Nose Job – Rhinoplasty Toronto

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.

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:

• Nasal fractures;
• Cleft lip and/or palate;
• Inflammatory conditions;
• Neoplasms (tumors);
• Septal hemotomas; and
• Many other injuries, diseases, and conditions.

Rhinoplasty Recovery

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.

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:

1. Protect the incision.
2. Avoid anything strenuous.
3. Use contact lenses.
4. Steps to reduce swelling
5. 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.

Once the inflammation dies down, you’ll be feeling better than ever!

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.