Rhinoplasty procedures change the size, shape, and functionality of the patient’s nose. Because rhinoplasty is an invasive cosmetic procedure, however, it is important that the patient has as much information as possible before speaking with a doctor. There are two types of rhinoplasty procedures: cosmetic and functional. The most common type is a cosmetic procedure. In this procedure, the surgeon aims to fix aesthetic problems for the patient, changing the size and shape of the nose. The main reason to undergo this procedure is to achieve the patient’s desired look. However, functional rhinoplasty is different. Functional rhinoplasty fixes the functionality of the nose, improving breathing by opening up the nasal passages.

Am I a good candidate for a functional rhinoplasty?

Determining if you are a good candidate for functional rhinoplasty depends on many variables. The most important reason why you might elect to have a functional rhinoplasty is preexisting functional issues with your nose. Functional rhinoplasty can be used to treat obstructed nasal breathing caused by any of the following.

  • A birth defect
  • Trauma to the nose
  • A tumor or mass
  • An infection

Nasal stenosis is an additional indication that functional rhinoplasty might be right for you. Nasal valve stenosis happens when the most narrow part of the nose walls collapse. Collapse of the nostrils may also occur.

If your current condition matches up with any of these common indications for functional rhinoplasty, it is very likely that the procedure will improve your breathing. Talk to a plastic surgeon in your area with experience in the procedure. He or she can help you to better understand how functional rhinoplasty may alleviate your symptoms.

Rhinoplasty procedure overview

Understanding what occurs during a functional rhinoplasty can help you decide whether functional rhinoplasty is the right procedure for you. While the exact steps may vary depending on the details of your case, most functional rhinoplasties follow a similar protocol.

The surgery will vary based on the condition and anatomical make-up of the patient, however, the following procedure steps will always be involved for an open rhinoplasty:

  • Making the incision. Your surgeon will place you safely under anesthesia to ensure your comfort throughout the procedure. He or she will then make an incision across the columella, which is the soft piece of tissue that separates the nostrils. The columella incision allows your surgeon access to the underlying bone and cartilage that form the nasal airway.
  • Reshaping the nose. After gaining access to the supportive structures of the nose, your surgeon will reshape the nasal airway according to your needs. Sometimes this involves using bone and/or cartilage grafts from another part of the body. If you and your surgeon agreed on aesthetic changes to your nose, he or she will make these, too.
  • Closing the incision. Once all of the bone and cartilage are in the correct place, your surgeon will close the incision. Your surgeon will then dress your nose for protection. Depending on the length and severity of the procedure, this may involve a cast, a splint, or just gauze.

Rhinoplasty risks

If your condition matches any of the symptoms mentioned above, there is a high chance that a nose job will improve your breathing. However, like any surgical operation, there are a few risks involved. It is important to note that most functional rhinoplasties occur without any significant issues. However, you can set appropriate expectations for your surgery and make informed decisions about your health by familiarizing yourself with these risks.

Some of the most common risks include the following.

  • Excess bleeding
  • Post-procedure swelling
  • Infection
  • Complications from anesthesia

These complications are not very common, but you should acknowledge them before you proceed with treatment. Feel free to discuss them with your surgeon if you have any concerns.

Dr. Berlet Can Answer Your Questions

Dr. Berlet has been helping and treating men and women in the northern New Jersey and New York City areas for over 20 years. Along with this caring and knowledgable staff, Dr. Berlet helps patients achieve the best outcomes possible. This is especially important in the cases of functional rhinoplasty. Patients who have trouble breathing due to the size and shape of their nose should feel confident in their surgeon. If you are interested in functional rhinoplasty, reach out to the team at Dr. Berlet’s office today to learn more! In the consultation, we will have a detailed conversation about your experience and your desired outcome.

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