Rhinoplasty

Rhinoplasty – For the Nose You Were Meant to Have Northern Virginia

woman smiling tilting head

Whether it stems from genetics or an injury, one of the most common cosmetic complaints is unhappiness with the size or shape of the nose. As the central feature of the face, the nose has the ability to affect the overall balance of your facial features. Fortunately, even a subtle change to the nose can completely improve the sense of balance and symmetry of your face.

Board-certified surgeon Dr. Eric Desman of the Virginia Center for Plastic Surgery treats many patients who are looking to address both cosmetic and functional concerns of the nose. Nose surgery (rhinoplasty) can repair noses damaged by birth defect or injury and refine cosmetic imperfections or ethnic traits. Whether your needs are cosmetic or functional, Dr. Desman will work with you to create a treatment plan that aligns with your goals.

To learn more about the benefits of nose surgery, contact Dr. Eric Desman at the Virginia Center for Plastic Surgery in Alexandria, VA, today at (703) 924-3144 to schedule your rhinoplasty consultation.

Who Is an Ideal Candidate for Rhinoplasty?

Ideal candidates for rhinoplasty are individuals who are in good health, but who are unhappy with the size or shape of their nose, due to genetics, an injury, or other factors. Regardless of the reason you’re seeking rhinoplasty, Dr. Desman would be happy to create a treatment plan that is tailored to your unique needs and goals. To see results from previous rhinoplasty patients in Alexandria, VA, view our before-and-after photo gallery.

Your Rhinoplasty Consultation in Northern Virginia

Making the personal decision to undergo nose surgery can be influenced by many factors, which is why patients find their consultation to be so important. At your consultation with Dr. Desman in Alexandria, VA, he can guide you through the various options you have for nose surgery, including what kind of procedure is best for your specific situation. Likewise, for patients who feel anxious about undergoing nose surgery, some find it helpful to learn more about the procedure in detail to alleviate their concerns.

Another benefit of your rhinoplasty consultation is that you can explore other procedures that may complement the effects of nose surgery, like Botox Cosmetic® Injections or dermal fillers for a fully rejuvenated appearance. Whichever cosmetic treatment you’re interested in, Dr. Desman is more than happy to educate you about your potential procedures. His goal is to provide the highest quality of care, every step of the way.

Nose Surgery (Rhinoplasty)

Beautiful Natural Results with Dr. Desman

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Choosing a Board-Certified Surgeon for Your Rhinoplasty

Patients seeking rhinoplasty in Alexandria, VA, might be wondering what the advantage is of choosing a board-certified plastic surgeon. For natural looking results, rhinoplasty requires a high level of surgical precision and artistic intuition. When undergoing nose surgery by a board-certified surgeon, patients can be assured that their rhinoplasty is being carried out with the highest standard of care. As a board-certified surgeon who has proved his mastery of the field, Dr. Desman is committed to serving his rhinoplasty patients with unmatched care and surgical skill.

Understanding Your Rhinoplasty Procedure – Northern Virginia

The nose consists of a number of interrelated structures, including bone, cartilage, and skin. Any given rhinoplasty procedure may involve changes to one or more of these parts, depending on your preferences and aesthetic goals. Many patients are drawn to this procedure for its ability to accommodate such a diverse range of cosmetic changes. 

For example, a single procedure may accomplish any of the following*:

  • Change the shape of the nose tip by adding, removing, or repositioning cartilage.
  • Change the shape of the bridge by removing excess cartilage and bone from the bridge or dorsal bone.
  • Narrow the nostrils by removing skin from the base of the nostrils, and moving them closer together.
  • Reduce the overall size of the nose by removing tissue from the base, or by breaking and repositioning the bones in the nose.
  • Increase the overall size of the nose by adding cartilage, skin, or bone, either from a donor site somewhere else on the patient’s body, or using synthetic material.
  • Change the angle of the nose by trimming the septum, which is the thin membrane separating the nostrils.

