Rhinoplasty
Rhinoplasty also known as a nose job is a surgical procedure intended to alter the hard tissue components of the nose to reshape its architectural framework. Your nose is basically made up of two components: hard and soft tissue. The hard tissue is bone and cartilage. The upper one-third of your nose is bone while the lower two-thirds is cartilage. The soft tissue component is comprised of skin and fatty tissue. In most instances, not much can be done to change the soft tissue components.
Areas of Improvement
Nose
Results will last
This is a permanent change
Recovery Time
1 week to return to normal activities.
Recovery Process
While the nose may appear swollen, patients typically can return to work, school or routine activities one week following surgery and can resume light exercise in eight to 10 days. Bruising can occur but usually is resolved by one week.

Why have rhinoplasty or nose-shaping surgery?

 

The nose is our most prominent and distinctive facial feature. Some individuals have never liked the appearance of their nose, while some have seen its appearance altered by trauma. Still others don’t like the changes that have come with aging. Whatever the reason, if you have been thinking about changing your nose, rhinoplasty might be for you. Rhinoplasty or nose surgery—one of the most common cosmetic procedures—involves reshaping the bone and cartilage framework of your nose.

For detailed answers many to questions you may have about Rhinoplasty, may we recommend you reading the pdf version of Dr Michael Sullivan's "When Your Nose Doesn't Fit Your Face" book.  It is a fascinating read that shows an indepth view of the procedure and the decision process, and if it is right for you!

 

Who is a good candidate for rhinoplasty?

 

Healthy patients who are unhappy with the appearance of their nose are good candidates for a rhinoplasty procedure.

 

Rhinoplasty Procedure:

 

A rhinoplasty Columbus Ohio is performed in one of two ways: either closed or opened. In the closed approach, all of the incisions are hidden inside the nose, leaving no external scar. This procedure is done by the surgeon’s feel, rather than direct visualization. Even though Dr. Michael Sullivan was classically trained to perform closed rhinoplasty, he has found his results over the last 25 years to be more accurate and predictable when using the open approach. The procedure takes about 2.5 hours.

 

Rhinoplasty Post-Op Results:

 

The nasal splint and sutures are removed one week following rhinoplasty surgery. Although the nose may appear slightly swollen, rhinoplasty patients are typically comfortable returning to work, school or usual activities at this time. Light exercise is permissible eight to ten days after the rhinoplasty Columbus, Ohio procedure.

 

How much does a Rhinoplasty cost in Columbus, Ohio?

 

The total fees for a Rhinoplasty surgery in Columbus, Ohio range from $6000-$8400. An exact quote will be based on the nature of the procedure. All patients are provided with an exact quote for the Rhinoplasty procedure upon consultation and examination.

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Rhinoplasty Types:

 

Tip Rhinoplasty

 

Nasal tip rhinoplasty surgery often involves reshaping and repositioning of the lower lateral cartilages. These are the cartilages which make up the tip of the nose. There is a right and left lower lateral cartilage. They have a “C” shape turned upside down and curve over the nostrils. Many maneuvers have been described to deal with the lower lateral cartilages.

The bottom third of the nose is the most complex portion of the nose structurally and usually poses the greatest challenge to the Rhinoplasty surgeon. This is illustrated by the fact that assessment and management of the nasal tip is often the marquee topic of discussion at Rhinoplasty meetings and articles in Plastic Surgery publication. One of the leading causes of patient dissatisfaction after primary rhinoplasty surgery is unsatisfactory correction of the nasal tip.

The nasal tip is bounded by the lower edge of the upper lateral cartilages superiorly and the columella inferiorly. Its lateral border is the attachment of the nasal rim or alar base to the lip-cheek crease. The nasal tip anatomy is represented by a complex relationship between the lower lateral cartilages which occupy most of the tip, the lower edge of the upper lateral cartilages and the front part of the vertical nasal septal cartilage. Small attachments or ligaments exist between these three structures for nasal tip support.

Nasal tip rhinoplasty work is the most challenging and many times the most critical aspect of any Rhinoplasty surgery. It requires the most focus and attention. The final results of rhinoplasty surgery aren’t evident until 6-12 months following nose surgery and the nasal tip is usually the last area to settle. As the nasal appearance evolves over time undesirable changes may develop years later. The most common motivation for secondary rhinoplasty or revision rhinoplasty is the development of a new deformity after primary rhinoplasty.

 

Revision Rhinoplasty

 

After completely healing the rhinoplasty result may not be acceptable to the patient or surgeon. Sometimes, these undesirable changes don’t surface until 10 to 20 years after the rhinoplasty. The amount of revision rhinoplasty surgery required depends on the degree of the nasal deformity. Typically, revision rhinoplasty surgery is more difficult than the initial procedure because of scar tissue, stiffness, and scar contraction. In some cases, breathing problems may also complicate matters. Whereas most initial rhinoplasty procedures involve taking cartilage out of the nose to reduce its size, revision surgery is usually quite the opposite. Cartilage support is often needed in these cases to rebuild a collapsed nose or to re-establish a better airway for breathing. This support may come from the use of nasal-septal cartilage, ear cartilage, bone, or synthetic implants.

Results experienced from techniques used years ago may not be fully realized until much later. One example of this is a rhinoplasty technique devised by Irvin Goldman, which was popular in the 1960s, 70s, and 80s. This procedure led to a narrow, symmetrical nasal tip, but with continued healing and contraction, might also result in a pinched appearance.

Adding support in revision rhinoplasty may actually make the nose appear larger, although this isn’t necessarily the case. Some revision rhinoplasty procedures involve minor tweaking to make the initial result that much more pleasing. Prior to embarking upon rhinoplasty revision surgery, a thorough examination and evaluation is highly recommended. All possible options should be explored and discussed.

The Sullivan Difference

We are passionate about helping you achieve your goals. We are not here to simply sell you a new product or service. Our prescriptive skin care approach provides you with a highly-customized solution that meet your specific needs. Dr. Michael Sullivan, an internationally renowned plastic surgeon with more than 30 years of experience, will evaluate you, listen to your concerns, and then guides you to the optimal treatment regimen. Our skin care specialist will serve as your personal concierge throughout the process to answer your questions, address your concerns, and teach you how to properly care for your skin.

The specific risk and possible complications as they relate to tip rhinoplasty will be discussed at your initial consultation.
I wish I hadn’t waited so long to have surgery! The procedure was much easier than I expected—in part due to the relaxed atmosphere and, of course, the expertise of Dr. Mike and his staff!
Rhinoplasty
A.S., Rhinoplasty patient