How Much does Rhinoplasty Cost?
Naturally, the cost of rhinoplasty surgery in Toronto varies according to the breadth of the cosmetic work being performed by the Toronto Plastic Surgeons. Typically, pricing for a tip-plasty starts at $4,999. However, the cost of a rhinoplasty that reduces the bridge of the nose and improves breathing is $8,999. If you are unsatisfied with the results of a previous rhinoplasty, performed elsewhere, the Toronto Plastic Surgeons can perform a revision rhinoplasty for $12,999.
How Long Does it Take to Recover from Rhinoplasty?
Significant swelling and bruising will subside 3 weeks after the procedure. However, please note that the reshaped nose will only start appearing natural about one month after the surgery. Also, please keep in mind that the final results of the surgery won’t become apparent until a year after the procedure.
How Long Does Rhinoplasty Take?
The length of the procedure depends on the complexity and extent of the cosmetic work performed. Typically, the Toronto Plastic Surgeons can perform a rhinoplasty procedure in 90 -120 minutes. Before they are driven home, patients will receive post-operative instructions from their doctors.
What is a Rhinoplasty?
Commonly known as a nose job, rhinoplasty refers to a common cosmetic surgery designed to improve the shape and functionality of the nose. In addition, the surgery is also used to repair issues related to breathing and airflow in the nose. Patients often opt to undergo a nose job to repair unsightly imperfections and improve the body part’s aesthetic appearance.
While a rhinoplasty procedure is considered to be one of the most intricate and complex facial cosmetic surgeries, the Toronto Plastic Surgeons utilize advanced surgical techniques and decades of experience to leave you with long-lasting and natural-looking results.
Who is a Rhinoplasty Candidate?
There is no particular age restriction for a rhinoplasty procedure, and there is no specific trait that defines a “good” candidate. For the very young, the nose has to have stopped growing, usually about17-18 years old, before considering rhinoplasty surgery. Fundamentally, good candidates are patients who want to improve the appearance of their nose and would like to boost their self-confidence.
While there are no specific traits that dictate candidacy, there are certain conditions that can make the process more seamless. A well-defined bone structure can make a great deal of difference for a rhinoplasty procedure, as the cosmetic surgeon will have proper support while performing alterations.
As is the case with most cosmetic surgery procedures, good rhinoplasty candidates have realistic expectations concerning the risks and benefits of the surgery. Good health and a lack of serious medical conditions are vital for a proper recovery following a rhinoplasty procedure.
Finally, please note that individuals who are pregnant at the time of surgery or who have had multiple rhinoplasty procedures in the past are not candidates, as they may have soft nasal tissue that does not lend itself to repeated surgery.
Benefits of Rhinoplasty
Improve Face Symmetry
A cosmetic rhinoplasty procedure improves several common aesthetic imbalances between the nose and the face.
Fix Bridge Bumps
Rhinoplasty procedure eliminates bridge bumps, which result from an overgrowth of cartilage.
Reduce Nasal Bones
Rhinoplasty cosmetic surgery can reduce excessively wide nasal bones that make the nose look large and unsightly.
Straighten Crooked Nose
A crooked nose can overpower your face. A rhinoplasty procedure can make alterations that boost self-confidence.
Reduce a Bulbous Tip
A large, bulbous tip can be unsightly, but a rhinoplasty, or tip-plasty, can create a more defined and attractive tip which will harmonize with your facial features.
Fix a Bridge Scoop
A bridge augment with bone, cartilage, or an implant can restore more natural and attractive bridge height and renewed strength to the nose.
Like every procedure, rhinoplasty comes with a small chance of potential complications. The best thing patients can do to minimize the likelihood of complications is to select a trusted top rhinoplasty surgeon. The team at Toronto Plastic Surgeons have years of experience performing rhinoplasty. Significant complications are uncommon and, in the rare event they occur, are expertly managed.
- Irregularities of the Nose Bridge: These small irregularities of the nose bridge may occur from the shifting of bones after the surgery. However, they can generally be adjusted with simple molding.
