Fast facts

Rhinoplasty


What it is: A plastic surgery procedure to improve the appearance, proportions and structural functionality of the nose.  Rhinoplasty, commonly called a nose job, can enhance facial symmetry and harmony to improve the patient's self-confidence.  Breathing can also be improved as a result.


What it addresses: Specific aspects of the nose, such as:

- Nose size
- Nose width
- Asymmetry
- Nostrils


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Question

Rhinoplasty - Is it too soon after surgery to be worried about uneven nostrils?

I recently had open rhinoplasty and am now one week post-op. I realize that the end result is forever away, however, I am a little concerned about the convex shape of my right nostril. I want to know:

(1) if this is normal,

(2) will this fall away or fade,

(3) are there possibly stitches there that are making it keep this shape or something else that could be causing that?

I am hesitant to ask my doctor simply because it's his "art" and I can't help but think that his answer would be slightly biased (therefore not succeed at putting me at ease) :)

Thank you all so much in advance for volunteering your time to do this -- it means a lot!!

nose1.JPG

Asked by: kacee
Washington, DC

Answers (2)

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1
October 10, 2008

What I tell my rhinoplasty patients is that they must be patient, and it is O.K. to ask questions.

S. Pasquale Maggi, MD
S. Pasquale Maggi, MD
Board Certified
Plastic Surgeon

Dear Kacee,

I tell all my rhinoplasty patients many times before the surgery that this particular procedure requires allot of patience on the part of the patient.  In my experience this is particularly evident in an 'open" rhinoplasty.  I feel that most of this is because  rhinoplasty is a "surgery of millimeters".  And until the majority of the swelling of the various tissues (skin, cartilage, bone, etc) many of early concerns are dynamic and will change as the healing process takes place,  In terms of my practice, and I feel is similar for most other physicians, having my patients ask me questions, or voice any concerns, is seen by me and my staff as a fundamental part of the healing/post-operative process, and thus encouraged.  I hope you still trust your surgeon, as I am sure you do since you chose him to perform the procedure, and you should be confident that you will get an honest answer to this question.   As far as answering your specific question about the contour of your right alar rim/nostril you would be best served to ask your surgeon, since it may require inspecting inside your nose to properly evaluate the area in question.

Best wishes,

S.P. Maggi, M.D.

2
July 24, 2008

Talk to your doctor

D.J. Verret, MD
D.J. Verret, MD
Board Certified
Facial Plastic Surgeon
Answer by D.J. Verret, MD

I would suggest speaking with your doctor about your concerns. No one knows better what was done than the person that did it. Though it is his art, most physicians will be up front and often will say when they get a result that was unexpected or needs revision.

Remember, in some patients, results from a rhinoplasty can take up to a year to be seen.

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