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What is Rhinoplasty?

Rhinoplasty is surgery to reshape the nose. It is one of the most common of all plastic surgery procedures, and is frequently referred to as a nose job.

Patient before and after receiving rhinoplasty in Dallas, Texas

Side view of the same patient before and after receiving a nose job in Dallas, Texas

What does a nose job accomplish?

Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury or help relieve some breathing problems.

What happens during the first consultation?

During your initial consultation, Dr. Adams will evaluate your general health. He will explain which surgical techniques are the most appropriate based on the structure of your nose and face. He will explain the factors that can influence your surgery and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations. You will have the opportunity to view 3D imaging with Dr. Adams. The 3D imaging will give you an idea of what we expect your outcome to be. The pre and post-op care will be discussed as well. Dr. Adams’ assistant will give you the total fee, which includes the fees of your surgeon, hospital, and anesthesia. You will also be given written pre and post-op care and informed consent to review before signing.

How is it done?

Rhinoplasty usually takes 2-4 hours in the operating room, but the more correction required would increase your surgical time. During your surgery the skin of your nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. Dr. Adams will use either an open or closed technique depending on the extent of surgery required. Either surgical procedures leaves very minimal or no scarring on the outside, because work is done from the inside of the nose. When your surgery is completed, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages. For more information about rhinoplasty in Dallas, Texas, contact us today.

What can I expect after rhinoplasty?

Recovery time:

After your nose job — particularly during the first twenty-four hours– your face will feel puffy, your nose may ache, and you may have a dull headache. You can control any discomfort with the pain medication prescribed by your surgeon. Plan on staying in bed with your head elevated (except for going to the bathroom) for the first day.

You’ll notice that the swelling and bruising around your eyes will increase at first, reaching a peak after 2 to 3 days. Applying cold compresses will reduce this swelling and make you feel a bit better. Most of swelling and bruising should disappear within two weeks or so. (Some subtle swelling-unnoticeable to anyone but you and your surgeon-will remain for several months.)

How many visits do I have after surgery?

You will return to Dr. Adams’ office within the first week after rhinoplasty. Your first visit will remove any packing you may have, remove the splint from your nose and re-tape the top of the nose and your sutures may be removed at this time. At the end of two weeks, all your dressings will have been removed and you will notice a change in the shape or size of your new nose. You will have follow-up visits on a regular basis over the next year. Dr. Adams will decide on the frequency of your follow-up care depending on your needs.

Am I a good candidate for a nose job?

Your first meeting with Dr. Adams will help determine the possibility of surgery. The best candidates for rhinoplasty are when you are looking for improvement, not perfection, in the way you look. If you’re physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate.

How do I pay for surgery?

The surgery costs are discussed with you following your visit with your surgeon. You will be given an estimate for your surgeon’s, hospital, and anesthesia fees. For your convenience the fees will be paid in one sum prior to your surgery, at least two weeks in advance. Checks, money orders, cash and credit cards can be used for payment.

What does the surgery cost?

You will be quoted a price to include your surgeon’s, hospital, and anesthesia fees.

Are there scars?

Yes. Whenever surgery is performed on your body a scar will result. Rhinoplasty scars are very small and generally not visible. Dr. Adams will discuss the placement of incisions during your first visit.

Does it hurt?

  1. You will have plenty of pain medications for discomfort after your rhinoplasty. Please tell your surgeon of all your drug allergies. Some pain medication may cause nausea this should not be considered an allergy. All pain medication will cause drowsiness and therefore you should not drive yourself and or operate equipment.
  2. An antibiotic is used for only a few days after your surgery.
  3. Sometimes following surgery to help decrease swelling your surgeon may prescribe Medrol-dose pack.

Will I be awake during surgery?

You will be asleep for the surgery. An anesthesiologist will monitor and closely watch you during the entire surgery.

Where is the surgery performed?

Your nose job is performed at Park Cities Surgery an outpatient day surgery center. A Board Certified Anesthesiologist is used for all surgeries.

Are medical photographs taken?

Photographs are taken prior to rhinoplasty. This allows the surgeon the ability to plan your surgery and allows for computer imaging to be done, giving you the opportunity to visualize the changes to your nose.

What medications should I avoid?

You should avoid or be off all diet or over the counter weight medications. The only homeopathic medications are those recommended by Dr. Adams. It is especially important to be off St. John’s Wort and Ginseng, which can cause adverse effects during anesthesia. Please stop taking all aspirin-like products, Advil, and ibuprofen as these medications can cause bleeding problems. Please tell Dr. Adams what medications you are on (prescription or non-prescription) to ensure the safety of any surgery.

If you would like to learn more about receiving a nose job in Dallas, Texas, contact us today!


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