Rhinoplasty is one of the most intricate and complex of all facial surgeries. To be successful, it must be performed with the most advanced surgical techniques. If you are considering altering the appearance of your nose with some of the best rhinoplasty Toronto has to offer, read this comprehensive guide to get the facts to make an informed decision.
Rhinoplasty is the medical term for a “nose job,” or “nose reshaping.” It is most commonly performed for cosmetic reasons, but can also address breathing problems caused by injury, impact, or nose defects present from birth. If you have a nose that you believe has a negative impact on your facial appearance, a rhinoplasty can reshape the structure to bring it into balance with your other features.
View before & after images of female nose jobs delivered by board-certified facial plastic surgeon Dr. Jamil Asaria.
Most patients who choose to undergo rhinoplasty do so because they feel embarrassed or inhibited by the size, shape, or projection of the nose. As it is the central feature of the face, there is no hiding a flaw, whether it is a hump on the bridge, droopy, large, or bulbous tip, or an aesthetic problem related to overlarge, wide nostrils, or a flat bridge or asymmetrical shape. If you find your cosmetic issue here, you are a likely candidate for rhinoplasty.
While your nose brings character to your face, there can be too much of a good thing. If your nose is out of balance with your other features, it can be corrected and reshaped to create a more pleasing harmony in facial balance.
Some people inherited features they don’t appreciate, such as a large, drooping, bulbous, or pinched nose tip. Rhinoplasty surgery can reshape the cartilage to create a more balanced and attractive profile.
Depending upon the size and projection of a hump, whether created by bone, cartilage, or a combination, smoothing it can dramatically improve your overall appearance to enhance your features.
Many patients undergo rhinoplasty to correct over-wide, protruding, or long nostrils, or to resolve a unique nostril shape problem. The nostrils can be custom-altered so they better suit your face and are less prominent and visible.
For a cosmetic issue such as lack of volume on bridge, an asymmetrical nose, or a crooked nose, a custom rhinoplasty can be performed by adding volume, straightening, or correcting an uneven nose structure.
Rhinoplasty is a customized surgery, so that the price tag can vary significantly. In general, the cost of rhinoplasty in Toronto will start at $15,000, based upon what the patient needs surgically. Procedures that involve reshaping both cartilage and bone structure may be costlier.
A rhinoplasty can serve several purposes. Most often it is performed for cosmetic reasons but may be used to correct functional problems or restore a natural look to the nose after trauma.
Most rhinoplasty surgeries are performed to improve nose appearance for cosmetic reasons, whether reducing nose size, projection, altering shape, smoothing a hump, adding volume to a flat bridge, or altering size and shape of overlarge nostrils.
A functional rhinoplasty is performed to resolve a structural problem affecting healthy breathing. In many cases, the function of the nose along with appearance are resolved in a single surgery.
A poorly-performed or failed rhinoplasty may make it necessary to undergo revision surgery. Some patients experience nose structure collapse within a few years of surgery or feel that too much or too little was corrected or were left with a non-optimal outcome.
Custom ethnic rhinoplasty is performed to restructure the nose to better enhance the other ethnic features – when performed with an artistic eye. The most effective and beautiful results are achieved by a full evaluation of the facial structure of the individual and subtle changes made that honor heritage while creating a more attractive look.
Some patients who require minor revisions can achieve an excellent result without undergoing surgery. The custom application of dermal fillers can subtly raise the nose tip, smooth a minor hump, or create a more attractive nose tip if it has depressions or has a pinched look.
Open rhinoplasty is a method of nose reshaping that involves an incision in the columella, the strip of tissue between your nostrils. While many people worry about scarring, the incision is placed where it will be virtually invisible once healed. This surgical method is appropriate for patients who require more extensive corrections, particularly to the nasal tip. The support structure of the nasal tip must be protected in surgery, so the result achieved is lasting. Many plastic surgeons advise this technique as there is more control in surgery, and less risk of errors that could require correction later.
