Rhinoplasty, commonly referred to as a nose job, is a surgical procedure that can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. Rhinoplasty may also correct a birth defect or injury, or help relieve some breathing problems. Sometimes certain breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping is performed.
Rhinoplasty is one of the most difficult plastic surgery procedures to perform. The difference between a good result and a poor result is a millimeter. Rhinoplasty surgery is as much about art as it is surgery. Am I a good candidate for Rhinoplasty?
The best candidates for rhinoplasty are healthy 
individuals who are looking for improvement in the way they look. Age may also be a consideration, it is preferable not to perform rhinoplasties on teenagers until after they have completed their growth spurt, around 14 for girls, and 15 for boys. Deciding to have rhinoplasty, or any elective surgery, should not be an impulsive decision but rather one that is carefully thought out.
Rhinoplasty Consultation
During your rhinoplasty consultation, you will be asked how you would like your nose improved. Dr. Wilson will examine the inside and outside structure of your nose, and discuss the possibilities with you. He will also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.
You may also schedule an additional consultation to preview computer imaging. These may help you visualize the results of each technique that Dr. Wilson has specifically designed for your surgery.
Be sure to say if you have had any previous nose surgery or suffered an injury to your nose, no matter how long ago it was. You should also advise of any allergies or breathing difficulties, of any medications or vitamins you take, of recreational drug use, or if you smoke.
How is Rhinoplasty Performed?

There are two types of rhinoplasty surgery, closed rhinoplasty and open rhinoplasty. The closed approach is performed from within the nose with the incision inside the nostrils. The open approach is performed by separating the skin of the nose from its supporting framework of bone and cartilage. The nose is then sculpted to the desired shape. There are an infinite number of techniques which can be utilized to sculpt the underlying framework. Sometimes, the position of certain bones may need to be altered slightly in order to make your nose look narrower and straighter. If your nose needs to be built up in some areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site. The skin and soft tissues then redrape themselves over this new "scaffolding."
After surgery, a splint is applied to help your nose maintain its new shape. Soft plastic splints may also be placed in your nostrils to stabilize the septum and divide the wall between the air passages in order to improve your nasal airway.
Risks of Rhinoplasty
Some of the potential complications include numbness of the skin but is usually temporary. Occasionally, if the surgical outcome needs further improvement, additional surgery may be necessary.