Nose Surgery

Nose surgery by Cosmetic Surgeon Dr. Michael Warner can correct a nose which is too large or small for your face, a nose which is injured due to an accident, or a nose which internally is the cause of breathing difficulty. Nose surgery is performed by Dr. Warner at his practice’s Arlington, Fort Worth and Weatherford locations. Dr. Warner has provided corrective nose surgery for his patients for more than 10 years. Your nose surgery will be performed personally by Dr. Warner in the comfort of our on-site surgical suite. The benefits of nose surgery are increased self confidence, improved self esteem, improved facial balance and improved breathing. Many of Dr. Warner’s patients elect for nose surgery with other facial cosmetic procedures performed at the same time.

Dr. Warner can perform your nose surgery in just two appointments. At your first appointment, he will examine your nose and discuss the goal you want to achieve; answer your questions and discuss pre-operative instructions. Dr. Warner will perform your nose surgery on your second visit

About Nose Surgery (Rhinoplasty)

Definition. Rhinoplasty (nose surgery): a cosmetic surgery in which the structure and appearance of the nose is improved; bone or cartilage may be removed, tissue grafted from another part of the body, or synthetic material implants used to alter the shape and function of the nose.

The nose is our most prominent feature. Many people are not satisfied with the size or shape of their nose. Some desire to repair a misshapen nose resulting from an accident. Others seek relief from difficulty breathing due to a nasal deformity.

Rhinoplasty can improve both the appearance and function of the nose, all in one operation. It is an outpatient procedure requiring local or general anesthesia and usually takes one- to three-hours. Nose surgery can be performed at the same time as a face-lift or blepharoplasty, or with chin or cheek implants to balance facial features.

Candidates. Today, nose reshaping is very common; it is the second most performed cosmetic surgery in the U.S. Patients are eligible after skeletal maturity when the nose has stopped growing. Aesthetic surgery can improve the shape, size, profile and frontal view of a nose. The angle between the nose and upper lip can be changed and the nasal tip can be narrowed or enlarged. The goal is to make improvements which look natural and achieve a proportional balance with other facial features.

Candidates must be in good general health, and the health of the skin is also taken into consideration. If you smoke, your doctor will probably ask you to stop for several months before and after having surgery. The chemicals in cigarettes rob your body of oxygen it needs for healing. Your doctor will assess your candidacy for this procedure.

Test Yourself. You may be a candidate for nose reshaping surgery if you answer yes to one or more of these questions:

  • Does your nose appear too large or too small for your face?
  • Do you have a bump or dent on the nasal bridge?
  • Does your nose seem too wide when viewed from the front?
  • Does the tip of your nose droop, or is it thickened or enlarged?
  • Are your nostrils excessively flared?
  • Is your nose crooked?
  • Do you have difficulty breathing due to internal blockage?
Causes:
  • Injury to the nose
  • Genetics
  • Congenital problems
Outcome:
  • Increased self-confidence
  • Improved self-esteem
  • Improved facial balance
  • Improved breathing

Procedure. Rhinoplasty is performed as an outpatient procedure, either in the physician’s surgical suite or at the hospital, under local or general anesthesia. Nose surgery requires a minimum of anesthesia. For this reason, surgery is often done on an outpatient basis.

The nose is like a tent. Cartilage and bones join to form the understructure which gives the nose its shape. Nose surgery can include work on your septum or turbinates to provide relief from snoring, a stuffy nose, or sinus problems. Incisions will be placed inside the nose, out of sight. A short hidden incision may be made across the vertical strip that separates the nostrils. In some cases, (to reduce nostrils) incisions may be placed on the outside of the nose in the natural folds of the skin. If your surgery is to enhance the look of the tip of your nose, the surgeon will trim the two cartilages that give shape to the nostril to form a finer, more sculptured tip. Correction of a hump involves removing portions of the upper cartilages that form the nasal dorsum. A drooping nose can be corrected with a nose lift, which consists of elevating the tip and supporting it in its new position. To build up a deficient area, nasal cartilage or bone from another site may be used. After the procedure, small sutures will be applied to the outside to hold the skin against the newly sculpted understructure. A cast or splint may be placed over your nose to set the bones into position while healing. This cast may be in place for up to a week.

Recovery. You should arrange for a loved one to drive you home to rest following surgery. In the first few days after surgery, you may experience stuffiness in the nose, black eyes, and a dull headache that can be controlled with oral medication. Overall, there is very little pain that comes with this procedure. Bed rest with your head elevated is required for at least a day following surgery. You will need to keep your nose protected for at least a week. After two weeks, your surgeon will remove the splint and stitches. Swelling will subside within two- to six-weeks.

Most patients return to sedentary work or school within about a week of the surgery. You will experience some bleeding, and you should not blow your nose during the first week. After one or two weeks, with make-up, only the patient and physician will be able to detect the incision area. You will need to take care when washing your face and putting on make-up. Contact lenses are ok to wear as soon as you feel comfortable, but glasses will need to be supported with tape from your forehead for six-to-seven weeks, or until your nose is completely healed. You will need to avoid sports and other situations which could cause contact with your nose.