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Rhinoplasty, Columbus, Ohio, at Donaldson Plastic Surgery

If you have a nose that is cosmetically unattractive or does not “fit” with other facial features, you may be a candidate for nose reshaping (rhinoplasty). Rhinoplasty may also be indicated for abnormal appearance of the nose as a result of birth defects, injury, or disease. Nose reshaping is intended to produce a more attractive nasal shape and/or a nose in better proportion to other facial features.

Dr. Donaldson performs rhinoplasty on an outpatient basis under sedation and local or general anesthesia.

· CLOSED RHINOPLASTY: Incisions are made inside the nostrils. The nasal bones, cartilage, and soft tissues are often manipulated without direct vision. This is an older technique which is still performed well by some surgeons, but has lost popularity compared to the open technique.

· OPEN RHINOPLASTY: Incisions are made both inside the nostrils and 2-4 millimeters across the skin of the columella (strut between the nostrils). Bones, cartilage, and soft tissues are reshaped under direct vision, which has improved predictability and reproducibility for many surgeons and caused a rise in popularity among most plastic surgery teaching centers. It is generally preferred when major corrections or enhancements are necessary.

· TIP-PLASTY: If only the nasal tip is abnormal, it may be corrected with either a closed or open approach.

· Large nostrils may be reduced through tiny incisions at the outer base of the nostrils with either type of rhinoplasty.

The patient goes home with an external cast or splint in place. The nose may be packed for 24 to 48 hours. The cast or splint is usually removed in 7 to 10 days. Initial discomfort is controlled with oral medication. The majority of swelling and bruising subsides progressively over 2 to 4 weeks. External sutures (if any) are removed in 4 to 6 days. Internal sutures will dissolve.

The semifinal result of a nose reshaping procedure is evident in 3 months. The final result is evident in 12 to 14 months. An additional procedure that may enhance the result is a chin enlargement. If you need to improve your breathing, correction of a deviated septum (septoplasty) may also be appropriate.

Rhinoplasty is not covered by insurance if being done for cosmetic reasons. If however, the nasal deformity is due to recent injury, insurance coverage may be available. Our office will help you interact with your insurance company to obtain pre-authorization information.