Rhinoplasty Plastic Surgery Procedure Steps

Rhinoplasty Plastic Surgery Procedure Steps

Posted on February 25, 2018

Nose reshaping cosmetic surgery or nose job, clinically called rhinoplasty, can be performed using different surgical techniques. The choice of technique will depend on the patient’s specific needs to improve the shape or size of the nose, or correct functional problems, or both. In any case, the steps involved in the rhinoplasty procedure will usually remain unchanged.
The surgeon will educate the patient about the procedure steps at the time of pre-operative consultation. Some surgeons may even show images or a video of the actual rhinoplasty procedure. Once the patient understands the procedure, they will often feel more confident about going ahead with the surgery.
Fiala Aesthetics Plastic Surgery, led by kind, compassionate, and board certified plastic surgeon Dr. Thomas Fiala, provides rhinoplasty to patients in Orlando, Altamonte Springs, FL, and other towns and suburbs in this part of North Florida.

Surgical Planning

Based on the information acquired during the consultation, the surgeon will create a customized revision nose surgery plan to perform the necessary corrective steps. The plan will be designed to ensure that the natural facial balance and harmony is not disrupted and overall facial balance and appearance of the face is enhanced.
A rhinoplasty will be performed using an open or closed surgery technique. The surgeon will determine the technique, the type of anesthesia to be used and the choice of surgical venue in consultation with the patient. The surgeon’s goal will be to achieve maximum aesthetic improvement in a less invasive manner.


Once the patient is brought into the operating room, they will be placed under anesthesia. General anesthesia or local anesthesia with IV sedation may be used in case of rhinoplasty. It will be administered by an anesthesiologist or a registered anesthetist nurse. They may remain present in the surgery room through the procedure to monitor the patient’s response.
Grogginess, nausea and other mild side effects may linger on for a few hours after the cosmetic surgery procedure. Patients can return home the same day, but they should have someone responsible to drive them back home and preferably have someone stay over for the first one or two days for assistance.

Surgical Procedure

Following anesthesia, the surgeon will place small incisions along the columella and inside the nostrils in case of open rhinoplasty. If closed rhinoplasty technique is used, then only the incisions in the nostrils will be placed to perform the procedure.
Through the incisions, the surgeon will remove, add or modify nasal tissue, cartilage and bone during the procedure as per the pre-determined surgical plan. Implants or grafting may be used for some patients. In case of closed rhinoplasty, the internal incisions will leave no visible scarring.

Wound Closure

Once the nose modification is completed, the surgeon will close the incisions with removable or dissolvable sutures. Temporary drain tubes will be placed beneath the skin in the incision area.
Nasal packing and a splint may be placed for a few days after the surgery is completed. Profound and reliable plastic surgeon Dr. Thomas Fiala receives patients from Orlando, Altamonte Springs, FL, and other neighborhoods and cities in this area of The Sunshine State for rhinoplasty.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ; coolsculptinginorlando.com
Serving patients in and around Greater Central Florida: Orlando, Altamonte, Lake Mary, Maitland, Winter Park, Clermont, Casselberry, Lake Mary, Longwood, Celebration, Heathrow, Windermere, Tampa, Jacksonville, Sarasota and more.


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Altamonte Springs, FL 32701
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