Rhinoplasty in Toronto – Refine Your Nose Shape

Individuals considering nasal surgery (rhinoplasty) may be at different stages of decision-making, ranging from initial interest to having a consultation with a qualified surgeon to discuss their concerns and goals.

At La Fontaine Source De Jeunesse Cosmetic Surgery Centre, patients are assessed by a surgeon to determine whether rhinoplasty is appropriate based on individual anatomy, medical history, and clinical evaluation.

Rhinoplasty is a surgical procedure that is planned on a case-by-case basis and is tailored to each patient’s specific needs and anatomical considerations, with attention to safety and medical appropriateness.

A thorough consultation is an important part of the surgical process, during which the surgeon reviews the procedure, potential risks, benefits, limitations, and expected recovery, and addresses patient questions to support informed decision-making.

La Fontaine Source De Jeunesse Cosmetic Surgery Centre includes Dr. El Masri as part of its surgical team. Dr. El Masri is a qualified cosmetic surgeon with experience in rhinoplasty and facial and neck surgical procedures.

Consultations are available for patients considering nasal or facial surgery. During consultation, patients are assessed individually to determine suitability for surgery based on clinical evaluation, medical history, and anatomical considerations.

The clinic provides services in Toronto and offers consultations in multiple languages, including Armenian, Arabic, French, Italian, and English. Patients are encouraged to contact the clinic to inquire about consultation availability at 416-962-4444.

Rhinoplasty is a surgical procedure that involves altering the shape and structure of the nose. It may be performed for aesthetic reasons, functional reasons such as improving nasal airflow, or a combination of both. Because outcomes vary depending on individual anatomy and clinical factors, patients are assessed on a case-by-case basis to determine suitability for surgery. During consultation, the surgeon reviews the procedure, potential risks, limitations, expected recovery, and possible outcomes. A consultation is an important part of the process to ensure patients have appropriate information to make an informed decision regarding surgery.

A cosmetic rhinoplasty involves incisions made inside and outside of the nostrils. Where the incisions are made is dependent on what kind of nasal issue is being addressed. During the nose surgery, cartilage, bones, and soft tissue are reshaped to meet the patient`s desires best.

A septoplasty surgery focuses on straightening the nasal septum to reduce obstructions to the nasal passage. When the nasal septum`s position prevents air from flowing through the nose properly, sinus issues and infections can occur. A septoplasty can help patients who suffer from serious sinus problems.

An injection rhinoplasty works to correct the nose`s size and shape by injecting a filler into the nose for a smoother appearance. Injection rhinoplasty is minimally invasive, involves very little pain and swelling, and provides immediate results.

Two types of incisions can be made when undergoing nose surgery: open/external rhinoplasty and closed/internal rhinoplasty.

Open rhinoplasty involves incisions made at the base of the nose. Specifically, the incision is made across the tissue that separates the nostrils, called the columella. Next, the nasal skin is lifted over the cartilage and bone to allow surgeons to access the entire nasal structure.

Closed rhinoplasty involves incisions made inside the nostrils to eliminate the appearance of scars. However, internal rhinoplasty is best suited for less dramatic procedures to the nose. These can include small changes to the dorsal bridge, tip, and nasal passages.

Most surgeons combine both the open and closed rhinoplasty during a nose surgery to better access the nasal structure while leaving minimal scarring and maintaining nasal function.

Most patients undergo rhinoplasty for aesthetic concerns. Nose surgery can make several different cosmetic corrections. Some may find that they prefer a straighter nose bridge due to a hump on their nasal bridge. Others may want to change the shape and size of the tip or base of their nose. Some other patients may desire a shorter or longer nose due to protruding or a stumpy appearance, respectively. It is also common for patients to want to straighten crooked noses.

Many people may find that due to an overgrowth of the bones and cartilage in the nasal bridge, which is most often hereditary, they have a bump along the bridge of their nose. This bump may also occur as the result of an accident or injury. This bump often makes the nose appear more prominent on the face and can elongate its appearance from different angles. During the nose surgery for a dorsal hump alteration, incisions are made either internally or externally, depending on whether the nose`s tip needs to be addressed. Most frequently, open rhinoplasty is used because this type of incision allows surgeons to access a large area of the nasal structure to assess what corrections need to be made properly. Once the small incisions are made, the bridge bump`s bones and cartilage are filed down using a nasal rasp, and excess cartilage is removed. The incisions are then stitched closed.

