A nose that is overly large or contains deformities doesn’t just make people self-conscious; it can also affect their breathing. Rhinoplasty is highly effective at changing the shape and function of the nose and improving self-esteem. It’s even more effective when performed by an experienced physician such as Dr. Steven Carp of Carp Cosmetic Surgery Center. Dr. Carp has successfully conducted hundreds of rhinoplasties on Akron, Cleveland and Canton-area patients over the years at his Green and Beachwood, OH clinics.
What is Rhinoplasty?
Rhinoplasty is performed by Dr. Carp when a patient wants to change the shape of his or her nose. It’s a common procedure that will increase or decrease the width of the nose, the nostril size, or the angle of the nose. In some cases, there might be a medical reason to have rhinoplasty. A birth defect, injury, or breathing problem might require this surgery be performed.
Whatever the reason, if you’re considering rhinoplasty, you’ll want to know how the procedure works, how long the recovery time is, and what results to expect once the procedure is over. Many of those answers will come from Dr. Carp directly since every nose is different.
The Best Candidates for Rhinoplasty
People who would like an improvement in their appearance but know that their life won’t be magically altered are the best candidates for the surgery. It’s essential that patients have a healthy outlook on their life after rhinoplasty, or they’ll be disappointed.
The age of the candidate can make a difference on whether the patient is ready for the procedure. Teenagers haven’t finished developing completely. At approximately 15 for females and a bit older for males, there will be a growth spurt. Many physicians will not perform the surgery until after that final growth spurt. Teenagers must be prepared for the reactions of peers. It can be harder for a teen to deal with the emotional upheaval they’ll endure after surgery than it is for an adult. Rhinoplasty should be something the teen really wants, not what the parent desires.
Planning Your Rhinoplasty
During the initial visit with Dr. Carp, you’ll discuss the future of your nose. You’ll talk about the possibilities and check the structure of your face to find the best choice. This is the time to be completely honest with Dr. Carp and talk about your expectations. In some cases, your ideal nose isn’t possible based on the cartilage, skin thickness, and facial structure of your old nose.
In that first visit, Dr. Carp will talk about his techniques for the surgery. This is the time to ask any questions and clarify the procedure. Whether you pay for this yourself or have insurance cover it depends on the type of policy you have, as well as the reason for the surgery. Insurance will cover most surgeries when there are health problems involved. Otherwise, they might not.
While talking to Dr. Carp, be honest about your expectations as well as your medical history. This is the time for an open and honest communication. Discuss any face or nose injuries with him, even if it was a long time ago, as these things can influence the outcome of your surgery. Tell Dr. Carp if you smoke, have allergies, or have other breathing issues.
Preparing for Your Rhinoplasty
Dr. Carp or his office staff will provide instructions you should follow before the surgery. Often, these guidelines will include what to do a day before the surgery. Your instructions will tell you to stop smoking or avoid certain vitamins or medications. It will also include information on how to wash your face before the procedure. It’s important to follow these guidelines completely.
After the surgery, you’ll need a designated driver. You won’t be able to drive yourself for a few days after the procedure either. In some cases, you might need help at home. Be prepared for this in advance by asking a friend or family member to help you.
Types of Anesthesia
The type of anesthesia will be discussed before the procedure. The length and complications of the surgery will dictate whether you’ll be given local or general anesthesia. If you’d prefer one or the other, discuss it with Dr. Carp prior to the event.
Local anesthesia means your nose and the surrounding tissue will be numbed, and you’ll be lightly sedated. You’ll be awake for the entire surgery. If you choose general anesthesia, you’ll be asleep throughout the procedure.
Your Rhinoplasty Surgical Procedure
The length of the procedure depends on the complexity of the surgery. It may take one hour or a few hours. The skin around the nose is detached from the bone. This allows Dr. Carp to sculpt the bone, cartilage, and skin to the shape you discussed. The skin is reattached after the procedure. The techniques used will vary. Some surgeons prefer to cut from the inner part of the nose, and others will cut from the vertical strip of tissue between the nostrils.
After the surgery is completed, Dr. Carp will apply a splint to keep your nose from becoming misaligned. This helps to keep the nose’s new shape while it is healing. Nasal packs may also be inserted into your nostrils to stabilize the shape.
After Your Rhinoplasty
For the first 24 hours, your nose, face, and head may ache. Your face and eyes might be puffy or swollen. This is normal. The discomfort can be reduced with the medication given to you by Dr. Carp. For the first day, you’ll want to stay in bed and elevate your head.
Cold compresses will reduce the swelling but expect that the puffiness and bruising will get worse before it gets better. A little bleeding after the surgery is extremely common. Your nose will be stuffy for a few weeks too. It’s best to wait a week or so before blowing your nose since the tissue inside is still healing.
The nasal packing will be removed after a few days, and the bandages, splints, and stitches can be removed after two weeks. Dr. Carp will talk to you about the time length in more detail.
How Much Does Rhinoplasty Cost?
If rhinoplasty or revision rhinoplasty is performed for cosmetic reasons, you’ll likely have to pay out of pocket, as it will be considered an elective procedure by your medical insurance carrier. If it is performed in conjunction with septal surgery for functional reasons, insurance coverage may apply. For assistance with determining insurance coverage or utilizing financing, please contact us. Dr. Carp accepts payment via cash, check, or credit card as well.
Getting Back to Normal
You should be able to return to work or school within a few days, but it’ll be weeks before you feel completely healed. Dr. Carp will talk to you about guidelines for other activities.
You will need to avoid strenuous exercising such as jogging, bending, and swimming. Any activities that raise your blood pressure should be avoided for a few weeks. Avoid makeup and the sun while in the recovery phase.
Contact lenses will be okay after surgery, but glasses are out of the question for some time. Dr. Carp will talk to you about alternatives to using glasses. You might have to discreetly tape them to your forehead or start using contacts.
You’ll have frequent follow-ups with Dr. Carp and his team. They’ll check on the healing progress, and this will be your chance to discuss problems or questions. Dr. Carp will urge you to call with any questions in between your visits.
Your New Look
After surgery, many patients find the healing process to be slow. Understand that it’ll take some time before you feel like yourself again. Your face, nose, and eyes will be bruised and swollen.
As your nose starts to heal, the puffiness will dissipate, and the bruising will fade. You’ll start to look better and feel great. In a few weeks, you’ll have the nose you wanted without any of the swollen bruising. It takes patience.
While you may expect your friends and family to be excited and see a huge difference, the fact is that they may not. Some family and friends might react negatively to your decision. Be prepared for all the reactions you might get. Ultimately, it’s how you feel after the surgery that matters, not what others think.
You don’t have to continue feeling self-conscious about your nose or suffering breathing difficulties. Instead, trust your care to Dr. Steven Carp, who performs custom rhinoplasty surgery at his clinics in Green and Beachwood, OH. If you’re from the Canton, Cleveland or Akron areas, contact us now to find out more.