Our Rhinoplasty, which takes from 1 to 2 hours, is usually an outpatient procedure performed under IV sedation or general anesthesia. Two techniques are typically used. In closed rhinoplasty, incisions are made within the nostrils. In open rhinoplasty, an incision is made across the columella, the tissue between the nostrils. With both methods, the soft tissues covering the nose are gently lifted, and the bone and cartilage are sculpted to the desired shape.
If more cartilage is needed to enlarge the nose, it is often taken from the patient’s nasal septum. If larger pieces of tissue are needed, cartilage can also be surgically removed from the ear or other parts of the body. If the patient has a deviated septum, the nasal septum and internal structures are adjusted to improve breathing. The tissues are then redrawn and sewn closed. If necessary, the nostrils are reshaped at the end of rhinoplasty.