It is important to have a clear idea of how you would like your nose to look as well
as know there are some limitations to cosmetic nasal surgery.

Dr. Callaghan may ask whether you have difficulty breathing through your nose,
suffer from allergies or use nasal spray excessively.

In evaluating you for rhinoplasty, Dr. Callaghan will examine your nose both
internally and externally. Skin quality as well as the size and shape of your nose
must be carefully studied. Sometimes, chin augmentation may be suggested so
that a more pleasing facial balance can be achieved.

With rhinoplasty, work is done on the cartilage and bone that form the structure of
your nose. Sometimes, certain bones may need to be altered in order to make
your nose look narrower and straighter. If your nose needs to be augmented, this
can be accomplished using cartilage from your nose or cartilage from another part
of the body. The skin and soft tissues will re-position themselves over the new
form of your nose.

In most cases, the incisions will be placed inside your nose so they will not be
visible. If the base of the nose is narrowed or the nostrils reduced, small pieces of
skin below the nostrils will be removed. External incisions are well hidden in the
crease where the nose and cheek join.

In an open rhinoplasty, a short incision is made across the columella, a narrow
bridge of skin that separates the nostrils. A small plastic splint is worn on the
nose for the first week post-op; no packing is placed inside the nose. Patients go
home the day of surgery.

Skin numbness after rhinoplasty may occur but is usually temporary.
Occasionally, extra surgery may be necessary to refine or modify the result.

Bruising should be gone after a week and you can use concealing makeup if you
wish. Swelling, however, can last a number of weeks or months though residual
swelling usually affects just the nasal tip.







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