The Guide to Rhinoplasty: What to Expect Before, During, and After

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Audubon Facial Plastic Surgery

Rhinoplasty—aka a nose job—is one of the most common cosmetic procedures out there, but it’s also one of the most misunderstood. Whether you’re looking to refine the shape of your nose, fix a deviated septum, or address breathing issues, knowing what to expect is crucial. And spoiler: it’s not just a one-and-done deal. Healing takes time, and results evolve. Here’s what you need to know before taking the plunge.

Before Rhinoplasty Surgery: The Consult & Prep Work

First things first: If you’re considering rhinoplasty surgery, your first step is scheduling a consultation with a board-certified facial plastic surgeon. A qualified surgeon will hear your concerns, assess your medical history, evaluate your nasal structures, and give you a recommendation based on your goals and what is considered aesthetic as well as feasible in your specific situation. Many patients go into a consultation wanting a refined nasal tip or a straighter bridge, but it’s not just about aesthetics—nasal function matters just as much.

Your surgeon will also determine the type of rhinoplasty that is right for you, as well as whether you need a septoplasty in addition. If you need extra support, cartilage grafts may be required, whether from your own cartilage or donor rib cartilage when your own is not available. Either way, the best facial plastic surgeons focus on facial balance and natural aesthetics, not just making your nose smaller.

Additionally, preparation is key. Your surgeon may advise you to stop certain medications or supplements that can increase bleeding. Lifestyle adjustments, such as quitting smoking and maintaining a healthy diet, can also help optimize healing and minimize risks. If you have underlying breathing issues, your surgeon will discuss how to address both cosmetic and functional aspects of the procedure to ensure the best outcome.

The Procedure: What Happens in the OR?

Rhinoplasty is an outpatient surgery, which means you’ll go home the same day. The procedure is generally performed under general anesthesia as your airway is involved in the surgery. The surgery itself varies in complexity and length—some patients need a small tweak to the nasal bone or nasal tip, while others need deviated septum correction or even adjustments to prior work.

The Recovery Process: Patience is Key

Let’s talk healing. The first week after nose surgery will likely involve some swelling, occasional bruising, congestion, and mild discomfort. Your surgeon will advise you to keep your head elevated, avoid intense workouts, and be gentle with your new nose. Most patients can get back to work within 10-14 days, but full healing can take up to a year to fully settle.

During the initial recovery, you might feel frustrated by temporary asymmetry or swelling, but trust the healing process. The final shape of the nose is a waiting game, and an experienced surgeon will set realistic expectations from the start.

It’s important to follow your post-op instructions closely. Avoid blowing your nose, sleeping on your side, or wearing glasses that rest on your nose for the first few weeks. A cold compress can help reduce swelling but never apply ice directly to your skin. Your surgeon may also recommend light lymphatic drainage massage or specialized skincare to help minimize scar tissue and improve circulation.

Common Questions About Rhinoplasty Procedures

How Long Does the Recovery Period Last?

You’ll see major improvements in the first month, but true final results take time. Swelling can linger, especially in the nasal tip, for several months.

Is Rhinoplasty Painful?

There is some initial discomfort, but most patients complain of initial pressure as the most uncomfortable while your packs are in place. These are removed the next day after surgery.  Any discomfort is manageable with prescribed pain relievers and following post-op instructions.

Will This Help With Breathing Difficulties?

If you have a deviated septum or other problems breathing, these can be corrected at the same time as refining the nose’s shape.

When Will I See the Final Results?

Patience is key. While most swelling subsides within a few weeks, nasal structures continue to settle for up to a year.

Choosing the Right Rhinoplasty Surgeon

Not all surgeons are created equally. Finding a board-certified facial plastic surgeon or plastic surgeon is non-negotiable. Further, finding a surgeon that specializes in rhinoplasty specifically is a priority, as well as one that can take into account both cosmetics and functional aspects of rhinoplasty.

When researching potential surgeons, look at before-and-after photos of prior patients, read patient reviews, and schedule consultations to ask detailed questions about the procedure. The right rhinoplasty surgeon will help you understand whether you're a good candidate and guide you through the entire process with clarity.

Final Thoughts

Ultimately, the goal is to enhance your confidence while maintaining harmony with your natural facial features. A well-executed rhinoplasty should blend seamlessly with your face, highlighting your unique natural beauty. If you're ready to take the next step, schedule a consultation with facial plastic surgeon Dr. Claire Melancon who specializes in rhinoplasty and who can help you achieve your goals safely and effectively.