Types of Fixes
There are a wide variety of issues that can affect the appearance of the nose. Each aesthetic issue requires its own type of specialized correction.
Bulbous Nasal Tip – The tip of the nose is overly rounded. Bulbous tip rhinoplasty operates on the cartilage. It may involve trimming excess cartilage if the cartilage is too wide (cephalic trim) or a more complex procedure if the cartilage is too convex.
Dorsal Hump – A dorsal hump is a hump developed in the bridge of the nose. The dorsal hump can be fixed using either open or closed rhinoplasty. The bone and cartilage of the dorsal hump can be modified to fix the hump and even out the bridge.
Drooping Nasal Tip – This is also called nasal tip ptosis and refers to the nose looking elongated or having a downward hook shape. During the surgery, the tip of the nose is raised or rotated and reinforced with a cartilage implant.
Hanging Columella – The columella extends downwards, which becomes obvious when viewed from the side. Correcting this involves reducing the columella and elevating the connecting cartilage.
Inverted V Deformity – This issue appears as a noticeable inverted-V-shaped indentation at the sides of the bridge of the nose. Depending on the situation, the fix would either be dorsal grafting or osteotomy (nasal bone repositioning by cutting the bones).
Nasal Valve Collapse – Nasal valve collapse can be internal (more common) or external. It often leads to difficulty in breathing and may need treatment right away. The most common surgical procedure to treat nasal valve collapse is placement of a cartilage graft.
Overprojected Nose – This condition occurs when there is excess cartilage at the tip of the nose. The cartilage is reduced and contoured in most fixes. However, if it is due to a high nasal bridge, reducing the bridge is another corrective option.
Pinched Nasal Tip – The tip of the nose is excessively narrow. This is usually fixed by cartilage grafting to enhance the support mechanism of the nostrils.
Polly Beak Deformity – This occurs when there is excess growth of septal cartilage or nasal tip cartilage. It can also occur as a complication of primary rhinoplasty. Reducing the cartilage and lowering the nasal bridge are common ways to fix this issue.
Saddle Nose – The appearance of the nasal bridge is similar to a saddle, and the person looks like they have a “pug” nose. This is due to nasal structure collapse. To address this, new cartilage is grafted to support the nasal structure.
Upturned Nose – The tip of the nose has an upward angle. Correcting this is considered one of the more difficult rhinoplasty procedures.
Wide Nasal Base – To address an overly wide nasal base, the nasal base is narrowed through rhinoplasty techniques.
The Nasal Surgery Procedure
Your surgeon will first administer local anesthesia with sedation or general anesthesia to numb your facial region or make you temporarily unconscious. After that, your surgeon will make incisions inside your nostrils or on your columella (the external skin between the nostrils). The cartilage, bone, and/or soft tissue will be altered to reshape your nose.
If your nose needs additional cartilage, then your surgeon may remove some from your ear, rib, or septum. Finally, the incisions are closed using stitches. The entire procedure generally takes about an hour or two, but it can take longer if the surgery is complex.
The Recovery Process
After a rhinoplasty surgery, patients will experience mild to moderate discomfort. Prescribed pain-control medications can help control this issue. Swelling and bruising are normal and will subside in time.
For about a week, patients may need to wear a splint on the nose to protect the bones and cartilage. They should avoid doing any strenuous activity like jogging or swimming for at least two to three weeks after the surgery.
The cost of a rhinoplasty procedure varies depending on a number of factors, including the techniques used and the overall time required. For functional rhinoplasty, which is any rhinoplasty used to improve breathing, a portion of the rhinoplasty cost may be covered by your health insurance company.
Pricing for Rhinoplasty includes doctor fees, hospital fees, and anesthesia.
• Rhinoplasty: $6940-$7225
• Septoplasty: $2810-$4050
• Tip Rhinoplasty: $3370-$4560
*Prices may vary based on the specific needs of the patient and scope of the procedure