In order to perform this procedure, you should usually wait until the age of 17 years as soon as the nasal bone have finished their growth, but in some cases this is not possible due to emotional commitment and in this case the psychological motivation has priority so that the rhinoplasty can be done in younger patients.
The intervention is made through incisions generally inside the nose, in a way that no visible external scar is seen. Through these incisions the bones and cartilages are carved and modeled to obtain the wished profile and narrowing. Sometimes it is indicated an additional incision at the level of the base of the narinas. The procedure is made under general anesthesia or with local anesthesia and sedation.
Sometimes, an internal graft is used to support the nasal pyramid. Grafts of the bones of the hips, ribs, septum of the nose or ear cartilage can be used. Synthetic materials like silicone can also be used. If there is difficult nasal respiration it can be necessary in addition to modify the form or to cut cartilage of the nasal partition or to take part of the cornets. The greater visibility obtained when making an aesthetic Rhinoplasty facilitates the work in these structures. After the intervention, a nasal packing and a splint are applied, this will remain for several days. It is normal that certain swelling and bruises appear several days after the surgery.
A judgment cannot be emitted on the result of a Rhinoplasty until several months have passed, even a year. This is the time that the tissue needs to cure and the scars to make their process of maturation. The intention of the Rhinoplasty is that the new nose does not call the attention towards it, but to obtain an integrated general context of the face, producing a harmonic and pleasant set, that is to say, that it should not be noticeable that work has been done. Therefore a good rhinoplasty should not be noticed by friends or relatives who are not aware of the intervention, instead they should notice the improvement but not exactly where it is. Complications usually do not take place; although in a small percentage adjustment is needed.