Nose Procedures- Rhinoplasty, Septoplasty and Turbinectomy

If it’s not your smile, your nose is the next thing people see when they look at your face. While makeup contouring can only go far, if your nose just doesn’t fit then maybe it’s time for a change. Rhinoplasty is a surgical procedure done to address problems with appearance and function. It is one of the most commonly performed cosmetic procedures. Rhinoplasty can also be used to correct an undesirable nasal tip or to reshape the span of the nostrils. This surgery can help with your self-image if you are self-conscious about your nose.

shutterstock_247927576WHAT IS RHINOPLASTY?

Rhinoplasty is a surgical procedure done to correct a prominent, unusual asymmetric or irregular nose. It is one of the most commonly performed cosmetic procedures. Rhinoplasty can also be used to correct an undesirable nasal tip or to reshape the span of the nostrils. This surgery can help with your self-image if you are self-conscious about your nose.


A Septoplasty (one form of rhinoplasty) is a corrective procedure that straightens the nasal septum (the partition between the two nasal cavities). A septoplasty can straighten a deviated, twisted, bent, or crooked septum to improve breathing, reduce the incidence of nasal and sinus infections, and increase comfort.


Turbinectomy is a surgery used to correct a breathing obstruction or other afflictions by removing part of the turbinate structures (both bone and soft tissue) in the nasal cavity. Turbinates are bony structures that originate along the sides of the nasal passage and project into the nasal airway. The turbinates can become enlarged as a result of trauma or infection and can clock sinus draining and breathing. This procedure will open the nasal airway and will improve breathing by removing some or all of the turbinates.


Candidates must be in good health, have no active diseases or serious pre-existing medical conditions, and must have  realistic expectations of the outcome of the surgery. In general, Rhinoplasty should not take place until after the nose approaches adult size.

NOTE: You may not be a candidate for surgery if you smoke, have recently quit smoking, or if you are exposed to second-hand smoke. Primary and secondary smoking decreases blood flow to the body’s tissues. This can result in prolonged wound healing, skin loss, infection, increased scarring, and a number of other complications depending on the kind of procedure performed.


The technique chosen by Dr. Aguilar for your surgery will be determined by your anatomy. Two major techniques are called rhinoplasty and open rhinoplasty. In the open technique, an incision is made in the skin between the two nostrils. This technique allows Dr. Aguilar to completely visualize the internal structures of the nose and place sutures precisely where the are required. The disadvantage of open rhinoplasty is  the post-operative swelling may take significantly longer to subside. The scar from the procedure is most often quite small and will fade rapidly. Closed rhinoplasty does not require and external incision. This technique doesn’t not disturb the tissue as much and heals more quickly.


First, schedule a personal consultation with Dr. Aguilar. You will have the opportunity to discuss your goals and the results you would like to achieve. Dr. Aguilar will work with you to reach an understanding about what you can expect from this procedure and what long-term benefits you will experience. Every patient is different and we will choose the surgical technique and treatment plan that’s right for you during your initial consultation. You will be asked for the following:

  • Complete medical history including previous surgical procedures, past and present medical conditions and all medications or herbal supplements that you’re taking.
  • Except Dr.Aguilar to evaluate your face, including the skin and underlying bone.
  • Photographs will be taken for your medical record
  • Be prepared to discuss possible risk and complications of the procedure.

You will be given specific instructions on how to prepare for your surgery. A pre-operative information packet will be provided that explains everything you should do and know before your surgery date. Make sure you understand the costs of the surgery. If your rhinoplasty is for cosmetic reasons, it’s much less likely to be covered by insurance. Avoid taking painkillers (ibuprofen and aspirin) 2 weeks before and after the surgery as these medications slow down the blood-clotting process. Taking these medications can make you bleed more. Because of the anesthesia, you should arrange for someone to drive you home and care for you after your surgery.


To reduce bleeding and swelling, you’ll want to rest with your head elevated above your chest. If your nose is swollen or packed with cotton, you might feel congested. Patients are usually required to leave splints and dressings in place for up to a week after surgery. As with any surgery, you should avoid strenuous activity for several weeks to allow your body to heal, and no contact sports for 8 weeks (e.g. basketball, soccer). Although much of your results can be seen after 3-6 weeks, there can still be significant changes seen up to 1 year (or longer) after surgery.