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.
Rhinoplasty is a surgical procedure that reshapes the nose to improve both appearance and breathing function. The operation takes one to three hours and is usually performed under general anaesthesia, with most patients returning to daily activities within one to two weeks. At Cosmedical Rejuvenation Clinic in Toronto, rhinoplasty is performed by Dr. Priya Kesarwani, a board-certified Otolaryngologist and fellowship-trained facial plastic surgeon. Her specialized training in facial plastic and reconstructive surgery, a subspecialty of Otolaryngology, gives her advanced knowledge of both the internal nasal structures that affect breathing and the external anatomy that defines appearance. Dr. Kesarwani favours a closed rhinoplasty technique when possible, which places all incisions inside the nose, avoids external scarring, and typically supports a faster recovery. During your consultation, she will assess your facial structure and discuss what changes are realistic for your goals.
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.
Rhinoplasty offers long lasting results. The results are typically permanent, although the aging process and other factors might cause changes over time. However, the structural changes made to the nose during the surgery are generally stable and should endure for many years, if not a lifetime. Avoiding trauma to the nose, maintaining a healthy lifestyle, and following Dr. Kesarwani's post-operative care instructions can contribute to how well your results last.
Natural aging can cause changes in the nose, but these changes are typically minimal compared to the foundational changes made during surgery.
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.
How To Prepare For Rhinoplasty Consultation
You should be prepared to discuss your aesthetic concerns with Dr. Kesarwani. You may bring in photos of noses that you like so that Dr. Kesarwani can let you know if your goal is achievable. Your medical history will also be reviewed and you'll be able to see before and after rhinoplasty and nose job photos from patients Dr. Kesarwani has performed the procedure on previously.
Your Nose Job Expert
Performed by a facial plastic surgeon with extensive knowledge and training in the facial structures.
Advanced techniques are applied to achieve desired results with the fastest recovery.
Natural-looking outcome
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 Toronto 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.
Nasal fractures;
Cleft lip and/or palate;
Inflammatory conditions;
Neoplasms (tumors);
Septal hemotomas; and
Many other injuries, diseases, and conditions.
What Is Rhinoplasty?
Rhinoplasty, also known as a nose job, is a surgical procedure that improves the shape and function of your nose.
What is a Closed Rhinoplasty?
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.
Nose Surgery For Breathing
Nose surgery for breathing, also known as functional rhinoplasty or septoplasty, is a medical procedure designed to improve nasal airflow and respiratory function.
Functional rhinoplasty includes septoplasty, turbinate reduction, and nasal valve repair.
Septoplasty involves correcting a deviated septum, which is the wall between the nostrils. An incision inside the nose is made to access the septum, which is straightened and repositioned to improve airflow.
Turbinate reduction aims to reduce the size of turbinates, structures that warm and humidify the air. It can be done through various techniques like radiofrequency ablation or partial removal.
Nasal valve repair addresses the collapse or narrowing of the nasal valves and may involve cartilage grafting or suture techniques to strengthen and widen the area.
After the necessary corrections are made, incisions are closed with dissolvable sutures. Nasal packing or splints may be used to support healing. The initial recovery period typically takes about 1-2 weeks, but full healing and final results may take several months. Patients usually experience improved breathing within a few weeks post-surgery.
This type of surgery aims to improve nasal function while maintaining or enhancing the nose's appearance. The specific techniques used are selected based on the patient's individual needs and Dr. Kesarwani's expertise.
Broken Nose Repair Toronto
Is your broken nose causing both aesthetic concerns and breathing difficulties? Our board certified Otolaryngologist (Ear, Nose and Throat Surgeon) specializes in broken nose repair at our state-of-the-art surgical facility in Toronto, offering customized treatment plans for optimal aesthetic and functional results. . Also known as post-traumatic rhinoplasty, this procedure can help restore both function and appearance.
A broken nose should be evaluated within 14 days of injury for best results. However, we can still help even if your injury occurred months or years ago. Watch for signs like visible crookedness or asymmetry, breathing difficulties, persistent congestion, ongoing pain or pressure, and any changes in appearance after injury.
Our Comprehensive Approach
Detailed Consultation
We begin with a thorough examination of your nasal structure, review your breathing function, and discuss your aesthetic goals. Then, Dr Kesarwani will customize a treatmetn plan.
