During consultation, Chicago plastic surgeon Dr. Alghoul will perform a comprehensive evaluation of your nose and face, including the soft tissue, cartilage and facial skeleton. Your nasal proportions in relationship to the face will be studied carefully. The inside of your nose will also be examined for the presence of septal deviation, especially when breathing problems are present. Photographs of the face and nose will be taken using 3D technology. The desired changes and goals of surgery will be discussed and the proposed changes will be simulated on 3D digital imaging.
What is the difference between rhinoplasty and septoplasty?
Rhinoplasty is a cosmetic procedure that modifies the shape and structure of the nose. Septoplasty is strictly a functional operation that straightens the septum, which is the partition that separates both nasal airways. When the septum deviates towards one side it causes narrowing or obstruction of that airway and results in difficulty breathing. Septal deviation can be naturally present in certain patients or occur after trauma. Both septoplasty and rhinoplasty can be combined in a procedure called septo-rhinoplasty.
Who is a good candidate for rhinoplasty?
If you are above the age of 16 and you are bothered by the shape of your nose and desire certain changes in shape or volume, you could be a candidate for the procedure. If you had previously broken your nose and have a visible deformity or a crooked nose, then you can be a candidate for septo-rhinoplasty.
Does insurance cover rhinoplasty?
Insurance does not cover cosmetic rhinoplasty. However, a deformity that results secondary to trauma or broken nose could be eligible for coverage. If the procedure is approved, the portion usually covered is the one related to fixing the hump or bump on the nose and broken or deviated septum. Septoplasty alone can also be eligible for coverage if septum deviation is causing breathing problems.
What to Expect
Rhinoplasty is performed as an outpatient procedure under general anesthesia. If the procedure is performed to refine the tip of the nose then it can be performed under local anesthesia with sedation. After surgery the patient will have internal absorbable sutures and a few external permanent sutures on the skin bridge below the tip (columella). The permanent skin sutures are removed after one week. Two internal splints are placed inside the nose while an external splint is placed over the bridge of the nose to protect the nasal bone. All splints are removed in one week. Swelling and bruising of the nose and under the eyes is common and resolves over a period of one to two weeks. Swelling usually lags behind and can last longer. As the swelling resolves, gradually the shape of the nose continues to refine.