Asheville Rhinoplasty

All about nose reshaping surgery

Is there something you wish to change about your nose? If so, you are not alone. According to the American Society of Plastic Surgeons, nearly 219,000 people in the U.S. underwent rhinoplasty, or nose reshaping surgery, in 2017. This popular procedure can dramatically enhance a person’s appearance by creating a more refined nasal contour and restoring an aesthetically pleasing harmony to facial features.

Why consider rhinoplasty?

Nose reshaping can be a highly rewarding procedure and offers many benefits beyond shaping a more attractive nose. If you have breathing problems due to a misshapen septum, rhinoplasty can correct the obstruction and help you breathe normally. Nose surgery can also help restore symmetry following injury to the nose or help correct congenital defects to the nose or nostrils.

With results that can last a lifetime, rhinoplasty can help you feel more confident in your appearance and happier with the way your nose looks.

What improvements can be made with nose reshaping surgery?

There is no single goal with rhinoplasty except to create a naturally appealing nose shape that a patient is happier with. Since this means different things to different patients, surgery is tailored to an individual’s anatomy and goals. Dr. Conway can achieve a number of improvements with rhinoplasty, including:

  • Reduce the size of a nose that is too large
  • Straighten a prominent “bump” on the nasal bridge
  • Improve the angle or projection of the nose
  • Reduce over-large nostrils
  • Straighten a crooked nose

Choosing Dr. Conway as your rhinoplasty surgeon

Dr. Donald Conway approaches each patient and procedure with the goal of providing a safe surgery and naturally appealing results. His surgical skill and multidisciplinary experience help him achieve this goal.

In addition to 20+ years of experience as a board certified plastic surgeon, Dr. Conway has an advanced degree in medical illustration. This highly specialized field requires a thorough knowledge of anatomy as well as a keen sense of symmetry, proportion, and detail, as medical illustrators create the visual guides used by surgeons to study the anatomy of the human body.

About rhinoplasty surgery in Asheville

Dr. Conway performs rhinoplasty as an outpatient procedure at the Plastic Surgery Center of Asheville, in our private, accredited surgery suite. General anesthesia, administered by a board certified MD anesthesiologist, is typically used; however, in certain cases intravenous sedation and local anesthesia may be appropriate.

Depending on the corrections to be made, Dr. Conway may perform one of the following rhinoplasty techniques:

Closed rhinoplasty

During a closed or “endonasal” rhinoplasty, Dr. Conway makes small incisions inside the nostrils. Through these incisions he can reshape the bone and cartilage of the nose to achieve your desired changes. The obvious advantage of a closed rhinoplasty is that there are no visible scars.

Open rhinoplasty

An open rhinoplasty involves a small incision underneath the nose, between the nostrils. This incision allows Dr. Conway to lift the external nasal tissues and operate with direct vision when necessary to achieve the desired result. He will also use open rhinoplasty for most tip reshaping procedures. Scars from open rhinoplasty typically fade very nicely and are inconspicuous to others.

Combined rhinoplasty & facial contouring

Many of Dr. Conway’s rhinoplasty patients choose to enhance other facial features at the same time to achieve more dramatic improvements in facial harmony. Chin or cheek implants can help strengthen a weak chin or add structure to cheekbones, while neck contouring can help patients with fullness beneath the chin refine definition around the jawline.

Recovery after nose reshaping surgery

You will be able to go home the same day as surgery to recover at home. You will have a splint placed around your nose, and your nostrils may be packed with gauze for support. While this can be uncomfortable, packing only remains in place for a few days after surgery. You may need to wear the splint for 7 to 10 days.

Most patients report minimal pain after rhinoplasty, although Dr. Conway can prescribe pain medication to help you stay comfortable during the initial days of recovery. You can expect some bruising and swelling around your nose and eyes; the majority of this subsides within 2 or 3 weeks after surgery.

Typically, rhinoplasty patients can return to work within 2 weeks and gradually resume non-contact physical activity after about 3 weeks. Because your nose will be healing for several months after your surgery, even after it looks great, you will need to avoid contact sports and other activities that risk putting pressure on the nose. Dr. Conway will provide detailed instructions for a safe, smooth recovery.

Enjoying your new nose

Most patients feel comfortable going out in public after nose surgery when bruising and swelling has subsided to the point where it cannot easily be seen—about 2 or 3 weeks for the typical patient. However, this is a personal decision and as long as Dr. Conway agrees that it is safe to resume activities like driving, work, and running errands, you are free to go out in public as you please.

Your new nose will look very close to its final shape by about 3 to 4 weeks after your procedure, although subtle improvements (almost always imperceptible to others) continue for 6 to 12 months. Results from rhinoplasty are typically permanent, allowing you to enjoy your new nose for a lifetime.

Call Dr. Conway today for your personal consultation 828.210.9333