Open vs. Closed Rhinoplasty

Open rhinoplasty is a nose surgery performed through a combination of incisions in the inside of the nose, and a small incision in the columella, the area between the nostrils. Open rhinoplasty affords much greater access to the area, as the surgeon is able to expose the bone and cartilage more fully, allowing for more complicated procedures and precise adjustments. Recovery times, swelling, and bruising are greater with open rhinoplasty procedures than they are with closed procedures.

Closed rhinoplasty is a nose surgery in which the incision is made on the inside of the nose. As such, closed rhinoplasty is an option only for procedures that can effectively be performed through the small incision. Recovery times, swelling, and bruising are less with closed rhinoplasty procedures; however, structures are more difficult to see and work with due to the limited incisions.

To learn more about the benefits of nose surgery, contact Dr. Eric Desman at the Virginia Center for Plastic Surgery in Alexandria, VA, today at (703) 924-3144 to schedule your rhinoplasty consultation.

FAQs About Rhinoplasty

As with most surgical procedures, the healing process following your nose surgery will come in stages. Immediately following the procedure, Dr. Desman may apply a splint to stabilize the newly sculpted nose, and he may also pack your nose with a dressing to maintain the position of the septum. Typically, a splint is only needed if the nasal bones are broken and repositioned during surgery.

In the first two-to-ten days following nose surgery, you may experience pain that ranges from moderate to severe. However, discomfort can be alleviated with prescription pain medication and the use of cold compresses. Numbness in the tip of the nose will usually persist for several weeks to several months. You will likely experience bruising for about one-to-three weeks, and swelling can last for six-to-twelve months. For up to one year after your nose surgery, the skin and soft tissues will continue to adjust over the altered bone and cartilage framework.

Most rhinoplasty patients should be able to return to work after a week or two, and they can resume all normal activities within four weeks. Sometimes, the results of rhinoplasty need to settle before the full effects are apparent. This can take anywhere from three months to two years, depending on the patient.

Patients who wear contact lenses can continue to wear them after rhinoplasty, but wearing glasses will require modifications. After your surgeon removes the nose split, your nose still needs time to heal. As a result, glasses cannot be worn as usual and must be taped to the forehead. There are also special devices you can purchase that allow eyeglasses to rest on your cheeks while your nose heals during the first four-to-six weeks.

You can have your rhinoplasty performed under local anesthesia and a light sedative, or under general anesthesia, depending on the procedure being performed. Smaller procedures not involving bone work may be performed under local anesthesia. More involved procedures usually entail either heavy sedation or general anesthesia. If you have any preferences regarding anesthesia, be sure to discuss them with your surgeon.

The results of rhinoplasty are permanent, allowing patients to enjoy their re-sculpted nose long term.

In closed rhinoplasty, patients will have no visible scars after their nose surgery. With open rhinoplasty, patients will have a small scar on the underside of their nose, in the area between the nostrils. In most cases, the scar is very slight.

  • Infections: There is always some risk of infection with surgical procedures. But because rhinoplasty is a relatively non-invasive procedure, those risks are small. In rare cases when infections occur, they can usually be treated with antibiotics. In some very rare types of infection, such as toxic shock syndrome, the condition can be fatal. Most infections can be effectively prevented simply by keeping the wound clean and watching the area carefully during the healing process.
  • Anesthesia Toxicity: Any procedure involving anesthesia carries risks, and risks of general anesthesia are greater than risks for local anesthetics or IV sedation. The primary risks involved with general sedation are respiratory related. If you have a pre-existing cardiac or pulmonary disease, if you smoke, or use prescription or non-prescription drugs, your risks are more pronounced. Be sure to tell your surgeon about any conditions or other factors that might increase your chance of complications from anesthesia.
  • Bleeding: Due to the incisions made inside the nose, persistent bleeding may occur for as much as one month after the operation. This can be minimized by avoiding the temptation to pick or blow the nose during the initial healing process.
  • Burst Blood Vessels: In some cases, the rhinoplasty procedure causes small blood vessels in the nose to burst. This may appear as tiny red spots on the skin, barely visible to the naked eye. In very rare cases, the condition is permanent.
  • Scarring: In cases of open rhinoplasty, the patient will have a scar on the underside of the nose, between the nostrils. The extent of the scarring will vary from patient to patient, but it is almost always minor.