Advanced Surgical Techniques
We offer both open and closed rhinoplasty options, providing precise correction of septal deviation, restoration of proper nasal alignment, and natural-looking results.
Recovery Support
You'll receive detailed post-operative care instructions, regular follow-up appointments, 24/7 access to medical support, and comprehensive healing guidance.
Rhinoplasty Recovery: how long is rhinoplasty recovery?
The most common question we get from patients is, "How long does rhinoplasty take to heal?" The recovery from rhinoplasty 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.
5 Recovery Tips
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:
Protect the incision.
Avoid anything strenuous.
Use contact lenses.
Steps to reduce swelling
Take care of your physical and mental health.
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.
The answer to this question: "When will my nose feel normal after rhinoplasty?" Once the inflammation dies down, you'll be feeling and looking better than ever!
How to Reduce Swelling After Rhinoplasty
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.
How To Tape Nose After Rhinoplasty
Taping your nose after a nose job is something that should be done as instructed by Dr. Kesarwani. It helps maintain the new shape of your nose and reduce swelling. To properly tape your nose, start by thoroughly washing your hands and gently cleaning the skin of your nose with a mild, non-irritating cleanser. Pat your nose dry and apply any ointments or creams that are prescribed to you.
Next, cut thin strips of medical tape, usually paper tape or micropore tape, to fit the bridge of your nose. Apply these strips horizontally across the bridge, starting from the top and working your way down. Make sure to slightly overlap the previous one for better coverage and support, taking care not to apply the tape too tightly. Overly tight bandages can interfere with healing and blood flow. Vertical strips along the sides of the nose can be added for extra support.
It's essential to replace the tape daily or as often as Dr. Kesarwani tells you. When removing old tape, do so gently and in the direction of hair growth. This minimize irritation and tugging.
What Not To Do After Rhinoplasty: Will Smoking Affect My Rhinoplasty Results?
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 Withdrawal and Rhinoplasty
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.
Can Rhinoplasty Affect My Voice?
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.
Psychological Impact
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.
How Much Does Rhinoplasty Cost? Nose Job Cost Toronto
The price of rhinoplasty depends on several factors:
1. Geographic Location: Price varies significantly depending on where you are located. Major cities and metropolitan areas tend to have higher costs due to the increased cost of living and operating expenses.
2. Surgeon's Expertise: The skill and reputation of the surgeon play a crucial role in determining the cost. Choosing a qualified surgeon can provide better outcomes and lower the risk of complications.
3. Complexity of the Procedure: The complexity of the surgery affects the overall cost. Simple procedures might be less expensive, whereas more complicated surgeries that require extensive reshaping can be more costly.
4. Anesthesia Fees: Anesthesia is a significant component of the overall cost. The type of anesthesia used—local or general—and the duration of the surgery can impact the anesthesia fees.
5. Facility Fees: The cost of using the surgical facility, whether a hospital or specialized clinic, adds to the total expense when it comes to how much is rhinoplasty in Toronto. Facilities with advanced equipment and higher safety standards might charge more.
6. Pre- and Post-Operative Care: Consultations, follow-up visits, medications, and post-operative care are additional factors that contribute to the final cost. Comprehensive care packages might be more expensive but offer essential support throughout recovery.
Insurance: How to Get Rhinoplasty Covered by Insurance
Rhinoplasty, for purely cosmetic reasons, is typically not covered by health insurance. However, if the procedure is performed to correct breathing problems or congenital defects, insurance may cover part or all of the cost. It's crucial to check with your insurance provider to understand what is covered.
Many practices offer Financing options through medical loans or payment plans. These options can make rhinoplasty more affordable by spreading the cost over several months or years.
On average, the cost of rhinoplasty in Canada ranges from $8,000 to $20,000. While cost is an important consideration, it's equally crucial to choose a qualified and experienced surgeon to ensure the best possible outcome. Always consult with multiple surgeons to get a clear understanding of the overall cost and to discuss your specific needs and expectations.
How Long After Rhinoplasty Can You Wear Glasses?
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.