Many patients have high interest in a “scarless” rhinoplasty, or closed technique. In this technique, incisions are made within the nostrils, so no visible scars are left on the surface. This is an advantage, but this method is not appropriate for extensive corrections to the nose tip, or even the nose bridge. Only your plastic surgeon will be able to evaluate your nose structure and advise you which surgical approach will be most appropriate in your case. If closed rhinoplasty is possible, you will experience faster healing time and will not be left with the tiny scar of open rhinoplasty.
The recovery from rhinoplasty varies person to person, but in general, plan for two weeks off work and other regular activities. It is usual to wear a nose “splint” for the first week, and to experience swelling and bruising. You should be comfortable returning to work or social activities within about one to two weeks
Immediately after your surgery, which will take several hours, you will recover under observation. Once you have become alert and all is well, you will be released to be driven home.
The day of your rhinoplasty will be a long one. You will awaken early for surgery, have anesthesia administered, undergo hours of surgery, and then return home. Most patients just want to rest and recover for the rest of the day. Sleeping with your head elevated or resting in a reclining chair is the preferred position for recovery.
The majority of uncomfortable congestion is largely resolved, and swelling has greatly reduced. Limited residual swelling, with minor bruising lingering for some patients.
After one week, congestion is reducing, and the splint can be removed. Maximum swelling peaks at about three days and has begun to diminish slowly by the end of week one. Some patients feel well enough to return to work.
Your reshaped nose is starting to appear natural, with swelling significantly improved, and refinements starting to reveal. You are now free to exercise as you wish, play sports, and run. Always take great care with your nose, as any impact can damage the delicate structure.
Your nose is beginning to take shape and you may find yourself smiling at your image when you look in the mirror.
After a year, your new nose shape is truly a part of you, stable, balanced, and the incision site faded to the point of being almost imperceptible. All reshaping and refinements are fully achieved for most patients.
Your nose is now mostly healed, and you may not pay much attention to it, are familiar with your new image in the mirror, and likely are experiencing a great increase in confidence in how you look.
Review before & after images of male rhinoplasty delivered by board-certified facial plastic surgeon Dr. Jamil Asaria.
Rhinoplasty risks include complications such as infections, bad reactions to anesthesia, poor scarring, breathing difficulties, or an asymmetrical result. Always choose an experienced, board-certified facial plastic surgeon for this procedure, and a clinic that follows the most stringent guidelines for patient health and safety.
Choosing the right rhinoplasty surgeon is the most important aspect of a successful outcome. While many plastic surgeons perform rhinoplasty surgery, you should choose a surgeon who focuses strictly on facial plastic surgery and has performed thousands of successful procedures, and is recognized for excellence in this procedure.
Dr. Asaria is the Canadian Region Director for the American Academy of Facial Plastic Surgery, is a Program Director for one of only two Certified Facial Plastic Surgery Training Programs in Canada and is the Facial Plastic Surgeon consultant to the Toronto Raptors. He presents his unique techniques at over ten international meetings annually and is known for the most artistic yet natural-appearing outcomes with rhinoplasty.
A facial plastic surgeon who has gained experience under the tutelage of the masters of nose surgery in fellowship training, with extensive experience at world-class surgical centers where rhinoplasty is performed, and who has been consistently at the top of the class is likely an ideal surgeon to perform your rhinoplasty.
Experience, above all, matters. Your rhinoplasty surgeon should have performed hundreds, if not thousands of nose reshaping surgeries.
A rhinoplasty surgeon who is recognized by his or her peers for quality surgical work, and who has performed countless successful surgeries, with before and after images of patients for you to review is a good choice for this delicate surgery. Read online reviews from other patients and check out all credentials.
Board certification from the Royal College of Physicians and Surgeons is the first requirement. Those who serve as educators for other surgeons at Universities are often leaders in their field, as they employ the most advanced techniques.