- External Scars: The external scar on the columella typically heals imperceptibly but can occasionally be visible.
- Compromised Breathing: There is a risk of compromised breathing after making the nose smaller and more attractive, so the surgeon will always be sure to perform an airway surgery when indicated during your rhinoplasty. Rarely, even after rhinoplasty and septoplasty, compromised airflow can occur and may require further airflow surgery.
- Infections: Although infections are very rare after rhinoplasty procedures, Dr. Mulholland and his experienced team still prescribe a prophylactic antibiotic after surgery and take every precaution to ensure that the surgery is a smooth, seamless experience.
Why Choose TPS for a Rhinoplasty Procedure?
As with any plastic surgery, it is important to find the best nose job surgeon with experience and expertise in the area. The nose is a delicate and prominent part of the face that needs the utmost care and precision.
Dr. Stephen Mulholland has performed over a thousand purely cosmetic rhinoplasty procedures over the past 22 years, making him one of Canada’s most respected leaders in rhinoplasty surgery. He is dual certified and trained in both ENT, Head and Neck Oncology and craniofacial trauma, as well as being a certified plastic surgeon, which has afforded Dr. Mulholland a deep understanding of both naso-facial anatomy as well as nasal and airway function.
By performing a computer-simulated rhinoplasty surgery during your consultation, Dr. Mulholland is able to ensure that the outcome of the procedure matches the expectations of the patient. Rest assured that, with the Toronto Plastic Surgeons, you’re in safe hands before, during, and after the procedure.
Rhinoplasty procedures are also performed by Dr. Michael Roskies. An expert in his field, Dr. Roskies is known for his exceptional talent in rhinoplasty surgery. Cleveland Clinic trained Dr. Roskies is Canada’s foremost expert on Ultrasonic Rhinoplasty, using an ultrasound handpiece to break the nose without bruising. Since launching his career, Dr. Roskies has received countless accolades, as well as published dozens of academic articles on facial surgery. He remains the only surgical resident in history to receive research awards at the provincial, national, and international levels for his work in facial reconstruction. As a part of the Toronto Plastic Surgeons, Dr. Roskies focuses exclusively on the face and neck.
Different Types of Rhinoplasty
Broadly speaking, rhinoplasty surgery can be divided into two categories: external and internal. The Toronto Plastic Surgeons are experienced in both types of rhinoplasty and will perform the best approach suited to your best outcome.
An external rhinoplasty involves changing the complex anatomy of the nasal tip in order to produce natural-looking results. During an external rhinoplasty, a small incision is made at the base of the nose to lift the nasal skin up over the bone structure.
Internal rhinoplasty involves making incisions within the nose and nostrils in order to address concerns regarding obstructed airways, minor tip problems, or reducing a bridge bump. However, this approach is not recommended for intricate work that changes the tip of the nose.
Non-Surgical Rhinoplasty Alternatives
An injection rhinoplasty, or “5-minute nose job”, can be an excellent option for those patients who want to change their nasofacial shape, but do not want to undergo rhinoplasty surgery. An injection rhinoplasty involving dermal soft tissue filler, such as Juvederm, Restylane, Revanesse, and/or Teosyal, injected under the nasal skin to improve the appearance of bridge bumps, bridge scoops, crooked noses, and bulbous tips.
A dermal filler can even be used, on occasion, to help with nasal breathing obstruction. Dr. Mulholland helped pioneer the “5-minute nose job” over the past 10 years and you can see him on YouTube appearing on many network TV shows performing the injection rhinoplasty.
Computer Simulated Nose Job Surgery: Try Before you Buy
To ensure patients remain informed about the possible outcome and nasofacial appearance with different strategies, a computer-simulated rhinoplasty is included in each consultation. This computer-generated image ensures that patients witness the range of improvements that are likely to occur as a result of the procedure. As Dr. Mulholland has been performing rhinoplasty procedures for several decades, he can accurately depict the outcome of the procedure via a computer-generated image.
How is Rhinoplasty Performed?
