Is It Possible to Have a Minimally Invasive Rhinoplasty?

The rhinoplasty procedure will not create permanent total nasal obstruction.  We do not put any packing whatsoever inside the nose.  That has been out of favor now for over 20 years.  However, expect to feel stuffy and congested (like a bad cold) for the first few days after surgery.  For claustrophobic patients we place a small amount of cortisone into the inferior turbinates inside the nose while the patients are asleep to help minimize post-operative nasal obstruction.  A finesse rhinoplasty is simply an adjective that describes taking great care to give the patient a nice result with their nose job.  

There is no such thing as totally non-invasive rhinoplasty, but one can certainly improve the appearance by doing dorsal augmentation with a  hyaluronic acid filler such as Restylane in the nasal dorsum  and tip areas.  One must do so very carefully and should preferentially be done by someone who performs rhinoplasty. However, the only way to get a permanent result is to have an operative procedure in the hands of a Board Certified Otolaryngologist or Plastic Surgeon with expertise in rhinoplasty.

I read your concern: If you're going to have your tip cartilages worked on, along with your bump, you will experience some degree of nasal obstruction after Rhinoplasty Surgery. Some patients are bothered by this more than others. Your airway should be fairly open by 2 weeks post-op. Your surgeon may elect to prescribe a mild anxiolytic at bedtime to get you through the immediate post-op period.

In my practice, packing is not routinely placed after Rhinoplasty Surgery, and some of my patients breathe fine in the recovery room. Since all nose job surgery (even the slightest alteration) is finesse work, you may want to consult several reputable rhinoplasty specialists to see what you migh expect to experience after Rhinoplasty Surgery. I hope this is helpful for you. Dr. Joseph