Nose reshaping or rhinoplasty in Toronto is one of the most popular plastic surgery procedures we perform. This cosmetic procedure can reduce or increase the size of your nose, change the shape of the tip or bridge, narrow the span of the nostrils, correct birth defects or injuries and can help relieve some breathing problems.
Do you have a large, misshapen, bumpy, or flat nose in the middle of your face? Do you avoid the mirror or spend time trying to draw attention away from your nose?
Or maybe you were hit in the face. Your nose bled, but you never really paid attention to it. However, lately you've noticed just how hard it is to breathe out of your nose and your partner complains about your snoring.
Or maybe you can't remember ever being able to breathe through your nose.
Whether you have suffered trauma to your nose, were born with a nasal defect, or are simply not pleased with the way your nose looks, you will never know if you are a good candidate for rhinoplasty until you see Dr. Priya Kesarwani, our facial plastic surgeon. Deciding on plastic surgery should be an uplifting experience that ultimately provides you with renewed confidence. To discuss what you'd like to achieve, contact us today for your personal, in depth consultation.
Ideal rhinoplasty candidates for nose reshaping are those looking for improvement in their appearance. If you're healthy and realistic in your goals, you are a good candidate.
A personal consultation with Dr. P. Kesarwani is the first step toward realizing your goals in improving your facial appearance. She will take the time necessary to answer your questions and explain how this procedure can fulfill your aesthetic goals.
During your consultation, Dr. Kesarwani will review your medical history. She'll also show you before and after rhinoplasty and nose job photos from patients she has performed the procedure on previously.
Rhinoplasty is largely considered a cosmetic procedure but it can also serve great medical and psychological purposes. It can be used to treat or repair medical conditions such as:
Rhinoplasty is a procedure where you really have to understand what a patient is trying to achieve – it is technical and artistic and is one of my favorite operations to do.
Introduced in the 20th century, closed Rhinoplasty, or endonasal Rhinoplasty, marked a significant advancement, offering the capability to conduct nose surgery without leaving visible external scars. In this procedure, incisions are entirely made inside the nostrils, hence the name 'closed.'
Such an approach leads to less visible scarring than open Rhinoplasty, where an additional incision is made across the columella—the tissue separating the nostrils. This allows surgeons to lift the skin, providing them with a full view and greater access to the nose's underlying structure.
Despite limited visualization and access, closed Rhinoplasty has its unique advantage. The approach allows preservation of the nose's natural structure, as the dorsal hump (if present) gets removed in one piece instead of multiple pieces, maintaining greater structural integrity. This technique significantly reduces the chances of post-surgery morphological alterations that may occur due to the healing forces applied to the surgical site.
The benefits of a closed rhinoplasty extend beyond invisible scarring and natural structural preservation. Firstly, shorter operating time is involved due to the absence of the columellar incision and consequent reduced skin lifting. This advantage makes the surgery less cumbersome for the surgeon and the patient.
Secondly, it allows for accelerated recovery. Since there is no extensive dissection, tissues endure less trauma, leading to reduced swelling and minimal bruising. This feature results in a faster healing period, enabling patients to return to their routine promptly.
Lastly, postoperative edema or swelling on the tip of the nose, a frequent concern accompanying open Rhinoplasty, is less noticeable in the closed technique. These subtle but crucial factors tilt the balance in favour of closed Rhinoplasty regarding smaller adjustments and cosmetic refinements in nose surgery.
However, closed Rhinoplasty has limitations, especially when dealing with more complex nose surgeries. Limited visualization may restrict an intricate rearrangement of the nasal structure, particularly in cases involving severe abnormalities or revision surgeries.
Closed Rhinoplasty is a surgical procedure that enhances the aesthetics and functionality of the nose, with lesser visible scarring, shorter recovery time, and a fairly natural look post-surgery. It is a valuable technique for straightforward cases with minor modifications needed but may present challenges in more complex situations.
The recovery time is anywhere from 14 days to two months depending on the surgical technique used. There are two main types of rhinoplasty which each have their pros and cons.
Closed rhinoplasty means that all of the incisions are internal to the nasal tissue.
Open rhinoplasty involves an incision in the columella – the fleshy part at the end of the nose between the nostrils – and allow greater access to the internal nasal tissues. It also reduces the risk of damage to the nose by giving the surgeon better access and more freedom.
Those with narrower nostrils or flatter protrusions may experience improved results with an open surgery method while those with wider nostrils or a more prominent bridge can often use the closed method with great success.
Are you about to have a rhinoplasty? The good news is that a nose job is one of the least intrusive procedures available, and will heal rapidly and easily. However, it's still a procedure that involves an incision, swelling and careful monitoring after it's completed. Because of this, there are a few best practices to heal faster, keep your mood up, and reduce scarring:
You will probably feel a little down. This is actually a normal part of the body's inflammatory response; inflamed tissue causes stress hormones that make you feel tired and even slightly sad. This is a healthy response: the body is telling you to stay inside and take care of yourself, so do just that! Rent a variety of movies and TV shows, spend time with pets, and be nice to yourself.
