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Rhinoplasty, known also as a nose job, is the surgical procedure aimed at altering 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 usually takes between one and two hours to complete, longer for more extensive procedures. The procedure can be performed in a surgeon’s office, surgical center, or hospital, and typically involves either a local anesthetic combined with sedation or general anesthesia.

Rhinoplasty can be either opened or closed: open rhinoplasty involving incisions which are made externally, or on the outside of the nose, as well as those made inside of the nose, closed rhinoplasty referring to incisions which are solely placed in the inside of the nose. After the incisions are made, the skin of the nose is separated and lifted from its underlying cartilage and bone. The bone and cartilage a more desirable shape to can then be sculpted by removing, adding to, or rearranging. Once the surgeon is happy with the shape of the nose, he will pull back the skin and close the incisions.

Patients are typically able to return to work within one to two weeks, though more strenuous activity should be avoided 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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