Rhinoplasty
Rhinoplasty
Rhinoplasty, sometimes called a “nose job,” has been one of the most popular types of plastic surgery for many years. Every nose reshaping case is different, however, so the skill of your surgeon is paramount. Dr. Perrotta and Dr. Luppens have many years of experience performing successful nose surgeries using state-of-the-art techniques on patients of all ages.
Nose surgery can also help people with a deviated septum or other obstruction to proper breathing, improving the passage of air through the nostrils.
Goals Of Rhinoplasty
- A more attractive nose shape and improved self-image
- A nose that is in better proportion to other facial features
- Improved air passage and breathing
Candidates For Rhinoplasty
- Someone whose nose has an abnormality or deformity due to a birth defect, injury, or disease
- Someone with an excessively large “hump” or deviated septum on the nose
- Someone who feels he/she has a cosmetically unattractive nose
- Someone who feels his/her nose does not “fit” or is out of proportion with other facial features
What to Expect at your Consultation
Drs. Perrotta and Luppens will devote as much time as necessary to discuss your individual goals and needs with you. After a focused physical examination, your surgeon will provide preliminary recommendations and explain what you can expect from surgery.
Once your surgeon determines his surgical plan, our aesthetic coordinator will produce a written quote, which lists all costs of your proposed surgery so that there are no surprises. At that time, an appointment is set for your pre-op visit.
Pre-Op Visit
Much is covered during your pre-op visit. First, one of our highly trained medical assistants will take pre-op photos. Next, your surgeon will explain the surgical technique to you and thoroughly inform you as to what you can expect, including any potential complications. Note that all procedures involve some risk, but major complications are rare. Dr. Perrotta or Dr. Luppens will then obtain a more complete medical history from you and perform a final pre-op physical examination, including a check of your vital functions to ensure that you are physically fit for surgery. All informed consents for surgery will be filled out at this appointment and final payments are due at this time. You will be notified 24 hours prior to your surgery with your arrival time.
The Rhinoplasty Procedure
The procedure is done on an outpatient basis under sedation and local or general anesthesia. There are two types of nose reshaping surgery:
Closed Rhinoplasty: The surgeon makes the incisions inside the nostrils. This approach is more useful if you only desire a nose hump reduction.
Open Rhinoplasty: The surgeon makes the incisions across the columella (the strut between the nostrils) and inside the nostrils. This is usually the approach taken by Drs. Perrotta and Luppens. The added exposure affords the surgeon a great deal of control and the ability to make exact refinements to the dorsum and tip of the nose.
Post-Op Recovery
You can go home the same day with an external cast or splint in place. Your nose may be packed for 24-48 hours, and the splint is usually removed in 7-14 days. Any initial discomfort is easily controlled with oral pain medication. After your procedure, you will follow up with us several times so that we can monitor your healing.
Health Insurance
If you require rhinoplasty in order to correct a breathing abnormality, insurance might cover the procedure.
FAQ’s
Who is a good candidate?
Rhinoplasty is a cosmetic surgery that can be beneficial for individuals dissatisfied with the shape, size, or proportion of their nose and those with structural issues like a deviated septum that restricts breathing. If you fall into any of these categories, you may be an ideal candidate for the procedure.
When will I see the results?
While initial changes are noticeable immediately after the splint is removed, the final rhinoplasty results typically become apparent after the swelling subsides over several months.
How long do the results last?
The results of rhinoplasty are permanent. Changes to the nasal structure during surgery will last a lifetime, barring significant trauma.
What should I do before and after?
Before surgery, patients should follow all preoperative instructions, including adjustments to medication and fasting protocols. After surgery, it is crucial to rest, avoid strenuous activities, and follow all postoperative care instructions to support proper healing and achieve the best results.
Is there any downtime or side effects?
Patients typically return home on the day of surgery. Aside from swelling and bruising, discomfort can be managed with pain medication. Most patients wear a nasal splint for about one to two weeks. Normal activities can be resumed after the splint is removed, but full recovery can take several months.
What can I expect?
During the consultation, Drs. Perrotta and Luppens will evaluate your nasal structure and discuss your aesthetic goals. Depending on the specific changes needed, the rhinoplasty procedure may be performed using a closed approach (incisions inside the nostrils) or an open approach (incisions across the columella). The surgery typically involves sedation and either local or general anesthesia. Postoperative care is critical and includes several follow-up visits to ensure the nose heals correctly and to assess the outcome of the surgery.
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Salisbury
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314 W. Carroll St. Ste #1
Salisbury, MD 21801 - Phone: 410-546-0464
- Fax: 410-546-8529
Millsboro
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30265 Commerce Dr. Ste #208
Millsboro, DE 19966 - Phone: 302-663-0119
- Fax: 302-663-0120
Berlin
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124 N. Main St. Ste B
Berlin, MD 21811 - Phone: 410-449-3993
- Fax: 410-449-3992