Some people may have a large tip of the nose, usually caused by excess growth of the lower lateral cartilages. Injury may also cause this to happen. During the procedure, an open rhinoplasty is done, and the upper portion of cartilage on the tip of the nose is removed. The remaining cartilage is then contoured to ensure a pleasing and proportionate appearance. Finally, the incisions are sutured together.

A bulbous tip may also be the cause of an overly protruding nose tip. This problem requires the nose`s tip to be dropped to be proportioned to the rest of the nasal structure. This correction is done by removing lower lateral cartilage from the tip of the nose.

To correct extensive nasal bones, the doctor must first break the nasal structure. Surgically, this procedure is referred to as a nose osteotomy. During the nose surgery, specific tools are used to break the nasal bones and push them inward. This will decrease the width of the upper part of the nose. The nose`s bridge will be filed to an appropriate shape during the surgery to ensure a smooth appearance and contour.

In the case of an extremely narrow nose, patients may find their nasal structure is too thin and weak. As a result, when they inhale, the middle portion of the nasal structure collapses. During the nose surgery, cartilage can be taken either from the ear or the nasal septum and sutured together to widen and support the thin nose`s middle section. This helps to prevent the nose from collapsing when inhaling.

Those with very long noses may find this aesthetically displeasing, as their long or protruding nose looks dis-proportioned to the rest of their face. Most of the time, along with a long nose, patients may have a bridge bump and a deviated septum. To change the nose`s length, it is important to determine the nose bridge`s strength and structure to evaluate if it needs to be altered with the surgery. During the procedure, an open rhinoplasty is done, and the skin on the bridge of the nose is lifted. Next, the lower part of the septum is removed to shorten the length of the nose. As the nose`s tip is now shortened, it must be properly supported by grafted cartilage and closed with sutures after the nose surgery.

Some patients may have an excessively short nose or a nose with little projection. During the procedure, open rhinoplasty is done, and the cartilage in the nasal tip is modified to the desired length. The cartilage change is supported by cartilage grafted onto the columella, allowing the nose to stay projected for a long time.

A weak nose bridge results from having insufficient bone and cartilage in the nose bridge, leaving the nose bridge to sink in. This may also occur from injury or irregularities from a previous rhinoplasty. There are two ways to correct this problem: an injection rhinoplasty or insertion of cartilage and tissue. An injection rhinoplasty would involve injecting a filler to strengthen the nose bridge and reconstruct it. However, these results last up to two years. A more permanent solution would be to surgically remove and insert bone, cartilage, or tissue from another part of the body to the nasal bridge. As well, an artificial solution would be to insert silicone to lift and strengthen the nose bridge.

Those with excessively wide nostrils can undergo rhinoplasty to decrease the width of their nasal bones. During the procedure, either an open or closed rhinoplasty is done, and then a small portion of the nostril tissue is removed.

A rhinoplasty procedure can also improve nasal function or correct the deformation of previous rhinoplasty surgery. During the procedure, patients are given either local or general anesthesia. Open or closed rhinoplasty can be done, depending on the severity of the correction needed. Due to the nature of this specific type of rhinoplasty, surgeons may either need to re-position already existing cartilage and tissue in the nose, or they may have to replace previously removed cartilage and tissue to provide improved results. Though the recovery process will vary for each patient, patients find less swelling, bruising, and pain in a revision surgery than a first-time rhinoplasty.

Most rhinoplasty surgeries take between one to three hours, depending on the type of procedure being done. Patients may need to rest after the surgery for a few hours before going home but will return home on the same day.

To determine which type of procedure would be most suitable for each patient, patients should be honest about their expectations and any health problems during a consultation with a surgeon. A consultation will also allow surgeons to answer any questions or concerns before undergoing rhinoplasty surgery. To better understand what the results of rhinoplasty may look like, patients can see before and after images of previous patients who have undergone rhinoplasty. Another preferable option is for patients to view computer imaging of the outcome of their rhinoplasty surgery.

During many rhinoplasty surgeries, it is common for nasal fluid to flow back into the throat. Surgeons must be aware of this factor and provide a throat protector to prevent this fluid from entering the lungs. A throat protector is usually given with general anesthesia. In addition to the general anesthesia, local anesthesia is injected into the nose to minimize pain, bruising, and swelling after the procedure. Local anesthesia alone can be used for procedures that solely focus on the tip of the nose. Nonetheless, rhinoplasty surgeries involve very minimal pain. After the surgery, a sterile packing is placed inside the nose and kept for about three days to reduce bleeding. A cast is also placed on the nose to support the bones that may have needed to be broken during surgery. The cast is usually left on the nose for a week. The doctor will administer pain medications to accommodate any post-operative pain.

