Nose Reshaping Surgery


Rhinoplasty Before and After photosThe nose is an integral part of the aesthetic balance of the face, and when the nose is out of balance with the rest of the face it can become a prominent and sometimes distracting feature. Rhinoplasty is a common surgical procedure in which the nose is reshaped to create an attractive balance to the entire face. Rhinoplasty is a complex procedure combining technical skill and artistry to achieve the ideal result for each patient. An ideal rhinoplasty achieves this aesthetic balance without the telltale signs of surgery or the appearance of an "over operated on" nose. It was one of the first cosmetic procedures ever developed and is among those most frequently performed today. Dr. Tjelmeland performs primary rhinoplasty as well as secondary rhinoplasty for patients that have had problems or residual deformities from a previous rhinoplasty or nasal surgery performed elsewhere. This operation can also be combined with corrective airway surgery such as a septoplasty for patients who have difficulty breathing.

The Procedure

Dr. Tjelmeland performs rhinoplasty on an outpatient basis under sedation or "twilight anesthesia" or light general anesthesia in our surgical facility. Each rhinoplasty procedure is unique and specific to each individual patient. Most cases involve reshaping of the nasal cartilage to achieve a more balanced and refined tip and reshaping of the nasal dorsum to achieve aesthetic balance to the nose. The incisions are placed inside the nose and usually across the columella (skin between the nostrils).  Following surgery, a lightweight splint is applied to the nose to maintain the new shape, and is usually removed in about 5 - 7 days.

Recovery: What to Expect

Following surgery, pain is typically minimal and is easily controlled with pain medication. Some bruising around the eyesis not uncommon and usually fades by one week. Usually the new shape of the nose is readily apparent after surgery and most of the swelling resolves by 3 weeks. However, it takes a full year to see the final result from a full rhinoplasty procedure as scar tissue matures and subtle swelling dissipates allowing the nasal skin to conform to the new underlying framework of the nose.

Typically light activity including office type work can resume at 5 - 7 days, and exercise may be resumed after a couple of weeks.

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4220 Bull Creek Road
Austin, TX 78731
Phone: 512-617-7500



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