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Rhinoplasty, commonly known as a nose job, remains one of the most requested procedures in plastic surgery — and also one of the most misunderstood. Because the nose sits at the center of the face and plays a functional role in breathing, rhinoplasty requires a careful balance of aesthetic judgment and surgical precision.
Rhinoplasty is a surgical procedure that reshapes the nose by adjusting its bone and cartilage structure. It can address the size, shape, tip definition, bridge profile, or symmetry of the nose, and in many cases is performed alongside functional corrections to improve breathing.
Cosmetic rhinoplasty focuses on the external appearance of the nose — smoothing a dorsal hump, refining a bulbous tip, or improving overall facial balance. Functional rhinoplasty, on the other hand, addresses structural issues such as a deviated septum that can affect breathing. Many patients undergo a combination of both in a single procedure, improving appearance and function together.
Surgeons may use an "open" approach, with a small incision across the base of the nose for greater visibility of the underlying structure, or a "closed" approach, where all incisions are made inside the nostrils. The right technique depends on the complexity of the changes needed and the surgeon's preferred approach.
A thorough rhinoplasty consultation includes a physical examination of your nasal structure and skin, a discussion of your goals, and often computer imaging to help visualize potential outcomes. This is also the stage where any breathing difficulties or previous nasal injuries should be discussed, since they can influence the surgical plan.
Performed under anesthesia, the procedure involves reshaping the bone and cartilage of the nose through the chosen technique. Depending on the extent of change needed, surgery typically takes one to three hours. A splint is usually placed on the nose afterward to support its new shape while initial healing takes place.
The external splint is generally removed within a week, along with most visible bruising and swelling fading over the following two to three weeks. However, subtle swelling can persist for months, and the nose continues to refine its final shape gradually over up to a year, especially in the tip area. Patience during this longer settling period is an important part of the rhinoplasty journey.
Because every nose and every facial structure is different, rhinoplasty results are highly individual — a detailed, in-person consultation is the only reliable way to understand what's achievable in your specific case.
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