Once the inflammation dies down, you'll be feeling better than ever!
Like any surgical procedure, rhinoplasty comes with a recovery period during which swelling is a common side effect. Here are some tips on reducing swelling after rhinoplasty and promoting a smooth recovery.
1. Apply cold compresses: Cold compresses or cool packs on your cheeks and around your eyes can help minimize swelling. Do not apply directly to your nose, and limit cold compress sessions to 15-20 minutes at a time.
2. Keep your head elevated: Sleep with your head elevated above your heart for the first few weeks after surgery. This can help reduce fluid accumulation and swelling in the nose and face.
3. Avoid strenuous activities: Refrain from engaging in strenuous activities or exercise for at least 3-4 weeks after surgery.
4. Stay hydrated: Water can help flush out toxins and reduce fluid retention, which may contribute to swelling.
5. Follow a low-sodium diet: Consuming a diet high in sodium can promote fluid retention and increased swelling. Stick to a low-sodium diet during your recovery period.
6. Take prescribed medications: Medications such as anti-inflammatory drugs or steroids may be prescribed to help manage swelling. Be sure to take these as directed.
7. Avoid smoking and alcohol: Both smoking and alcohol consumption can impair healing and increase swelling. Abstain from these habits during your recovery.
8. Be patient: Swelling after rhinoplasty is normal and can take several weeks or even months to subside fully. Be patient with your recovery process and closely follow Dr. Kesarwani's post-operative instructions.
It's a common concern for smokers who recently underwent a nose job, and the answer likely isn't one they want to hear, but yes, smoking does have an effect on rhinoplasty results. Smoking effects the results of all surgeries, but is particularly bad for cosmetic surgeries, and even worse for nose surgeries. Here's why.
Nicotine messes with the body's adrenal system, causing a release of both stimulating, concentration-enhancing hormones, like norepinephrine, and hormones that reduce anxiety and pain, like endorphins.
All these hormones sound desirable, especially when you're recovering from surgery. But many of them are terrible for recovery. Norepinephrine constricts the blood vessels, making it harder for blood to reach the tissues. This causes damage to the skin and healing of incisions in particular. The nose is an end organ, not having multiple blood supplies , and is even more choked when you smoke.
This is a major problem when it comes to surgery. Blood flow is needed to clean out inflammation, as well as to support healing. If blood is constricted, it is more likely that protein chains will bunch up, creating ugly raised scars instead of faded flat ones. Smoking will, without fail, make your rhinoplasty scars more noticeable. But that's not the only problem.
Nicotine causes lasting problems, even after you quit. The daily release of norepinephrine slowly causes arteries to constrict, leading to higher lasting blood pressure and decreased healing. These effects are most severe within the first few weeks after you quit smoking.
The withdrawal of endorphins also creates increased pain and anxiety, for about a week. These make your recovery much more unpleasant. In addition, they create stress, which slows the body's recovery process.
As a result, you want to be neither on nicotine nor in early nicotine withdrawal when you go in for surgery. For best results, you should quit smoking eight weeks before your rhinoplasty. This time will give your body a chance to loosen up the arteries, bring down blood pressure, and deal with the stress of withdrawal.
Unfortunately, nicotine itself is the biggest problem, so moving to a patch will only help a little. If you need the patch to quit, start the process of quitting a few months before your surgery, so that you can go completely cold turkey eight weeks before.
Quitting smoking is a healthy decision, both for your recovery and for your life. When you start your new life after your rhinoplasty, you may find you are lucky to have kicked smoking and to have healthier, more natural skin.
Since the shape and structure of your nose directly affects breathing, many patients wonder about whether or not rhinoplasty will affect the sound and quality of their voice. Voice is an important asset for singers and performers. And for those who make a living off of their voice, it's even more important to know they are not risking anything by having rhinoplasty.
Fortunately, it is rare for there to be vocal changes following rhinoplasty. In fact, many singers and actors have had rhinoplasty! That being said, there is a small chance that rhinoplasty may cause slight vocal changes. This is very dependant on the patient's specific facial structure.
This isn't necessarily a bad thing. Some people have rhinoplasty in order to open up their nasal passages in order to make breathing easier. This can have a positive effect on their singing voice, sometimes making it less nasal.
Overall, the risks of rhinoplasty altering your voice in a negative way are small, but each case is specific and if vocal change is a concern you should discuss it with your surgeon.
Rhinoplasty is usually performed under general anesthesia, which involves intubation. During intubation, a breathing tube is inserted through the nose, past the vocal chords. This carries the risk of damage to the vocal chords. Ensuring that your anesthesiologist is board certified and experienced means that you can expect smooth intubation. If this is a major concern, you can also discuss different methods such as sedation anesthesia, which foregoes intubation.
