If you have a problem with your nose; or if you are not happy with the shape of your nose, then you are ready for rhinoplasty. Rhinoplasty, or nose reshaping, is done either to correct a nose-related health problem or to make the nose look more attractive. Health related problems include: a nasal fracture, a deviated septum, a birth defect, or breathing issues.
Rhinoplasty is also performed to change the appearance of the nose in order to make it more beautiful. Rhinoplasty can reduce or increase the size of the nose, change the shape of the tip or the bridge of the nose, narrow the span of the nostrils, or change the angle between your nose and your upper lip.
Dr. Ramirez adheres to the most important rule of rhinoplasty…the shape of the nose should fit the rest of your face. He will work with you to create the best possible shape for your nose, so that your nose is in balance with the rest of your face. Dr. Ramirez specializes in Ethnic Rhinoplasty; in other words, he will reshape your nose to match your ethnicity.
Types of Rhinoplasty
Nose reshaping falls into three classes:
Primary rhinoplasty, as the name suggest, is when you have your nose reshaped for the first time.
As the name suggests, secondary rhinoplasty is having your nose reshaped for a second (or more) time. Often, patients come to fix primary rhinoplasty, as Dr. Ramirez is an expert in secondary rhinoplasty surgery. Secondary surgery is more difficult and more time consuming than primary surgery because patients present with harder soft tissues, thickening of tissues, capsular tissue formation, scarring, etc.
In rare cases patients will need nose reshaping that requires additional skeletal support. In these cases Dr. Ramirez will use implants to help shape the nose for the desired outcome.
Are you a good candidate?
All you need is a checkup to insure that you are physically healthy and a clear idea of how you want your nose to look. We recommend that children be at least in their teens and have completed their growth spurt before performing rhinoplasty. Note that most insurance policies do not cover rhinoplasty surgery, unless it is performed to correct a deformity or to correct a breathing problem.
The most important part of any surgical procedure is your consultation. It is here that you will meet with Dr. Ramirez to discuss your concerns. (Note that in addition to face-to-face consultations, Dr. Ramirez conducts consultations over the Internet. See the Consultations tab for more information.)
During your consultation, you will be able to share your wishes about your nose. Dr. Ramirez takes time to listen to you! You and he will go over every detail of your concerns and agree upon a course of action.
What can you expect?
Rhinoplasty is normally performed as an outpatient procedure, under general anesthesia, at our in-office surgery suite. If your rhinoplasty is combined with other surgical procedures, you may need to stay overnight for observations. You will be given pre-operative instructions well before your surgery date. You will not have anything to drink or to eat prior to your procedure.
You will arrive at our facility and enter our pre-op room. Feel free to bring friends or relatives, if you wish. Here you will relax, listen to music, have aromatherapy and be treated to a message. Dr. Ramirez does not rush you off to surgery; but rather prepares you gently for the procedure by enhancing your psychological and physical well-being.
The surgery takes about 2-3 hours. During this time you will be under general anesthesia, so you will not feel anything. Note that Dr. Ramirez uses Board Certified Anesthesiologists for all of his surgical procedures.
As soon as surgery is completed, you will be placed in our recovery room, until the effects of anesthesia wear off. You will not be able to drive home, so make sure that someone comes with you for the procedure or else transportation has been arranged beforehand.
There will be some swelling and bruising that can be relieved with pain medication and ice packs. Most patients will resume full activity within 2-3 weeks. When you leave the surgery center after your procedure, you will be given a follow-up appointment schedule and you should come back for your follow-up within a few days so your progress can be assessed. (Out of state or foreign patients should be prepared for a 7 – 10 day stay for surgical follow-up.)
You are advised to avoid strenuous physical activities for approximately one month and to avoid body contact sports or other activities that might cause trauma to your nose.
It may take up to 6 months before the final shape of your nose will be evident, so be patient during this time.
Although all surgical procedures have risks and complications most aesthetic operations have a low rate of risk or complications. Dr. Ramirez will discuss with you, in detail, all of the possible risks associated with your particular procedure during your consultation; he will also be able to answer all of your questions.