All rhinoplasty procedures are performed within the comfort of the modern Toronto Plastic Surgeon Surgical suites. The surgery is entirely personalized and specifically designed by our expert team to match your desired results.
Prior to your surgery, Dr. Mulholland and an anesthesiologist will administer general and local anesthesia to ensure that the procedure is completely painless. During the procedure, the surgeon will make a small incision to access the bone structure.
Once gaining access, the doctor will proceed to make the planned alterations, including bridge reduction and tip support augmentation. Finally, the nostrils may need to be reduced and narrowed and airway/airflow surgery performed to ensure there will be less risk of airway obstruction after the surgery.
Following the procedure, patients will rest in our recovery room for a couple of hours before being assessed by our specialist nursing team and returning home.
How to Prepare for Rhinoplasty
To ensure a successful rhinoplasty surgery, the doctor will advise that you follow certain preparations in the weeks leading up to your procedure date:
- Smoking should be discontinued two weeks leading up to the procedure and two weeks after. Those who continue to smoke will have a longer recovery period and a greater likelihood of complications.
- Two weeks before your procedure, patients must cease taking any medication that contains Aspirin.
- Six hours prior to surgery, patients must not consume any food or drink. Small sips of water are permitted, however.
- Avoid sun damage two weeks before surgery. This can be achieved by wearing sunscreen.
What to Expect After Rhinoplasty
Rhinoplasties are procedures that boast an impressively brief recovery period for patients. After surgery, the patient will be driven home with an internal packing and cast designed to minimize the risk of bleeding from the septal airway surgery. Three days later, the patient will return to the Toronto Plastic Surgeons to remove the nasal packing, allowing the patient to breathe through the nose far more easily.
Day of Surgery: The patient returns home with internal packing to minimize the risk of bleeding. Bruising and swelling will be present under the eyes.
3 Days After Surgery: The Toronto Plastic Surgeons remove the packing, allowing the patient to breathe more easily.
1 Week After Surgery: The scar of the external rhinoplasty procedure is healed and barely visible. Makeup can be applied and the patient may also return to work.
3 Weeks After Surgery: Noticeable swelling and bruising begin to subside, allowing the patient to appear in public and social events without feeling self-conscious.
6 Weeks After Surgery: The patient may resume physical activities. At this point, the reshaped nose begins to appear natural, as the swelling has almost completely subsided.
How Painful Is It to Get a Rhinoplasty?
Due to the anesthesia administered during the procedure, the patient will not feel any pain during the surgery. While it is normal to experience some swelling and discomfort after the surgery, there will be no extreme or long-term pain. In fact, this irritation can be easily controlled with oral medication prescribed by the Toronto Plastic Surgeons.
Will I Need to Have a Post-Procedure Touch-Ups?
No, you will not need to have any post-procedure touch-ups following your rhinoplasty with the Toronto Plastic Surgeons. In fact, in his 20 years of experience performing rhinoplasty procedures, Dr. Mulholland has only performed touch-ups in 2-3% of his patients. However, should you be unsatisfied with the outcome of the rhinoplasty procedure, a revision rhinoplasty can be performed. The most common touch-up is the sanding down of a small bony fragment on the bridge, which can be performed under local anesthesia.
Can Rhinoplasty Improve My Breathing?
To counteract the potential airflow obstruction and breathing problems that can occur after a nose job, the Toronto Plastic Surgeons may be required to perform a complimentary procedure designed to enlarge the airway passages (and may also include turbinate and valvular procedures). Known as a septoplasty, this procedure serves to improve breathing and compensate for a smaller nose.
How Long Will My Rhinoplasty Last?
A rhinoplasty is a change in the naso-craniofacial structure and is stable once it has healed and will last the rest of your life. The nose can still be broken and shift, but it would require significant force to damage it.
