What is a rhinoplasty?

The nose is a very important part of facial aesthetics. If a nose is disproportionate with the rest of the face, it loses its harmony, if it has a deviated nose, with a prominent gib or tip and with its altered function, it can affect its confidence, social relationships or limit its physical activity. If you are not satisfied with the shape or size of your nose, consider rhinoplasty with Dr. Rodolfo Castillo, Plastic Surgeon and if you do not breathe well, your Septumplasty with Dr. Carlo Pedroza, Otolaryngologist. Both provide a personalized and experienced treatment to improve the shape and function of your nose in an integral way, improving self-confidence and interpersonal relationships.

Dr. Castillo will modify both bone and cartilage to correct a wide variety of nasal, aesthetic and functional problems. You can be a good candidate for rhinoplasty if:

  • Nose is not in proportion to the rest of the face
  • Nasal tip is drooping, upturned, hooked, or enlarged
  • Nose bridge has humps or depressions
  • Nostrils are too large or wide
  • A history of nasal obstructions or breathing problems.
  • Rhinoplasty is often postponed on younger patients until the nose has completed its growth, typically around 15 or 16 years of age
  • In order to qualify for a rhinoplasty you must be in good health, physical and mental state and have completed the period of physical development.

Which type of rhinoplasty is best?

There are two different techniques, or surgical approaches, used for rhinoplasty. These include open and closed rhinoplasty. Patients considering nose surgery should be aware of the differences.

The open rhinoplasty approach, also called external rhinoplasty, uses a few hidden incisions made inside the nostrils and adds a small bridging incision, called a trans-columellar incision, to connect the right and left nostril incisions. With the addition of this tiny visible incision, the nasal skin can be folded upward (much like opening the hood of a car) giving Dr. Rodolfo Castillo and Dr. Carlo Pedroza more access to the internal structures of the nose. This allows for more precision and ease while sculpting the nose. When properly performed, the open rhinoplasty incision heals remarkably well and becomes nearly invisible.

The closed rhinoplasty approach, also called endonasal rhinoplasty, use surgical incisions that are only positioned inside the nostrils, avoiding visible scars. The endonasal approach may reduce swelling, numbness, and recovery time. However, this approach limits surgical access to the internal structure of the nose making it more difficult to perform more complex rhinoplasty maneuvers and repositioning of the nasal skin. The approach you choose greatly depends on your needs and desired results.

Dr. Rodolfo Castillo and Dr. Carlo Pedroza will recommend the approach they feel is most appropriate to the goals established during the rhinoplasty consultation.

Before and During the Procedure

Before undergoing Rhinoplasty, you will have a consultation with Dr. Rodolfo Castillo board-certified plastic surgeon. The most important question he will ask you is about your motivation for surgery and your expectations. He will also ask questions about your medical history including a history of nasal obstruction, surgeries and any medications you take. If you have a bleeding disorder, such as hemophilia, you may not be a candidate for rhinoplasty.

Rhinoplasty may be done inside your nose or through a small external incision at the base of your nose, between your nostrils. Dr. Rodolfo Castillo and/or Dr. Carlo Pedroza will likely readjust the bone and cartilage underneath your skin.

Both surgeons can change the shape of your nasal bones or cartilage in several ways, depending on how much needs to be removed or added, and your nose’s structure. For small changes, the Dr. Rodolfo Castillo may use cartilage taken from deeper inside your nose.

For larger changes, Dr. Rodolfo Castillo and/or Dr. Carlo Pedroza can use cartilage from your rib, implants or bone from other parts of your body. After these changes are made, they will place the nose’s skin and tissue back and stitches the incisions in your nose.

After the Procedure and Recovering

After the surgery, you’ll be in a recovery room at hospital, where the medical staff monitors your return to wakefulness. You might leave later that day or, if you have other health issues, you might stay overnight.

Once you leave the hospital, you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the splints placed inside your nose during surgery.

Self-care

Dr. Rodolfo Castillo may ask that you follow precautions for several weeks after surgery, including to:

  • Not blow your nose.
  • Avoid activities such as aerobics, jogging or sports.
  • Take baths instead of showers while you have bandages on your nose.
  • Avoid extreme facial expressions, such as smiling or laughing.
  • Brush your teeth gently to limit movement of your upper lip.