Liapakis IE, Englander M, Vrentzos NP, Derdas SP, Paschalis EI. “Secondary rhinoplasty fixations with hyaluronic acid”. J Cosmet Dermatol. 2013;12(3):235–239.

While there is no upper age limit for having rhinoplasty, patients may be advised to wait until they are 18 (when the nose is fully developed) before considering undergoing rhinoplasty. Sometimes breathing problems can be corrected at the same time of rhinoplasty; septoplasty, tip-internal valve-lower turbinates fixation consist the functional rhinoplasty. It is important to have a clear idea of how you would like your nose to look as well as to know there are some limitations to aesthetic nasal surgery.

Breathing problems, allergies or use of nasal spray should be monitored before surgery. In evaluating you for rhinoplasty, we will examine your nose both internally and externally. Skin quality as well as the size and shape of your nose must be carefully studied.

Sometimes, chin augmentation may be suggested so that a more harmonious facial balance can be achieved. With rhinoplasty, work is done on the cartilage and bone that form the structure of your nose.

Sometimes, certain bones may need to be altered in order to make your nose look narrower and straighter. If your nose needs to be augmented, this can be accomplished using cartilage from your nose or cartilage from another part of the body (ear or chest wall). The skin and soft tissues will re-position themselves over the new form of your nose.

In most cases, the incisions will be placed inside your nose so they will not be visible. If the base of the nose is narrowed or the nostrils reduced, small pieces of skin below the nostrils will be removed. When external incisions are recommended they are placed in well hidden areas as the crease where the nose and cheek join or where the nose and the lip join. Skin numbness after rhinoplasty may occur but is usually temporary.

Occasionally, secondary rhinoplasty may be necessary or better tiny injections of hyaluronic acid to optimize the results. Bruising is mostly gone after a week and you can use concealing makeup if you wish. Swelling, however, can last weeks or months though residual swelling usually affects the base of the nose and the nasal tip.

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