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Rhinoplasty is a type of plastic surgery that is used to improve the function or appearance of a person's nose. Rhinoplasty is also commonly called a "nose job."

Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes to correct birth defects or breathing problems.

Nose surgery reshapes the nose by removing bump, reducing or increasing size, narrowing span of the nostrils, changing the angle between the nose and upper lip or the shape of tip or bridge.

It is performed under a general anesthetic. Incisions are made inside the nostrils. Sometimes, tiny, inconspicuous incisions are also made on the columella (so called open rhinoplasty), the bit of skin that separates the nostrils. The surgeon first separates soft tissues of the nose from the underlying structures, then reshapes the cartilage and bone causing the perceived deformity.

In some cases, the surgeon may shape a small piece of the patient's own cartilage or bone to strengthen or increase the structure of the nose. Sometimes this is done for cosmetic reasons or it may be done to improve breathing and function of the nose.

Patients usually feel fine immediately after surgery. The first day after surgery, there will be some swelling of the face. Patients should stay in bed with their heads elevated for at least a day. The nose may hurt very rarely and a headache might be possible. The surgeon will prescribe medication to relieve these conditions.

Swelling and bruising around the eyes might increase for a few days, but will begin to diminish after about the third day. Slight bleeding and stuffiness are normal, and vary according to the extent of the surgery performed. Most people are walking next day, and back to work or school in a week. No heavy activities are allowed for two to three weeks.

Patients are given a list of postoperative instructions, which include requirements for medications, hygiene, exercise and eating. Patients should not blow their noses for the first week to avoid disruption of healing. It is extremely important to keep the surgical dressing dry. Dressings, splints, and stitches are removed in one week.

A Minimal Invasive Approach for Nose Reshaping

Suspension sutures are commonly used in numerous cosmetic surgical procedures. Also, it is not uncommon to see patients seeking nasal surgery for only a minimal hump deformity combined with an under-rotated, under-projecting tip, which does not necessarily require all standard components of rhinoplasty. With the benefit of the described suture suspension technique, such simple tip deformities can be reshaped percutaneously via minimal incisions.

In this technique, the authors described an original surgical model based on the philosophy of vertical suspension lifts, achieving the suspension of the nasal tip with a percutaneous purse-string suture applied through small access punctures. All is obtained under local anesthesia with a double-sided needle or shuttle, smoothly anchoring the lower lateral cartilages in a vertical direction to the glabellar periosteum excluding the skin envelope.

This is an office based 10 minutes procedure, which is undertaken by local anesthesia, and the patient can go to the daily life immediately. The tape dressings are held in place for only 3 days and no bruises are expected.

As a minimally invasive nasal reshaping procedure, shuttle-lifting technique is a very good choice to achieve long-lasting satisfactory results particularly in selected patients with minimal hump deformity and under-rotated tip.

Patients should avoid excessive sun or sun burn for at least a month.