Rhinoplasty

What Is Rhinoplasty?

Rhinoplasty is often referred to as a “nose job.” A form of plastic surgery, it may be used to reconstruct the nose for medical reasons, aesthetic enhancement, or both. A rhinoplasty may be performed by a facial plastic surgeon an otolaryngologist, or a plastic surgeon. Board certified plastic surgeon Dr. Peter Hilger specializes in rhinoplasty in Minneapolis.

The goal of rhinoplasty is to create an aesthetically pleasing nose that functions well and harmonizes with other attractive facial features. A nose that is attractive on one patient may not be as attractive on another. On occasion we may discuss with you other aesthetic procedures to enhance the rhinoplasty and provide further facial harmony. An excellent example is the patient that sees their nose as excessively large but also has a retrusive chin. The best aesthetic outcome may be to correct the nose but also augment the chin, thus providing aesthetic harmony or balance.

Before After
Minnesota Rhinoplasty Patient Minnesota Rhinoplasty Patient

How Is Rhinoplasty Performed?

Although common, rhinoplasty is a complex surgery. While many people think of its aesthetic applications and associate it with getting a perfect, pert nose- a great number of patients truly need it for medical reasons. For those whose rhinoplasty procedure is intended to correct the results of trauma or a congenital defect, surgery can restore their ability to breathe freely, and lead a normal life. In all rhinoplastic surgery, a surgeon enters the nasal cavity and corrects deformities. He or she then sutures the incisions and inserts supports to immobilize the area, protecting the nose and ensuring that it heals into the desired form.

Rhinoplasty may be performed as an “open” or “closed” procedure. Open surgery requires that the surgeon makes a small incision at the columella, the small wall of tissue that separates the two nostrils, whereas closed surgery does not require this cut. Open surgery is needed when significant reshaping is needed, or if a surgeon needs to see the fine structures inside of the nose as he operates. A scar from open surgery is quite small and usually heals nicely. We perform both open and closed procedures and select the most appropriate procedure for each patient’s needs.

Who is a Candidate for Rhinoplasty?

Good candidates for rhinoplasty include people who desire a more symmetrical nose that is well proportioned for their facial features. Patients who feel their nose is too long or wide, or even too bumpy are prime candidates for corrective surgery. Other candidates include people who have structural issues with the internal or external parts of the nose that cause impediments to their quality of life. Accidents, congenital defects like a cleft palate, or even allergies can cause deformities to the nose that affect respiration, and may even lead to increased incidence of infection. When such is the case, reconstructive surgery to the nose may be prescribed.

What Are The Benefits Of Rhinoplasty?

For people who are constantly clogged up, or lacking confidence due to structural issues with their noses, rhinoplasty can be a life-changing procedure. Rhinoplasty surgery is also beneficial for children born with cleft palates.. Being able to breathe freely may allow a person to participate in activities that were once out of reach, like running, swimming, or even singing. People who may have avoided the public eye due to self-consciousness may suddenly discover a newly gregarious, outgoing side to their personalities. The benefits of rhinoplasty are multidimensional.

What is the Cost of Rhinoplasty?

Every candidate for rhinoplasty is curious about the cost. Unfortunately, because an ethical surgeon will review each case individually, the cost of treatment varies. The intricacy of an individual procedure and a patient’s current physical condition are both factors in determining the scope of surgery, and therefore the overall cost. In 2010, the American Society for Aesthetic Plastic Surgery reported that the average cost for rhinoplasty was $4,314. This figure does not account for variations in fees according to geography, or associated fees such as operating room costs, anesthesia, or medications. Patients can learn more about their projected costs by scheduling a consultation with their chosen surgeon.

Rhinoplasty FAQ

  • How do I choose the best Rhinoplasty surgeon for my upcoming nose job?

Choosing the best Rhinoplasty surgeon is an important task that can actually make the difference between achieving your desired results or getting stuck with disastrous results.

Rhinoplasty is a challenging procedure, often considered one of the most difficult of invasive cosmetic surgeries, requiring in-depth training, years of experience, and a specialized skill set. The best Rhinoplasty surgeon will be Board-Certified in plastic and cosmetic surgery, and have years of specialized Rhinoplasty training.  Finally, the best Rhinoplasty surgeon will be a doctor who agrees with your sense of aesthetics.  As you look through his patient’s before and after photos, you should begin to note his talent and his style; if you like what you see on the surgeon’s previous patient’s noses, you are more likely to enjoy the Rhinoplasty results that he will give you, as well.

Dr. Peter Hilger is a Professor and Director of the Division of Facial Plastic and Reconstructive Surgery at the University of Minnesota. He has been providing plastic and cosmetic surgery at Hilger Facial Plastic Surgery in Edina for over 30 years. A Board-Certified Facial Cosmetic surgeon, his practice covers the entire spectrum of facial, head, and neck surgery; with Dr. Hilger specializing in both Rhinoplasty and revision Rhinoplasty. Dr. Hilger holds many distinctions; these include being one of the few fellowship-trained plastic surgeons in the Twin Cities.

  • Will Insurance Cover My Surgery?

Whether or not health insurance will cover the cost of rhinoplasty is often determined by whether the reasons for the surgery are medical or aesthetic. For those who have suffered an injury or congenital defect, corrective surgery may be covered. If a patient simply wishes to have a more sculpted, symmetrical nose to improve his or her appearance, the surgery may be considered “elective, ” requiring the patient to find alternative means of financing it. Many patients have both functional and aesthetic concerns. Therefore the surgery is carried out the correct the airway and improve the appearance. Those portions of the surgery devoted to airway restoration are frequently covered by insurance companies while the aesthetic portion of the surgery is considered cosmetic, and is not covered by insurance companies. Obviously it makes sense to carry out both procedures at the same time, satisfying all of the patient’s objectives.

  • What Will The Recovery Process Be Like?

Recovery after rhinoplasty surgery varies from patient to patient depending on the extent of correction that was performed. Patients typically experience swelling and bruising in the initial days after surgery however . The majority of this swelling abates within the first week. During this time, it’s important to observe all instructions by one’s surgeon including diminished activity as both are intended to prevent the nose from shifting out of it’s newly acquired alignment. We avoid nasal packing to reduce swelling and increase patient comfort after surgery.For most patients, the look of their nose continues to improve, with final results apparent a year after surgery.

  • Is There Really Such A Thing As A Non-Surgical Nose Job?

Injectable fillers have made non-surgical nose jobs possible. By using collagen-like fillers, doctors are able to diminish the appearance of bumps or improve the symmetry of the nose without ever picking up a scalpel. The use of fillers to augment selective areas of the nose and thus improve appearance are considered off-label uses. That is the filler used, although acceptable, has not been officially approved by the FDA. In general we avoid injectible fillers in the nose because the results are temporary. Most patients seeking rhinoplasty are looking for a smaller nose rather than a larger nose. Also significant complications have been reported through the use of fillers in the nose, including skin damage and permanent scarring.

The majority of the swelling abates within the first week.

For nasal surgery post-op instructions click here.

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ABOUT DR. HILGER

Dr. Peter Hilger

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