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Rhinoplasty, also known as a nose job, is the surgical procedure which can modify 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 generally takes between one and two hours to complete, though more complicated procedures may require more time. The type of anesthesia most commonly used is either a general anesthetic or a local anesthetic combined with sedation. The procedure an be performed in a surgeon’s office, surgical center, or hospital.

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 made on 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 the desired shape to are then molded 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 are typically able to return to work within one to two weeks, though more strenuous activity should be held off for two to three weeks. The possible risks associated with rhinoplasty may 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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