When Can I Blow My Nose After Rhinoplasty
Avoid blowing your nose for at least one to two weeks after rhinoplasty to prevent complications and ensure proper healing. Here are some general guidelines:
Initial Recovery (First 1-2 Weeks): Avoid blowing your nose thoroughly. If you need to sneeze, do so with your mouth open to minimize pressure on your nose.
Post Initial Recovery (2-4 Weeks): Continue to be gentle with your nasal passages. If you need to clear your nose, discuss with Dr. Kesarwani whether using saline sprays or gentle sniffing is acceptable.
After 4 Weeks: You may be able to resume gently blowing your nose, but always confirm with Dr. Kesarwani's recommendations.
Recovery times and guidelines can vary based on the specifics of your surgery and individual healing rates, so follow Dr. Kesarwani's advice tailored to your care.
Why choose dr. PRIYA KESARWANI
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.
Frequently Asked Questions About Rhinoplasty Toronto
What is the difference between open and closed rhinoplasty, and which is right for me?
In closed rhinoplasty, all incisions are made inside the nostrils, so there is no visible external scarring. Open rhinoplasty involves a small incision across the columella (the strip of tissue between your nostrils), which gives the surgeon a direct view of the nasal structures underneath. Dr. Priya Kesarwani favours a closed technique when possible because it preserves more of the nose's natural support, typically results in less swelling, and supports a faster recovery. For more complex cases, such as major structural reconstruction or certain revision surgeries, an open approach may be recommended. During your consultation, Dr. Kesarwani will assess your anatomy and goals to determine which approach is best suited to you.
At what age can I have rhinoplasty?
Rhinoplasty is generally recommended once the nose has finished growing. For girls, nasal growth is typically complete around age 15 to 16, and for boys it is usually around 17 to 18. Operating before the nose has fully developed can interfere with natural growth and may lead to results that shift over time. Emotional maturity and realistic expectations also play an important role in determining readiness. For patients under 18, a parent or guardian should be involved in the consultation process.
Can rhinoplasty be combined with other facial procedures?
Yes. Rhinoplasty is commonly combined with procedures such as chin augmentation, septoplasty for breathing improvement, or eyelid surgery. Combining procedures means one anaesthesia session and one recovery period instead of two, which many patients prefer. Dr. Kesarwani will evaluate whether combining procedures is safe and appropriate based on the total operating time and your overall health.
What should I avoid before rhinoplasty surgery?
You should stop taking aspirin, anti-inflammatory medications (such as ibuprofen), and herbal supplements for at least two weeks before surgery, as these can increase bleeding. Smoking should also be stopped well in advance of your procedure because nicotine restricts blood flow and impairs healing. Dr. Kesarwani will give you a detailed list of medications and substances to avoid during your pre-operative consultation. You will also be asked not to eat or drink anything after midnight the night before surgery.
What type of anaesthesia is used for rhinoplasty?
Rhinoplasty is most often performed under general anaesthesia, meaning you will be completely asleep during the procedure. In some cases, local anaesthesia with intravenous sedation may be used instead. The choice depends on the complexity of the surgery and your medical history. Dr. Kesarwani and the anaesthesiologist will discuss the safest option for you during your pre-operative appointment.
How long does rhinoplasty surgery take?
A typical rhinoplasty takes between one and three hours. The exact duration depends on the complexity of the changes being made. A straightforward closed rhinoplasty may be closer to one hour, while more involved work such as correcting a deviated septum, rebuilding structural support, or performing a revision procedure will take longer. Dr. Kesarwani will give you a more specific estimate after assessing your nose during the consultation.
When will I see my final results after rhinoplasty?
You will notice a visible improvement once the splint comes off at about one week, but your nose will continue to refine over the following months. Most of the swelling resolves within the first three months. Final results typically take about 12 months to fully emerge, as subtle swelling in the nasal tip is the last to resolve. Patients with thicker skin or those who had extensive tip work may need a little longer. Dr. Kesarwani will monitor your progress at follow-up appointments throughout your recovery.
How much can rhinoplasty change my nose?
Rhinoplasty can make meaningful changes to the size, shape, and proportions of your nose. Common adjustments include smoothing a dorsal hump, refining a wide or bulbous tip, straightening a crooked bridge, adjusting nostril width, and improving overall facial balance. The degree of change that is achievable depends on your bone structure, cartilage strength, and skin thickness. During your consultation, Dr. Kesarwani will explain what is realistic for your specific anatomy and help you set clear goals.
