I had rhinoplasty 2 months ago and I LOVE MY NEW NOSE! Dr. Steve Laverson is such an amazing and artistic plastic surgeon. He makes you feel completely comfortable and provides step by step details on what he’s going to do. During my consultation, he did little measurements and even drew out my nose. He is super patient and answered all of my questions (believe me, I had a lot!) I visited about 5 other plastic surgeons and he had the best before and after photographs of everyone I saw. I had a very specific look I had in mind for my nose (kate beckinsale) and he gave me exactly what I wanted.
5 out of 5 stars Asian Rhinoplasty
You are a skilled artist. Thank you for making me handsome Dr. Laverson! I am so happy. I want to thank you Dr. Laverson. This is the guy from Canada who came down to see you . I can’t tell you how much confidence I have now and I want to thank you for your talented skill and mostly your artistic eye. I gave you control in the process and you made me more handsome. Thank you thank you. Thank your lovely staff too.
Rhinoplasty (from the Greek rhinos “nose” + plastos “molded, formed”) is an operation to change the appearance of your nose. Shape, size, proportion, and individual features of the nose can be improved. At your appointment, in the mirror, you’ll indicate to Dr. Laverson changes to your nose that you desire. Because the nose is not fully developed until late adolescence, Dr. Laverson recommends waiting until after age 16 to have rhinoplasty. There is no upper age limit, but the earlier it is done, the longer you benefit from your result. The desire to change your appearance should be yours rather than your parents or friends. If you’re considering rhinoplasty to correct nasal irregularities from trauma or since birth, air flow through the nose may be increased at the same time. Structure and function of the nose often go hand in hand; if breathing is impaired through a nose that appears crooked, straightening the nose usually improves breathing.
Your wishes represent guidelines for planning your procedure. Dr. Laverson will explain the technique to accomplish your desired changes, and what to expect. He may also suggest additional or alternative changes to maintain proportion with other features of your nose and face.
Will rhinoplasty help me?
Rhinoplasty may be worthwhile for you if:
- Your nose seems too large for your face
- There is a bump on the nasal bridge in profile view
- your nose seems too wide from the front view
- The tip of your nose droops or plunges
- The tip of your nose is large and distinct
- Your nostrils seem large and flared out to the sides
- Your nose appears irregular, off to one side, bent, or crooked
- Injury to the nose has produced visible irregularities
Describe to Dr. Laverson how you want your nose to look. Although limitations imposed by nature and surgical technique prevent perfection, if your expectations are reasonable, you will be pleased with your result.
How does Dr. Laverson evaluate me for rhinoplasty?
Brief questions about your medical history will be asked. Past and present illnesses, medications, surgery, treatments, and injuries to the nose should be disclosed. The inside of your nose will be examined to check your airway and other features. Characteristics of your nasal skin, bone, and cartilage will be observed in the context of changes you request and other aspects of your face. Dr. Laverson will consider whether or not he agrees that your requested changes will improve the appearance of your nose and your face. If he does agree, he’ll explain the best technique to you, and associated risks. If he doesn’t agree, he’ll explain why, and make alternative recommendations. Dr. Laverson may advise placement of a chin implant during your procedure to improve proportion with the nose.
How much does rhinoplasty cost?
Cost of the procedure depends on the duration and complexity of your rhinoplasty, whether or not implants are used, and whether other procedures are accomplished under the same anesthetic. If only the tip is corrected, cost is less. If the nose is crooked and there are breathing problems, cost may be more. Price range including anesthesiologist, surgery center, and post-operative care six to twelve thousand dollars.
Details of the Rhinoplasty Procedure
A video explaining the rhinoplasty operation is HERE. No two rhinoplasties are exactly alike because no two noses are exactly alike. Even if they were, the patients behind identical noses may want two different outcomes. Everyone’s face and skin are different as well, and these variables affect the rhinoplasty plan and the results. Dr. Laverson wants to deliver the best possible result for your personal situation. He plans and executes the procedure accordingly.
Simplifying greatly, nasal anatomy is analogous to a camping tent. The tent poles inside support the tent, giving it shape and structure. Tent poles are analogous to the nasal skeleton, consisting of bones in the upper nose and cartilage in the lower nose. Bone is rigid and cartilage is stiff, but flexible. Fabric covering of the tent is analogous to skin over the nasal skeleton. Dr. Laverson changes shape of the nose by changing the underlying bony and cartilage skeleton, and overlying skin redrapes, adapting to the new shape. Bony and cartilage structure of the nose is reduced by precision filing, chiseling, or removing excess parts. Deficient areas are augmented by grafting cartilage from inside the nose, your ear or rib, or by adding implant(s). Shape of the structures are changed by moving elements as needed and suturing them securely in their new position. Nasal skin conforms to the reshaped structure underneath.
