Nasal surgery is best performed after age fifteen, when your nose is fully developed. If you are a teen, make certain that you have thought carefully about surgery, and that you want to change your appearance based on your own feelings, rather than those of your parents or friends.
Assuming good health, there is no upper age limit for having nose surgery. Rhinoplasty is sometimes performed in conjunction with a facelift or other face rejuvenation surgery to correct a change associated with an aging nose, such as a drooping tip.
Oftentimes, breathing problems can be corrected during aesthetic nasal surgery. Dr. Koplin can help you determine whether internal nasal structures can and should be modified while reshaping your nose.
Because every nose is unique, not everyone will achieve the same results from rhinoplasty. Our goal is to obtain the best possible results for you.
Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and upper lip, or reshape the tip. The surgical techniques employed will depend primarily on the goals established by you and Dr. Koplin. Incisions are usually hidden completely inside the nose.
Sometimes a very short incision is made across the vertical strip of skin that separates the nostrils, called the columella. This technique is called an “open rhinoplasty.” Whatever incisions are used to reshape your nose, they will ultimately be very inconspicuous.
Through the small incisions described previously, work is done on the cartilage and bone that form the framework of your nose. Sometimes, the position of certain bones may need to be altered slightly in order to make your nose look narrower and straighter. If your nose needs to be built up in some areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site. The skin and soft tissues then redrape themselves over this new “scaffolding.”
Safety and Comfort with Anesthesia
General anesthesia is the gold standard for this operation. Under this type of anesthesia, you are fully asleep; there is no pain and no awareness. Safety and comfort are paramount. Your anesthesia provider has a wealth of experience in surgical procedures, safety, and care.
Fully Staffed Recovery Room
You will spend one to two hours in a fully-monitored and state-of-the art recovery room at the surgery center. Your registered nurse will be at your side every moment to attend to your safety and comfort.
You have several options: you may choose to have professional care, to stay in a recovery center, or recover at home. If you wish to recover at home, you must have someone stay with you the first night. We will send you home with precise instructions and a “care package” of supplies and medications.
Attention to detail, expertise in surgical technique, and pioneering work in the area of cartilage and natural fat transfer sets Dr. Koplin apart from other surgeons. For nearly 20 years, he has used a combination of these techniques to create custom-fitting grafts for a smoother nasal bridge, softly defined tip and a more natural appearing result.
Dr. Koplin will personally meet with you so that he understands your motives and expectations for rhinoplasty. He’ll examine and measure your face, discuss your options, and offer recommendations. During this initial meeting, Dr. Koplin will ask you a number of questions about your health, desires and lifestyle. He’ll also discuss likely outcomes of nasal surgery and any risks or potential complications
The First Week:
You will leave our recovery room with a custom-molded plastic splint covering your nose. Dr. Koplin does not pack the inside of the nose (he believes it’s cruel), so you should be able to breathe well as soon as you wake up!
The morning after your nasal surgery, you’ll notice that your nose is more swollen: don’t worry, this is temporary. You’ll also have bruising around your eyes for a full week; sometimes as long as two weeks. Again, this is typical and temporary.
You can return to work and your usual activities the day after your surgery, though you should avoid strenuous exercise.
If you wear eyeglasses, you must not let them rest on the nasal bridge for six weeks after surgery. We’ll show you how to suspend them from the forehead and protect your new nose.
Even though all the inside stitches dissolve on their own, we still want to see you rather often at first. You’ll return approximately three days postop, just for a checkup and general cleanup of your nose –we also want to make sure you can still breathe well. On day seven, the outside and inside splints are all removed, and your nose is revealed to you and the world!
The Second Week and Beyond:
Your nasal airway improves, and residual swelling gradually diminishes (though the swelling may last longer than you would wish). The interior of your nose may feel dry; we’ll give you a saltwater nasal spray to provide comfort and aid healing.
We’ll plan to see you again two weeks after surgery to check healing and answer your questions. Also, you may now gently blow your nose!
After one month, your breathing will be at its optimal state.
You’ll visit us again at six weeks, at which time we’ll check to see if it is now safe for you to wear glasses.
We’ll take postoperative photos of your new nose three months after surgery. We’ll give you copies of your preoperative photos, too, so you can see your own “before and after”!
” I had the most amazing experience. I have never felt more cared for and taken care than I did with Dave, Dr, Koplin and all the wonderful Staff. Thank you so very much for the amazing experience.”
“Dr. Larry and team are simply the best – I’d now go to no one else.”
“The very positive attitude of everyone made the experience very positive. Very very happy!”