Will my rhinoplasty look natural?
A natural-looking result is one of Dr. Kesarwani's primary goals. She tailors every rhinoplasty to your unique facial proportions rather than applying a one-size-fits-all template. Her fellowship training in facial plastic and reconstructive surgery gives her a deep understanding of how the nose relates to the rest of the face. The closed technique she favours also helps preserve the nose's natural structural integrity, which contributes to a more natural final appearance. Realistic expectations are key, and Dr. Kesarwani will walk you through what is achievable during your consultation.
Can rhinoplasty fix a bulbous nose tip?
Yes. A bulbous tip is usually caused by wide or poorly defined lower lateral cartilages, sometimes combined with thicker nasal skin. During rhinoplasty, the cartilage can be reshaped, trimmed, or reinforced with suture techniques to create a more refined and defined tip. Patients with thicker skin should understand that tip definition may be more subtle and can take longer to appear as swelling resolves. Dr. Kesarwani will examine your nasal tip structure and skin quality to explain what degree of refinement you can expect.
Can rhinoplasty fix a crooked nose?
Rhinoplasty can significantly straighten a crooked nose, whether the cause is a previous injury, a deviated septum, or the way your nose developed naturally. The procedure may involve repositioning the nasal bones, straightening the septum, and adjusting the cartilage to bring the nose into better alignment. Perfect symmetry is not always achievable because every face has some degree of natural asymmetry. Dr. Kesarwani will be upfront about what level of correction is realistic during your consultation.
Can rhinoplasty reduce the size of my nostrils?
Yes. A technique called alar base reduction can narrow wide or flared nostrils. This involves removing a small wedge of tissue where the nostril meets the cheek, which reduces the overall width. The incisions are placed in the natural crease at the base of the nostril so that any resulting scar is well hidden. Nostril reduction can be performed as part of a full rhinoplasty or as a standalone procedure. Dr. Kesarwani will assess your nostril shape in the context of your full facial proportions to ensure a balanced result.
When can I return to work after rhinoplasty?
Most patients return to desk work or non-physical jobs within one to two weeks. The nasal splint is usually removed at about one week, and by the end of the second week most visible bruising has faded enough that you can go about your daily routine comfortably. If your job involves physical labour or heavy lifting, you may need closer to three or four weeks off. Dr. Kesarwani will give you a return-to-work timeline based on your specific procedure and how your healing progresses.
When can I return to exercise and sports after rhinoplasty?
Light walking is encouraged within the first few days to promote circulation, but you should avoid strenuous exercise for at least three to four weeks. Activities that raise your blood pressure or heart rate can increase swelling and the risk of bleeding during early recovery. Contact sports and activities where your nose could be hit should be avoided for at least three months, and possibly longer depending on your healing. Dr. Kesarwani will clear you for each level of activity at your follow-up appointments.
Will I have visible scars after rhinoplasty?
If you have a closed rhinoplasty, all incisions are inside the nostrils, so there are no visible scars at all. With an open rhinoplasty, a small incision is made across the columella (the tissue between the nostrils). This scar is very discreet and typically fades to a thin, barely noticeable line within a few months. Dr. Kesarwani favours the closed approach when possible, which means most of her rhinoplasty patients have no external scarring.
Is rhinoplasty painful?
Most patients describe the discomfort after rhinoplasty as milder than expected. You are under anaesthesia during the procedure itself, so you feel nothing during surgery. Afterward, the main sensations are congestion, pressure, and mild soreness rather than sharp pain. Prescribed pain medication keeps you comfortable during the first few days. Many patients say the congestion is more bothersome than the pain itself.
What does rhinoplasty recovery look like week by week?
During the first week, you will wear a nasal splint and experience the most swelling and bruising, mainly around the eyes. By the end of week two, most bruising has faded and the splint is off, so many patients feel comfortable going out in public. Over weeks three and four, swelling continues to decrease noticeably. By month three, roughly 90% of the swelling has resolved and you can see real definition in your nose. From month three to twelve, the remaining subtle swelling gradually resolves, especially at the tip. The nose continues to refine until you reach your final result at about one year.
