Rhinoplasty in Pittsburgh, PA

Rhinoplasty (also referred to as nose reshaping) is a procedure performed for both men and women to alter or enhance the appearance of the nose and create a greater level of facial harmony and a more balanced appearance. Nose reshaping is also performed to correct injured or misshapen noses, as well as improve the shape or breathing function of the nose for those who suffer from nasal  problems. Dr. Fernau’s goal during rhinoplasty surgery is to create beautiful, natural-looking results for Pittsburgh area patients. He emphasizes during the consultation that this plastic surgery changes the shape, alters the tip and redefines the overall look of the nose. Each rhinoplasty procedure is fully customized based on the patient’s personal goals.

Rhinoplasty procedures in Pittsburgh, PA with Dr. James Fernau Plastic Surgery can produce a number of cosmetic and functional benefits, such as:

• Shrinking or expanding the scale of the nose
• Decreasing the tip of the nose
• Decreasing your nasal bridge
• Reshaping the nostrils
• Optimizing general balance for a more symmetrical aesthetic
• Correcting a deviated septum
• Improving nasal airways to help you breath easier

There are several techniques used for rhinoplasty. The approach taken will be based on the complexity of the surgical case and the overall goal of the patient.

With an open rhinoplasty, the incisions are made on the tissue between the nostrils or on the natural crease of the nose just above the lips. This allows for greater access and view of the confines of the nose. Surgeons prefer this as it is easier to manipulate the bones and cartilage. The skin is peeled back to reveal the internal structure of the nose and redraped once reshaping is completed. The scars associated with this approach are tiny - less than 5mm - so they are not easily noticeable once fully healed.

During a closed rhinoplasty surgery, incisions are made to the inside of the nose through the nostrils. This is a common technique for patients who desire mild reshaping. This approach does not cause visible scarring. For severe reshaping cases, the open technique will be implemented.

For minor reshaping, some patients may opt to try an injectable filler to achieve results. These come in a variety of liquid substances, and sometimes a fat transfer can also be utilized. A filler can help add volume to hide small deformities, such as a bump or a bony appearance. It is important to note that fillers can only do so much in the reshaping process. For most patients, surgery is a better option and will offer a permanent solution.

Both men and women are candidates for cosmetic nose surgery. If you find yourself frustrated with the overall look of your nose and have areas you hope to correct and enhance, this surgery may be the recommended course of action. Expectations must be understood, as your facial appearance will be altered. In addition, facial growth should also be complete. This will also be assessed during your consultation, especially for adolescents.

Rhinoplasty is performed in an accredited surgical facility under general anesthesia. The procedure lasts up to 2 hours and is considered outpatient. After surgery, there will be swelling and soreness around the nose area. Bruising is also a side effect of surgery. The nose will be placed in a splint for additional support. During the first 7-10 days following surgery, the side effects will begin to disappear and the splint will be removed. Patients will be able to see their results immediately; however, it may take several months for the full results to appear.

A rhinoplasty surgery can run between $6,000 to $10,000 depending on the surgical case. For more complex cases, skin or fat grafting, or even cartilage reconstruction may be performed. If the procedure is purely cosmetic, the expenses are the patient’s responsibility. However, if reconstruction is performed to correct a deformity, trauma or medical condition, insurance may cover a portion of the expense.

All surgical procedures carry some form of risk. These risks can be greatly minimized if an experienced nose surgeon is chosen to perform the surgery. While rhinoplasty is one of the most commonly performed procedures in the U.S., surgeon skill is critical so that a beautiful, satisfactory outcome can result.

Around half of all rhinoplasty cases will include some form of nose breaking in order to allow the surgeon to reshape the cartilage and bone. This is primarily intended for patients who have nasal asymmetry. The broken bone or cartilage will be reshaped and reattached, and then supported by splints during recovery.

Nasal packing is done to help with bleeding, especially if the surgery involves the septum. Gauze or cotton packs are inserted into the nasal chamber during this process. Patients find it uncomfortable, but the packing is only in for a short-term during the immediate recovery phase.

This depends on the patient’s nose structure and what aesthetic result is trying to be achieved. For significant reshaping, the surgical approach will be performed as this allows the surgeon to manipulate the cartridges and bones. If the patient is looking for a subtle improvement, adding volume to the area may suffice.