Rhinoplasty or nose surgery explained

Rhinoplasty or nose job is fast becoming the number one procedure performed, learn about different techniques, open vs. closed rhinoplasty as explained by Sacramento plastic surgeon Dr. Mabourakh.

Rhinoplasty is the most intricate surgery to perform. Nose surgery (nose job) takes years to learn well, that’s due to the fact that even a millimeter of change makes a difference in the final outcome. Despite being a challenging surgery for any surgeon it is by far the most interesting surgery in my opinion. I like to start my rhinoplasty consultation with asking patients to tell me what their ideal nose looks like, and encourage them to bring pictures of noses they like, and even those they do not like. As you have heard before a picture is worth a thousand words. By looking at these photos, I have a better understanding of what each patient is expecting. The next step is a good history, it is important to know about previous trauma, surgery, difficultly breathing, or snoring history.

What are some of the more common rhinoplasty questions?

  • Is rhinoplasty painful?
    Nose surgery can be performed under general anesthesia with the patient completely sleep or under mild to deep sedation. Prior to start of surgery the entire nose is numbed including the inside, that means there is no sensation of pain during the surgery. When patients wake up there is no pain. Even after surgery most people take very little pain medications.
  • What is recovery like after nose surgery (nose job)?
    After rhinoplasty a splint is placed on the nose over steri strips that are taped on the skin to protect the skin. This splint will stay on for 7 to 10 days, after which the area is re-taped for one more week without the splint. Every surgeon uses a different technique. Activity is limited for approximately 2 weeks. Most patients can drive in 3 to 5 days and return to a desk job in same time period, if presence of a splint is not a problem. Theere my also be bruising of eyes for up to 2 weeks. There are vitamin and herbal supplements that can reduce bruising.
  • Who is a good candidate for nose surgery?
    Any one can be a good candidate for rhinoplasty if there are no health issues and patient expectations from surgery are realistic and reasonable. I like to have a long consultation regarding what patients can expect from surgery. The photos that are brought in are for guidance and should not be used for expectations of result of surgery.
  • Is Photo imaging for nose surgery available?
    Yes, I perform photo imaging, both to assist me during surgery and help patients visualize the final result. But this imaging is not a guarantee of final result.
  • Is nose surgery covered by insurance?
    Most rhinoplasties are considered cosmetic and not covered by Sacramento area  insurance companies. However, there are parts of the surgery that can be covered. If there is breathing difficulty that has not responded to medical treatments, septoplasty and other internal nasal surgery can be considered a covered benefit to help improve breathing. These procedures are medically necessary and may be covered by insurance with Prior authorization obtained from the insurance carrier. My staff can obtain this authorization for you, and we have contracts with most insurance carriers and HMO plans in the Sacramento area, such as Hills Physician medical Group and Sutter Medical Group
  • What is open rhinoplasty vs. closed rhinoplasty?
    Open rhinoplasty technique involves a small incision at the base of the columella. This incision is well hidden and heals well. All other incisions are inside the nose. The technique allows better access and a more reliable and reproducible result. Closed rhinoplasty is used mostly for limited nose surgery such as hump removal.
  • For more information please contact our office for an appointment.
  • Check out our rhinoplasty photo gallery