Concept - This is a procedure to change the shape of the nose and its’ relationship to the structures of face. Aesthetic rhinoplasty is designed purely to improve the appearance of the nose, and reconstructive rhinoplasty is designed to change appearance and function of the nose, in order to help breathing. An appropriate rhinoplasty should be designed to bring harmony to the face.

After careful physical examination, digital photographs are reviewed on the imaging system. The relationships between the nose, upper lip, and chin are reviewed in the profile. Careful assessment of the “aesthetic plane” (see photo) is noted; this is a line drawn from the glabella to the base of the nose and to the chin. In addition, the angle that the nose meets the lip and the relative length of the nose to the lip is evaluated.

Other views are also reviewed to assess the aesthetic impact of changing the shape of the nose. In this way, the surgeon and the patient can communicate on what the ideal goal should be. Obviously, the computer-generated imaged result cannot always be obtained; however, it does create an appropriate stage for communication and setting of realistic goals.

Surgery - Most rhinoplasties are done with what is called an "open" procedure. This requires a small external scar at the base of the nose and gives surgeon the best view of the anatomic structures.

This approach allows for meticulous reshaping of the nose and the application of cartilage grafts which are frequently utilized. These grafts are most likely obtained from the nose itself.

Most surgeons find rhinoplasty to be the most challenging aesthetic procedure. Dr. Dabb has performed many rhinoplasties over the years that he has practiced. The goal is always a balanced, non-operated appearance.

Recovery - The nose will have an internal and external splint for up to one week. There is significant swelling; most patients are bothered by the swelling, but find the procedure minimally painful.

Return to work - 1 week

Full Activity - 6 weeks

Complications - Bleeding, decreased sensation, persistent swelling, asymmetry, airway obstruction.