Exclusively Faces Cosmetic Surgery
Matthew Karen, MD F.A.C.S.
Cosmetic Surgery located in Winchester, VA

As life would have it, sometimes a person may not be satisfied with their facial features. Maybe you weren’t born with a nose you feel matches your face. Or perhaps, in the case of rhinoplasty, or a “nose job,” you broke your nose some years ago and have always wanted to fix it. For whatever reason you may be considering rhinoplasty, Dr. Matthew Karen is here to help. Schedule an appointment with him at Exclusively Faces, Cosmetic Surgery in Winchester, Virginia to find out more.


Rhinoplasty Q&A

What does rhinoplasty treat?

Rhinoplasty, sometimes referred to as a “nose job” or “nose reshaping”, enhances facial harmony by making the nose more proportionate to the rest of the face.

Surgical rhinoplasty can treat a number of issues including:

  • Making the nose more proportionate to the rest of the face (larger or smaller)
  • Thinning the bridge or nostrils
  • Fixing bumps or depressions in the nose caused naturally or by having been broken
  • Shrinking the tip of a bulbous or drooping nose,
  • Altering the tip if it is upturned or hooked, and rectifying nasal asymmetry
  • Fixing impaired breathing caused by structural defects in the nose, most commonly due to a perforated septum

What is a rhinoplasty procedure like?

Every rhinoplasty starts with thorough planning and consultation. Whether receiving a rhinoplasty for medical or cosmetic reasons, there is always a great deal of planning to be done. Prior to the procedure, Dr. Karen and patient discuss the physical surgery as well as the expected results.

During the procedure, the patient is given an anesthetic via intravenous sedation or general anesthesia. There are two techniques used when surgically altering or improving the nose’s appearance: Dr. Karen will perform either an open or closed technique.

The open technique involves creating a small, external bridging incision which allows Dr. Karen to fold the nasal skin upward and access the lower nasal skeleton.

When performing the closed technique, Dr. Karen will make all incisions through the inside of the nose. As such, scarring is less likely. In both techniques, Dr. Karen will either remove or adjust cartilage, or insert an implant, depending on the patient’s final goal.

Are there risks associated with rhinoplasty?

As is true of all medical procedures, there is always risk associated with receiving a rhinoplasty. Aside from swelling and bruising around the eye region post-surgery, which is unavoidable, there are various other risks including:

  • Bleeding,
  • Scarring,
  • Poor healing of wounds
  • Infection,
  • Skin discoloration

How long is the recovery time?

Immediately after surgery, patients are monitored closely in the recovery room. After the anesthetic has worn off, patients are released to go home (usually after a couple of hours).

Patients should rest with their head propped up to minimize swelling. A nasal cast or splint will have been put on the cover the outside of the nose, and packs put into the nostrils to take care of any bleeding after the procedure. Both the split and the packs are removed about a week of surgery.

Patients should avoid strenuous activity for three to six weeks after surgery, and final results will not be seen until all swelling is completely gone, sometimes up to 6 months.

If you’re interested in having rhinoplasty surgery, do not hesitate to schedule a consultation with Dr. Karen of Exclusively Faces, Cosmetic Surgery in Winchester, Virginia by calling us today.