Caucasian patients considering rhinoplasty typically have an overly projected nasal tip. The tip itself may be shaped like an equilateral triangle. As well, the nasal bridge tends to be higher on the face. Though this varies, it is not uncommon for Caucasian patients to have thinner skin on the skin, which is also a factor to consider when doing rhinoplasty. It is not appealing to have surgical changes show from under the skin. It is common for the columella`s skin on the noses of Caucasian patients to belong, so it is crucial that cartilage grafting be placed properly.

Patients who fall under this category typically have noses with a less projected and wider tip. The nose bridge may also be lower. The nose may start lower on the face, and the columella may be short. Sometimes doctors must remove the skin at the base of the nose to narrow the nose`s width because African-American/Canadian and patients mixed with Black may have thicker skin. Surgeons must be cautious not to reduce the nose excessively, as this will lead to a disfigured and unappealing nose. The noses of African-American/Canadian and mixed-race patients are likely to vary greatly in size, shape, and thickness of skin so that a skilled surgeon will take all of this into account.

Those of Asian descent, excluding South Asians, may also have certain similarities in their nose`s appearance. It is common for the nasal tip of Asian patients to be less projected. Further, the nasal tip is generally wider, and the nasal bridge is lower. The noses of Asian patients may begin lower on the face, and the columella may be short.

Those of South Asian descent typically have a more projected and thinner nasal tip. The nasal bridge may be higher. Patients of South Asian descent commonly have thinner skin, so surgeons must consider this when performing any nose reductions.

As previously stated, every nose shape, size, and thickness of skin varies by patient, regardless of their ethnic backgrounds. Nevertheless, some commonalities are found in the noses of those of the same ethnic and racial backgrounds, which are considered when performing a rhinoplasty. This knowledge will help surgeons give patients a more natural-looking nose instead of a dramatically enhanced one.

As with any surgery, some possible risks and complications can occur during and after the procedure. Patients can avoid these risks and complications if the surgeon conducting the rhinoplasty is skilled and carefully follow their surgeon`s instructions.

After surgery, because the nasal bones are broken during the procedure, some bone shifting can occur. This shifting results in an irregular appearance. However, this shifting can be corrected simply by sculpting the bone back into its regular position. Other risks involved in rhinoplasty include excessive bleeding, tearing, bone weakening, infections, and trouble breathing through the nose. If the nasal passage`s airways are blocked or the bones in the nasal bridge collapse, patients can have problems inhaling. If any of these complications occur, patients must go to the emergency right away and contact their surgeons.

Fortunately, in the hands of skilled and careful surgeons, such complications and risks are rare or minimal. One of the most effective ways patients can help prevent such risks and complications from occurring is to stop smoking at least a month before surgery. If recommended by a cosmetic surgeon during the consultation, patients should stop taking certain medications and supplements. Smoking causes the blood to be thin, which can seriously affect the actual procedure and the recovery process. Patients are also advised to be completely honest about their health condition when they speak with surgeons during a consultation. This information can significantly help surgeons to know what rhinoplasty procedures would be most suitable for each patient.

Following rhinoplasty, patients are provided with post-operative instructions to support appropriate healing and recovery. Some discomfort is expected after surgery; however, this is typically described by patients as pressure or congestion rather than significant pain. In some cases, internal nasal packing may be placed to support healing and reduce bleeding, and an external nasal splint or cast may be applied to maintain structure during the initial healing phase. During this early period, patients may experience nasal congestion and are often instructed to breathe through the mouth until any internal packing is removed, if used. The external splint is usually removed approximately one week after surgery. Swelling and bruising, particularly around the nose and under the eyes, are common during the initial recovery period. Patients are generally advised to avoid strenuous activity for a period of time as directed by their surgeon, and to follow individualized instructions regarding return to work and daily activities. Additional post-operative guidelines may include avoiding pressure on the nose, refraining from nose blowing, and taking care to protect the surgical area during healing. Patients are seen in follow-up appointments to monitor recovery and to provide guidance on gradually resuming normal activities. Healing continues over several weeks to months, with residual swelling gradually improving over time. Final results may take several months to fully stabilize, depending on individual healing factors.