How Do You Stop a Nosebleed After Rhinoplasty
Along with pinkish-red discharge from your nose and throat over the first 3-4 days, a bit of bleeding in the first 12 hours post-op is considered normal. You might need to change your gauze several times during this period, and you’ll be thoroughly instructed on how to do so. If, after this period, you experience heavy nasal bleeding, lie down immediately and prop your head up on 3-4 pillows. Some patients find that nasal decongestants such as Afrin help with bleeding. If you are not able to stop the bleeding, don’t hesitate to call our office for further advice.
Are You Board-Certified for Rhinoplasty?
Board certification status is the best indicator that your surgeon of choice remains at the forefront of knowledge in their specialty. At Toronto Plastic Surgeons, all of our outstanding surgeons are above-and-beyond board certified. Feel free to visit our Surgeons page for more on the extensive and impressive schooling, certification, awards, and hands-on experience boasted by our entire team. Our surgeons are not only certified—they’re recognized as trailblazers in their field, and they work hard to stay on the cutting edge.
What Are My Options If I Am Dissatisfied with the Cosmetic Outcome of My Nose Surgery?
At Toronto Plastic Surgeons, we offer patients computer simulated nose job surgery so that the results one can expect are understood in advance. Nonetheless, on rare occasions, your rhinoplasty may not yield the results you hoped for. It’s best to wait for all post-surgical swelling and bruising to go away before jumping to conclusions, and it’s also important to keep in mind that while some patients look good at three weeks, others’ final results are not apparent until three months or even six months post-op. If you have fully healed and remain dissatisfied, schedule an appointment—we would be more than happy to discuss your full range of options.
How Should I Prepare for Rhinoplasty?
In preparation for your rhinoplasty surgery, you will be asked to undergo certain lab tests to ensure you have a clean bill of health. Your doctor may also ask that you take certain medications or adjust ones you’re currently taking. If you smoke, you’ll be asked to stop in advance of your surgery. Other strong recommendations pre-op include avoiding aspirin, anti-inflammatory drugs, and herbal supplements, as these can increase bleeding. Additionally, it’s a good idea to arrange for someone to drive you to and from your surgery and to stay with you for the first night post-op, as you’ll need to focus 100% on your healing.
What Should I Eat Before Rhinoplasty?
Be sure you’re getting enough protein daily in the month leading up to your surgery: that’s 50 to 60 gm per day for women, and 70 to 90 gm for men—or, about 0.5 gm per pound of body weight. Protein-rich foods include lean chicken, turkey, beef, fish, shellfish, as well as breads, cereals, grains, potatoes, pasta and vegetables. If you’re a vegetarian, meats can be substituted with eggs, cheese, legumes, tofu, and nuts. Carbohydrates like beans, whole grain pasta, brown rice, and quinoa are a wonderful complement to your protein. Avoid excess garlic, as it can increase your susceptibility to bruising.
Can I Drink Water Before Rhinoplasty?
It’s very important not to eat or drink anything including water after midnight the night before your rhinoplasty surgery (at least 12 hours before your surgery). Do not chew gum. When brushing your teeth the morning before surgery, avoid swallowing water when rinsing your mouth. Essential medications may be taken with a sip of water if absolutely necessary. Not drinking water before surgery is a very important precaution as failure to comply can result in aspiration pneumonia or lung problems. If you forget and eat or drink before your surgery, be sure to let your doctor know right away. Most likely, your surgery will have to be rescheduled.
Can You Take Tylenol Before Rhinoplasty?
For two weeks before your surgery, it’s important to avoid certain medications such as aspirin, ibuprofen (such as Advil and Motrin), naproxen (Aleve), and other non-steroidal anti-inflammatory meds, as well as Vitamin E, herbal supplements, or any medications containing these compounds, as they can increase your risk of bleeding. Acetaminophen (Tylenol or a generic equivalent) is fine however, as is your daily multivitamin.
Can You Brush Your Teeth After Rhinoplasty?
During your recovery, it makes sense to avoid stress and pressure on or around your nose at all costs, and this includes taking it easy with your toothbrush. Aggressive tooth brushing can actually shift your upper lip, potentially affecting the cartilage and tissue of your nose as it works to heal. So, by all means, keep brushing your teeth, but be sure to brush them carefully and gently.