Rhinoplasty Breakdown: What To Know About A Nose Job

by Dr. Ramtin Kassir, M.D., F.A.C.S. | Oct. 20, 2017, 12:18 p.m.

Many of us dream of what we would look like with a different nose, but the unknown can leave one feeling a bit uneasy about actually doing it. Learning more about the procedure is key, so we created a short breakdown to help further you gain more insight into the surgery.

Types Of Rhinoplasty:

  • Closed Rhinoplasty - Surgery is done via the nostrils, with no incisions made to the exterior skin.

  • Open Rhinoplasty - An incision is made at the base of the columella - the skin and cartilage resting between the two nostrils.

The Ideal Age - The Shoe Test: The ideal age is when one’s face has fully matured. One way to gauge this is by evaluating your shoe size. If your size hasn’t changed over the course of the past few years, you’ve more than likely reached the appropriate physical maturity level.


  • For women, this typically is between ages 14-16.

  • For men, this occurs between ages 15-18.

Healing Process:

  • Pain - The first day most will experience intense pressure in the sinus region, though almost all patients do not experience any pain greater than one would feel during a persistent headache (Think dull, achy pressure, not sharp, intense sensation). Once packing is removed the following morning, most find discomfort diminishes significantly.

  • Scarring - The Incision placement makes the scarring nearly imperceptible within the first few months, and should gradually fade to blend in with rest of natural skin pigmentation.


  • the exterior ones are removed a week after surgery. Removal does not hurt, you’ll just experience a slight pressure. The interior stitches are dissolvable, so over time they’ll disappear on their own.


  • The time varies depending on the surgeon and their level of technical competence. Typically, my rhinoplasty surgeries range anywhere from 40 minutes to 2 hours, depending on how extensive the surgery is.

Type Of Anaesthesia:

  • General: When it comes to surgeries that involve boning work, internal functional issues and the external tip, we use general anaesthesia.

    • This type allows the airway to be protected, because you’ll remain in a relaxed state. It also is not only easier on the surgeon, but also on both the patient and anaesthesiologist.

  • Local: On occasion, we do use local anaesthesia, which involves shots directly the specific area. After about 10 minutes, the area will be completely numb, permitting the surgery to ensue while patient is awake.

    • This method is generally used when conducting revision rhinoplasty.