rhinoplasty/nose surgery

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Rhinoplasty, or nasal reshaping is a surgical procedure designed to improve the shape and size of your nose.  The degree of change may range from a subtle refinement of your nose to a dramatic change in the size and overall shape the nose.  Perhaps of all the cosmetic surgical operations available to the patient, rhinoplasty demands the greatest degree of precision and technical skill of the surgeon.  This is because the nasal skin and fine contour belies any small underlying imperfections.


Before Surgery

Some issues considered at the time of your consultation include:

Your general health

How you breath through your nose, and whether or not this needs to be addressed with the surgery

Previous nasal injuries of surgeries

The size and shape of your nose in relation to the rest of your facial features (e. g. your chin, lower jaw, etc)

The size and shape of each part of your nose (tip, bridge, nostrils, etc.) in relation to the other parts of your nose, i.e. is it proportional


Some of the more common reason patients seek consultation include:

A hump on the bridge of the nose

A wide bridge

A wide nasal tip

A boxy or bulbous nasal tip

A "ski-jump" nose

Being able to see the nostrils too much

A crooked nose

Large of wide nostrils

"high" or flared nostrils


These concerns can be addressed with the various techniques of rhinoplasty that an experienced and well trained Plastic Surgeon should have.


The Surgery

Rhinoplasty is usually performed under general anaesthesia and you may go home the same day.  The details of the specific type of rhinoplasty suited to your specific aesthetic concerns and functional requirements and the placement of the incisions is determined and discussed at length during the first consultation.  Depending on the desired result and the complexity of your specific problem, the surgery may take anywhere from less than an hour to more than three hours.

There are risks and complications with all surgical procedures such as bleeding and infection.  These as well as complications specific to rhinoplasty will be discussed at the time of your consultation.


After Surgery

1st post-operative visit within 48 hours after surgery to check for bleeding, level of discomfort, to answer any immediate concerns and remove gauze packing if used

1 week after surgery; splint is removed, sutures (if external sutures are required) are removed, in spite of swelling, difference in appearance of nose if often immediately evident, resume normal light daily activities

10 - 14 days after surgery:  return to work, bruising gone, swelling reduced, vigorous activity (exercise, heavy lifting) restricted

6 weeks after surgery:  swelling significantly reduced, resume normal activities, exercising etc.

3  - 6 months; most of swelling gone

6 months - 1 year:  remainder of swelling disappears.


before rhinoplasty

after rhinoplasty

actual  patient

Cosmetic Surgery .ca is a site designed to help you address your specific facial cosmetic surgery questions and concerns.  Whether it is the signs of facial aging or a part of your face  with which you have always been unhappy, Cosmetic Surgery .ca will help you learn about the cosmetic procedures best suited to your needs.  Within the Cosmetic Surgery .ca site,  you will find descriptions of specific  procedures such as Rhinoplasty (nose reshaping or nose job), genioplasty (chin reshaping), otoplasty (ear reshaping),  Blepharoplasty (eye lid surgery),  Botox™, Brow Lift,  Fat Injection,  Liposuction,  Facelift,  and  more.  In addition you will find before and after  photographs  of some of Dr. Fialkov's cosmetic surgery patients and links to other sites of interest. 

Cosmetic Surgery .ca also provides an opportunity for you to submit some of your specific queries  to the Cosmetic Plastic Surgery office of Dr. Jeffrey Fialkov, assistant professor of Plastic Surgery at the University of Toronto, and staff Plastic Surgeon at Sunnybrook and Women's Health Science Centre in Toronto.  Dr. Fialkov specializes in facial plastic surgery procedures, and  is a certified plastic surgeon with membership in the royal college of surgeons of canada. http://www.plasty.cachin_augmentation_surgery_toronto_genioplasty.htmlear_surgery_otoplasty.htmleyelid_blepharoplasty_surgery,_facial_cosmetic_plastic_surgery.htmlfacelift,_face_lift_toronto.htmlshapeimage_7_link_0shapeimage_7_link_1shapeimage_7_link_2shapeimage_7_link_3shapeimage_7_link_4shapeimage_7_link_5shapeimage_7_link_6