the skin is tightened.
     
  • Septorhinoplasty – In this procedure, the shape of your nose is improved and the breathing passages are enlarged by shaping and correcting internal elements of the nose (septum and turbinates).

Littleton nose surgeryYour nose surgery is performed under general anesthesia. While some surgeons may perform the procedure under local or “twilight sleep” anesthesia, Dr. Grossman and Dr. Caparo believe that general anesthesia administered by a physician anesthesiologist is the safest and most pleasant way to have the surgery.

The rhinoplasty procedure usually takes between one and two hours depending on its complexity and is performed on an outpatient basis. At the end of surgery, our doctors will place a splint and tape dressing on your nose to protect it. The dressing will be removed in our office about one week after surgery.

We can also perform a revision rhinoplasty if you’re dissatisfied with a previous procedure.

Recovery and Follow-Up Care

Our plastic surgeons describe the healing after rhinoplasty surgery to be in three stages:

  • Stage I (about 1 week after surgery) – You will experience swelling and bruising which will generally subside in 7-10 days. The nose is still fragile and wearing glasses, sunglasses, and goggles should be avoided. It is alright to engage in physical activity, but you should avoid running, jogging, and contact sports.
     
  • Stage II (6 weeks after surgery) – This is the amount of time necessary for the bones of the nose to heal solidly. After this stage, full activity, including athletics, is fine.
     
  • Stage III (1 year after surgery) – This is the time necessary for all of the normal scar tissue that has been involved in the rhinoplasty to completely soften and feel normal.

Revision Rhinoplasty

Revision rhinoplasty, also called secondary rhinoplasty, is performed to correct the appearance of your nose if you experienced an unsatisfactory outcome after your initial nose surgery. The procedure is typically much more difficult than original rhinoplasty, and it requires a great amount of skill and experience.

Revision rhinoplasty can:

  • Give you a more natural-looking nose if the original work was overdone
  • Be used to further improve the look of your nose if the first surgery did not go far enough
  • Correct deformities that are a result of poor technique or unexpected healing

It can take a year or longer to see the final results of rhinoplasty, so if your original surgery was less than a year ago and you are not pleased with the results, you may not need a second surgery. In some cases revision rhinoplasty can improve airflow and correct problems such as snoring, sinus issues, and seasonal allergies.

The nature of your revision rhinoplasty procedure will depend on the problems we need to correct. In some cases it is a simple fix, but that is the exception. Typically the surgery is more complex and takes much longer than original rhinoplasty. The first surgery may have left us with very little underlying tissue and structure to work with. In most cases, our surgeons need to reconstruct the underlying nose structure using cartilage grafts taken from your ear or rib.

It is essential that you be candid and forthcoming with what you want to achieve, and that you understand that there are limitations to what revision rhinoplasty can accomplish. By working together, openly and honestly, we can determine the best course of treatment for you and help you understand what you can truly, realistically expect from your surgery.

Contact Our Denver Plastic Surgeons

Grossman Plastic Surgery has been helping individuals achieve their desired nose contour for more than 30 years. Dr. Grossman and Dr. Capraro are board certified plastic surgeons who have performed thousands of rhinoplasty procedures. Their extensive experience and sense of artistry have helped them develop a reputation for producing superior rhinoplasty results.

Please contact Grossman Plastic Surgery using the form on this page or call (866) 221-9665 today to schedule your rhinoplasty consultation. We serve patients in Denver, Littleton and the surrounding areas in Colorado.