Will there be any scars from my rhinoplasty?
Visible scars from rhinoplasty are rare. Dr. Laverson performs rhinoplasty with bright surgical lighting and high quality optical magnification through an “open” technique for maximum precision. A tiny scar across the bottom skin bridge between your nostrils usually disappears over time. Stitches are removed after one week. Changes that Dr. Laverson can directly visualize through the open technique include lowering or raising the nasal bridge, diminishing size and refining definition of the tip, narrowing your nostrils, and changing angles to raise the tip of the nose or at the top of your nose where it joins the forehead.
If necessary, the base of your nose may be narrowed by removing small skin wedges at your nostril margins. This produces scars that are hidden, and become obscure or undetectable over time. Occasionally, if desired, an office procedure to improve the appearance of scars is indicated.
Tens of thousands of rhinoplasties are performed around the world each year without complications. Still, problems may occur. If you are considering rhinoplasty, learn about possible complications in advance. Our informed consent document explaining common risks is HERE. Should a problem occur, Dr. Laverson will be beside you to continue your care until the problem is resolved with the best possible outcome.
Preparation for Rhinoplasty and Your Surgical Experience
If you smoke, stop at least three weeks before rhinoplasty. Do NOT take aspirin, Bayer, Excedrin, Ibuprofen, or any other anti-inflammatory medication for at least ten days before rhinoplasty. These increase bleeding and bruising, prolonging your recovery. Clear your calendar for the week following rhinoplasty. Arrange a ride home the day of surgery, and someone to stay with you overnight. Your rhinoplasty will be performed at a fully accredited ambulatory surgery center. Upon arrival at the center, front desk staff asks you to complete documentation. You change clothing and meet nursing staff in the pre-operative room. Your Anesthesiologist will meet and interview you briefly, and examine you, and Dr. Laverson will ask if you have last minute questions, concerns, requests, or reminders. You are then walked to the operating room with the nurse who stays in the operating room during your entire procedure. Dr. Laverson and the anesthesiologist will be there. The anesthesiologist starts an intravenous line, wishes you pleasant dreams, and before you know it (there is no sense of time under anesthesia) you awake from surgery in the recovery room! After 60-90 minutes in recovery, you are usually awake enough to go home. The week following rhinoplasty is the most unpleasant time. There is a splint on top of your nose, so you won’t get to see the result right away. Splints inside your nose force you to breathe through your mouth, even while eating. For several days afterward, you may have post-nasal drip of blood and/or secretions. A “moustache” dressing beneath your nostrils may also help absorb drainage. There will be swelling and bruising around the nose, visible beneath your eyes and on your cheeks. Bruising usually resolves in several days. Sleep with your head elevated on several pillows to minimize swelling of the nose and face. Take prescribed pain medicine as needed. At your one week follow up appointment with Dr. Laverson, splints and sutures are removed. This is not painful or uncomfortable. You will then get the first indication of your result, although still quite swollen. By two weeks after your procedure, swelling and bruising are further diminished, and most normal activities can be resumed.
Results of Your Rhinoplasty
Rhinoplasty should produce a nose that looks natural and blends well with your other features. Because healing progresses slowly, plan to wait about one year for your final result. Still you’ll begin enjoying your new look two to four weeks after the procedure. If an area is imperfect, “touch up” revision can usually be accomplished in the office, and is much less extensive than the original procedure.
When can I resume normal activities?
Avoid straining, bending, and lifting during the week following surgery. Return to work is usually eight to ten days after rhinoplasty. Most normal activities including exercise are safely resumed three to six weeks after surgery. If the bones of your nose were moved, Dr. Laverson recommends supporting glasses with tape for two weeks to avoid pressure on healing nasal bones.
How long will the results last?
Rhinoplasty results are permanent, except for age associated changes and/or future trauma.
Maintaining a Relationship with Dr. Laverson
Long term follow up visits in our office is an important part of your procedure, and will help you achieve your best result. Issues may only become apparent as swelling resolves by 6-12 months. At these times, your final result will be evaluated. Residual imperfections, if any, will be addressed. Even if your result seems perfect, Dr. Laverson needs to see you to understand the impact of each technical maneuver and of healing.