During your consultation, it is important you raise any concerns about the effect of rhinoplasty on your voice. Dr. Kesarwani will be able to outline the possible risks, and hopefully assuage any concerns. Before undergoing rhinoplasty, it's very important to thoroughly understand any and all aspects and possible effects of the procedure. We will make sure all questions are answered, as well as letting you know of any possible risks, and working with you to create realistic goals and expectations.
Dr. P. Kesarwani can also show you before and after Nose Job photos from patients we have performed the procedure on previously.
While every patient’s experience with a nose job will be different, many report a boost in confidence and overall well-being. Positive results from nose surgery can greatly boost self-confidence, especially when the motivation for undergoing the procedure is due to being uncomfortable with the appearance of your nose. Realistic expectations are key to being satisfied and happy with the results of your procedure and most cases of dissatisfaction will be due to unrealistic expectations.
Rhinoplasty can improve your physical appearance but it cannot cure depression or a lack of self-esteem. However, there are many studies that have demonstrated the notable emotional and psychological benefits a rhinoplasty procedure can have on patients with the right motivation and expectations. Most of your peers and family members will likely be supportive of your new look but this is not always the case, so it is important to ensure that you know your motivations and desired outcome. Some patients may experience mild feelings of isolation immediately following the procedure as peers, colleagues, family members, and friends adapt to their new look and self-confidence.
If you're considering rhinoplasty, also known as a nose job, you might be wondering how the surgery will affect your ability to wear your beloved specs.
First things first, let's talk about the healing process. After your rhinoplasty, your nose will be swollen, tender, and sensitive to pressure. This means that wearing glasses right after the surgery is a big no-no. The weight and pressure from your glasses can cause discomfort, interfere with the healing process, and even affect the final shape of your new nose. Trust us; you don't want to risk compromising your results after investing time and money into the procedure.
So, how long do you need to wait before you can wear glasses again? The answer depends on how you heal and Dr. Kesarwani's recommendations. Generally, most patients are advised to avoid wearing glasses for at least 4 to 6 weeks after the surgery. This allows enough time for the bones and tissues in your nose to heal and stabilize.
During this glasses-free period, you might be wondering how you'll manage without your trusty eyewear. Don't worry; there are a few options to help you see clearly while your nose heals. If you typically wear glasses for distance vision, consider using contact lenses during the recovery period. If you're uncomfortable with contacts, you can also opt for a pair of glasses with a special nose pad that rests on your cheeks instead of your nose.
It's crucial to follow your post-operative instructions carefully. This ensures a smooth and successful recovery. They may recommend using tape or a special device to keep your glasses from resting directly on your nose, even after the initial healing period. This extra precaution can help prevent any unwanted changes to your nose's shape.
Now, let's fast forward to the 4 to 6-week mark. You've been patiently waiting, and the day has finally arrived when you can wear your glasses again. Before you excitedly put them on, take a moment to assess the situation. Is your nose still tender or sensitive to touch? If so, it might be a good idea to wait a bit longer or consult with Dr. Kesarwani before resuming glasses use.
When you do start wearing glasses again, please pay attention to how they feel on your nose. If you experience any discomfort or notice that your glasses are leaving marks on your nose, it's time to make some adjustments. You may need to visit your optometrist to have your glasses refitted or to discuss alternative options, such as lighter frames or specialized nose pads.
It's also important to remember that even after the initial healing period, your nose will continue to change shape a bit as it heals. This can take several months. During this time, you may need to make periodic adjustments to your glasses to ensure a comfortable and safe fit.
The journey to wearing glasses after rhinoplasty requires patience, care, and a bit of flexibility. Following Dr. Kesarwani's guidelines and paying attention to your body's healing process, you'll be back rocking your favourite frames in no time. Remember, the temporary inconvenience of not wearing glasses is a small price to pay for a proper recovery.
So, embrace the glasses-free period as an opportunity to try out new looks and appreciate your newly refined features. And when the time comes to reunite with your glasses, do so with a smile, knowing that you've taken the necessary steps to protect and preserve your rhinoplasty results.
Dr. Priya Kesarwani is the facial plastic surgeon at Cosmedical Rejuvenation Clinic. As a board certified Otolaryngologist Head and Neck Surgeon, Dr. P. Kesarwani has specialized training in addressing diseases, disorders and aesthetic concerns involving the head and neck.
You'll speak with Dr. Priya Kesarwani directly during your initial consultation. She has a gentle approach and unwavering commitment to achieving the beautiful, natural looking results you want. She takes the time to discuss your goals and assess your situation before providing you with a custom tailored solution. No detail is overlooked. You will appreciate her fastidious and exacting nature — traits that are essential when performing any procedure, particularly those targeting the face!
Dr. P Kesarwani is dedicated to delivering you beautiful results while maintaining excellent patient safety and achieving superior patient satisfaction.