What are the risks and complications of rhinoplasty?
As with any surgery, rhinoplasty carries risks including bleeding, infection, and adverse reaction to anaesthesia. Risks specific to rhinoplasty include difficulty breathing through the nose, numbness in or around the nose, an uneven appearance, persistent swelling, and the possibility of needing a revision procedure. Serious complications are uncommon when the surgery is performed by a qualified, board-certified surgeon in an accredited facility. Dr. Kesarwani will discuss all potential risks with you during the consultation so you can make a fully informed decision.
What is revision rhinoplasty, and how often is it needed?
Revision rhinoplasty is a second surgery performed to correct or improve the results of a previous rhinoplasty. Published estimates suggest that roughly 5% to 15% of rhinoplasty patients eventually undergo a revision procedure. Reasons for revision range from aesthetic concerns, like residual asymmetry or an undesired shape, to functional issues such as breathing difficulty that developed after the first surgery. Revision rhinoplasty is generally more complex than a primary procedure, and surgeons typically recommend waiting at least 12 months after the original surgery so that all healing and swelling have fully resolved before operating again.
Is rhinoplasty safe for patients with thicker skin?
Yes, rhinoplasty can be safely performed on patients with thicker nasal skin, but it does require additional considerations. Thicker skin can mask the finer details of the cartilage work underneath, meaning tip definition may appear more subtle compared to patients with thinner skin. Swelling also tends to take longer to resolve in thicker-skinned patients, so final results may not be fully visible until 18 months to two years after surgery. Dr. Kesarwani will evaluate your skin thickness during the consultation and explain how it affects the expected outcome.
Can I get rhinoplasty if I have a deviated septum?
Absolutely. When rhinoplasty and septoplasty are performed together, the combined procedure is called septorhinoplasty. This allows Dr. Kesarwani to improve both the appearance and the function of your nose in a single operation. Correcting a deviated septum can relieve nasal obstruction, reduce snoring, and improve airflow, while the rhinoplasty component addresses the external shape. As a board-certified Otolaryngologist (FRCSC) and fellowship-trained facial plastic surgeon, Dr. Kesarwani has specialized training in both the internal nasal structures that affect breathing and the external anatomy that defines appearance.
Does OHIP cover rhinoplasty in Ontario?
OHIP does not cover rhinoplasty performed for purely cosmetic reasons. If the procedure is medically necessary, such as correcting a deviated septum that causes significant breathing problems, repairing damage from trauma, or addressing a congenital deformity, OHIP may cover the functional portion of the surgery. The cosmetic component of any combined procedure would still be the patient's responsibility. During your consultation, Dr. Kesarwani can help determine whether your situation qualifies for any OHIP coverage and guide you through the process.
Are there financing options available for rhinoplasty in Toronto?
Yes. Cosmedical Rejuvenation Clinic offers financing options that allow you to spread the cost of rhinoplasty over monthly payments. Many patients in Toronto take advantage of third-party medical financing plans to make the procedure more manageable. During your consultation, our team can walk you through the available plans and help you find one that fits your budget.
Why does the cost of rhinoplasty vary so much between surgeons?
Several factors drive the variation in rhinoplasty pricing. The surgeon's qualifications, training, and experience have the biggest impact. Board-certified facial plastic surgeons who specialize in rhinoplasty and have lower revision rates often charge more because of the expertise they bring. Facility fees also vary depending on whether the procedure is performed in a hospital or a private accredited surgical centre. Anaesthesia fees, the complexity of the procedure, and the level of post-operative care included all affect the final price. Choosing the lowest cost option can sometimes mean a higher chance of needing revision surgery, which ends up costing more in the long run.
What is included in the cost of rhinoplasty at Cosmedical?
The cost of rhinoplasty at Cosmedical Rejuvenation Clinic typically includes the surgeon's fee, facility fees for our accredited surgical centre, anaesthesia, and post-operative follow-up appointments. On average, rhinoplasty in Canada ranges from $8,000 to $20,000 depending on the complexity of the procedure. You will receive a detailed cost breakdown after your consultation with Dr. Kesarwani, so there are no surprises. If financing is needed, our team will review payment plan options with you at that time.
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