In this section
While the shape of
your child's nose is usually the result of heredity, the appearance may have been
altered in an injury or during prior surgery. Also known as rhinoplasty,
surgery of the nose improves the appearance and proportion of your nose,
enhancing facial harmony and self-confidence. Surgery of the nose may also
correct impaired breathing caused by structural abnormalities in the nose.
The practice of
medicine and surgery is not an exact science. Although good results are expected,
there is no guarantee. In some situations, it may not be possible to achieve
optimal results with a single surgical procedure. Another minor surgery may be
necessary to reach the intended aesthetic goal.
Prior to surgery, your child may be asked to:
Special instructions you receive will cover:
Your surgeon will explain in detail the risks
associated with surgery. You will be asked to sign consent forms to ensure that
you fully understand the procedure your child will undergo and any risks or potential
The risks include:
Be sure to ask questions: It’s very important to
ask your surgeon questions about your child's nose procedure. It’s natural to feel some
anxiety, so don’t be shy about discussing these feelings with your
your child experiences shortness of breath, chest pains, or unusual heart beats, seek
medical attention immediately. Should any of these complications occur, you child may
require hospitalization and additional treatment.
Following your surgeon’s instructions is key to the success of
your child's surgery. It is important that the surgical incisions are not subjected to
excessive force, abrasion, or motion during the time of healing. Your surgeon
will give you specific instructions on how to care for your child.
the procedure is completed, a splint, internal tubes or packing will likely be
placed inside your child's nose and a splint or bandages placed on the outside to
support and protect the new structures during initial healing.
will be given specific instructions that may include: How to care for the
surgical site, medications to apply or take orally to aid healing and reduce
the potential for infection, specific concerns to look for at the surgical site
or in your child's general health, and when to follow up with your surgeon.
sure to ask your surgeon specific questions about what you can expect during
your individual recovery period.
may take several months for swelling to fully dissipate and up to a year – and
sometimes longer – for the outcome of the surgery to fully refine.
the results of nose surgery are usually permanent, cartilage may continue to
reshape and move tissue that may change the outcome over time.
What happens during nose surgery
Medications are administered for your child's comfort
during the surgical procedure. The procedure will be under a general
Surgery of the nose is performed either using a
closed procedure, where incisions are hidden inside the nose, or an open
procedure, where an incision is made across the columella, the narrow strip of
tissue that separates the nostrils. Through these incisions, the soft tissues
that cover the nose are gently raised, allowing access to reshape the structure
of the nose.
Surgery of the nose can reduce or augment nasal
structures with the use of cartilage grafted from other areas of your body.
Most commonly, pieces of cartilage from the septum,
the partition in the middle of the nose, is used for this purpose.
Occasionally a piece of cartilage from the ear and
rarely a section of rib cartilage can be used.
If the septum is deviated, it is now straightened
and the projections inside the nose are reduced to improve breathing.
Once the underlying structure of the nose is
sculpted to the desired shape, nasal skin and tissue is re-draped and incisions
are closed. Additional incisions may be placed in the natural creases of the
nostrils to alter their size.
Splints and internal tubes will likely support the
nose as it begins to heal for approximately one week.
While initial swelling subsides within a few weeks,
it may take up to a year for your new nasal contour to fully refine.
During this time you may notice gradual changes in
the appearance of your child's nose as it refines to a more permanent outcome. Swelling
may come and go and worsen in the morning during the first year following
Nose surgery to improve an obstructed airway
requires careful evaluation of the nasal structure as it relates to airflow and
breathing. Correction of a deviated septum, one of the most common causes of
breathing impairment, is achieved by adjusting the nasal structure to produce