Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery Dr. Lesavoy will seperate the skin of the nose from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and Dr. Lesavoy’s preferred technique. Finally, the skin is redraped over the new framework.
If your nostrils are too wide, Dr. Lesavoy can remove small wedges of skin form their base, bringing them closer together.
Many plastic surgeons perform rhinoplasty from within the nose, making their incision inside the nostrils, while others prefer an “open” procedure, especially in more complicated cases. In this procedure they make a small incision across the columella, which is the vertical strip of tissue separating the nostrils.
Incisions are made inside the nostrils or at the base of the nose, which provide access to the cartilage and bone, which then can then be sculpted into shape.
When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, which is the dividing wall between the air passages.
Dr. Lesavoy removes the hump using a chisel or a rasp, then brings the nasal bones together to form a narrower bridge. Cartilage is trimmed to reshape the tip of the nose.
Trimming the septum will improve the angle between the nose and upper lip.