In Toronto, Dr. Asaria is widely-recognized as the most accomplished rhinoplasty surgeon in the area. He has outstanding qualifications and is often called upon to perform complex revision surgeries on patients from across Canada who need to resolve cosmetic or structural problems from a primary surgery. He is known for his exceptional artistry, ability to reshape the nose to the perfect size, shape, and projection to best enhance facial features, and is considered to be among the finest facial plastic surgeons in the country.
When planning your rhinoplasty, you can make the process much easier on yourself by caring for your body for several weeks prior to your surgical appointment. This means no alcohol, no drugs, and eating a healthy diet and drinking plenty of liquids. You may be asked to stop taking certain medications or supplements that thin the blood to avoid excessive bleeding and faster healing. You will undergo several tests to ensure you are safe for surgery.
Many patients will have a rhinoplasty under general anesthesia, while some may require only intravenous sedation with local anesthetic. The decision will be made between you and your surgeon, and what is considered to be safest and most comfortable for you.
During your rhinoplasty, you will not be aware of what is occurring, as you will be anesthetized. The procedure requires several hours to complete, and you will likely remember nothing about what occurred. Every procedure is customized, and may include bone and cartilage reshaping, grafts, and other techniques to achieve the look you envision.
When your rhinoplasty is complete, you will be transferred to a recovery area to regain consciousness. Once you are fully alert, you can be driven home by a friend or family member, as you will not be allowed to drive. Arrange for someone to stay with you for at least a day to assist you.
Q: When Can I Go Back to My Usual Exercise Program After Rhinoplasty? Your activities will be restricted for two weeks. You cannot return to any vigorous exercise until your swelling has reduced and the facial area is more stable. Most cardio and weight-training can be resumed at the two to three week mark. Contact sports are to be avoided for six weeks.
Q: Is it Okay to Blow Your Nose After Rhinoplasty? It is advised not to blow your nose after rhinoplasty for the first one to two weeks as there is a higher likelihood of developing a nose bleed. After surgery, nasal rinses are advised during the healing period to clean and clear the nasal passageways.
Q: Can a Pregnant Woman Have a Nose Job? Never undergo elective surgery when pregnant as it could affect the health of a growing child. You must wait until your child is born to plan to have this surgery.
Q: What if I Have Nasal Allergies? Will Rhinoplasty Affect Me? If you have nasal allergies, get treatment in the months prior to your surgery. The surgery may lead to some benefits when the nasal passages are corrected during the procedure, as you will have healthier air flow.
Q: What Do I Do If My Nose Surgery Failed or Looks Bad? This is unfortunate, and sadly, a common problem when the surgery was performed incorrectly. A revision rhinoplasty can be performed to correct aesthetic or functional problems. It is advised that you choose your surgeon carefully, as you want the procedure to be performed with advanced techniques, so the outcome is long-lasting, attractive, and symmetrical. Rhinoplasty is the most intricate of plastic surgeries and minor irregularities can be visible. The typical revision rate with rhinoplasty is 15%. Due to the volume of surgery and specialization in the procedure, Dr. Asaria’s revision rate is under 5%.
Q: When are the internal nasal splints and packing removed after rhinoplasty? Dr. Asaria does not use any packing after rhinoplasty surgery and rarely uses splints inside the nose. His careful and gentle technique generally results in less bleeding and thus, packing is not required.
Q: How do I know the right shape for my nose? How can I predict what the result will look like? During your consultation, Dr. Asaria will determine a specific plan for your rhinoplasty. He will assess the structure and function of your current nose and determine the possibilities as well as describe the limitations. Digital imaging is provided during the appointment. Dr. Asaria will use this tool to show you what your nose can look like after surgery. Rather than using this as a selling tool, he uses it is a form of visual communication whereby he can show you the expected result based on his experience performing over 1000 cosmetic rhinoplasties.
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