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Rhinoplasty, known also as a nose job, is the surgical procedure which can change the look of the nose, though it may also be used to relieve breathing problems. This can be achieved in several ways. The overall size can be reduced or increased, the span of the nostrils narrowed, the shape of the tip or bridge of the nose changed, or the angle between the nose and upper lip altered.

Rhinoplasty most often takes between one and two hours to complete, longer for more complicated procedures. It can be performed in a surgeon’s office, a surgical center, or in a hospital with either local anesthesia combined with sedation or with general anesthesia.

Rhinoplasty can be either opened or closed: open rhinoplasty involving incisions which are made externally, or on the outside of the nose, in combination with any made inside of the nose, closed rhinoplasty referring to incisions which are only located in the inside of the nose. Once the incisions are made, the skin of the nose is then lifted to reveal the underlying bone and cartilage. The bone and cartilage the desired shape to are then sculpted by removing, adding to, or rearranging. Once the desired shape is achieved, the skin will be pulled back and the incisions will then be closed with sutures.

Patients can, on average, return to work within one to two weeks, though more strenuous activity should be put off for two to three weeks. There are possible risks and complications associated with rhinoplasty which can include the following: infection, bursting of blood vessels, the need for additional surgeries, adverse anesthesia reactions, dissatisfaction with results, airway obstruction, bleeding, excessive scarring, and poor healing.

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