Table of Contents
- General Information About Rhinoplasty
- Choosing a Surgeon & Consultation Process
- Preparing for Surgery
- Cost, Insurance & Payment
- Anesthesia & The Procedure Itself
- Risks, Safety & Possible Complications
- Recovery, Healing & Aftercare
- Additional Practical Questions
General Information About Rhinoplasty
What is rhinoplasty?
Rhinoplasty is a facial plastic surgery procedure designed to improve the appearance or function of the nose. It can address cosmetic concerns — such as a hump, a wide bridge, or a drooping nasal tip — or medical issues, such as breathing obstruction caused by a deviated septum. A septoplasty may be performed at the same time to improve airflow. The goal is to achieve a balanced, natural-looking result that complements the rest of the face.
What is a revision rhinoplasty?
Revision rhinoplasty, also known as secondary rhinoplasty, is performed when a patient is dissatisfied with the cosmetic outcome of their initial surgery or experiences breathing problems afterward. Because scar tissue and altered nasal structures make the procedure more complex, revision cases should be performed by surgeons with specialized expertise in corrective nasal surgery.
How old do I have to be to have rhinoplasty?
The ideal timing for rhinoplasty is after the facial skeleton has fully developed. This usually occurs around age 14 or 15 for girls and slightly later for boys. Emotional maturity is also necessary, as the decision to undergo surgery should come from the patient, not from external pressure. There is no upper age limit for rhinoplasty, provided the patient is in good general health.
Am I a good candidate for rhinoplasty?
Ideal candidates are individuals in good physical and emotional health who have been bothered by their nose’s appearance for years, not due to sudden outside influences. They understand that surgery can deliver significant improvement, not perfection. Candidates may also seek rhinoplasty to correct functional issues such as breathing difficulty or post-traumatic deformities.
How long do rhinoplasty results last?
Once healing is complete, rhinoplasty outcomes remain stable for decades. The nose will still age naturally along with the rest of the face, but structural improvements made during surgery generally remain unchanged. Most patients enjoy lifelong improvement unless a traumatic injury occurs. You can see before-and-after photos of our happy patients.
Does the shape of the nose change with age after rhinoplasty?
Like all facial features, the nose can experience subtle age-related changes — such as slight soft-tissue thinning or tip drooping. However, the structural refinement achieved through rhinoplasty remains intact. Most patients notice very little change over time.
Choosing a Surgeon & Consultation
How do I choose a rhinoplasty surgeon?
Selecting the right rhinoplasty surgeon is one of the most critical steps in achieving safe, natural-looking results. Start by looking for board certification in facial plastic surgery or otolaryngology (head and neck surgery), as these credentials indicate advanced training in nasal anatomy and aesthetic procedures. Reviewing a surgeon’s before-and-after gallery can help you understand their aesthetic style and consistency.
Experience also matters. A surgeon who performs rhinoplasty regularly is more likely to deliver balanced, functional results. During your consultation, pay attention to whether the surgeon conducts a thorough nasal examination, clearly explains the surgical plan, and uses tools such as digital imaging to help set realistic expectations.
At clinics led by Dr. Richard Rival, patients benefit from a surgeon widely recognized for his expertise in primary and revision rhinoplasty. His practice focuses exclusively on rhinoplasty, offering a deep understanding of nasal structure, symmetry, and airflow — key factors in achieving both aesthetic and functional success.
Is digital imaging necessary?
While not a guarantee of the final result, digital imaging is one of the most effective tools for communication. It allows you to visualize potential changes and ensures that both you and your surgeon share the same aesthetic expectations. It also helps guide surgical planning.
What is the consultation process like?
A rhinoplasty consultation includes a detailed conversation about what you’d like to change and why. The surgeon will examine both the external structure and internal nasal passages, review any history of trauma or previous surgery, and discuss achievable improvements. Digital imaging may be performed to clarify goals. This is also your time to ask questions and ensure you feel confident with the surgeon’s approach.
Can I bring photos of noses I like?
Bringing reference photos can be extremely helpful during the consultation. They give the surgeon a clearer idea of your aesthetic preferences and allow them to explain which elements are achievable based on your anatomy. Photos should be used as inspiration, not exact templates.
What should I do if I’m unhappy with my results?
It’s normal for the nose to look uneven or swollen for several months after surgery. Most surgeons recommend waiting 9–12 months before considering revision rhinoplasty. If concerns persist after the healing period, your surgeon will assess your anatomy, determine potential solutions, and discuss whether a corrective procedure is appropriate.
Preparing for Surgery
How should I prepare for rhinoplasty?
Preparation may include blood tests, stopping certain medications, arranging time off work or school, and setting up a comfortable recovery space at home. Patients should avoid alcohol and smoking before surgery, stay hydrated, and follow all pre-operative guidelines provided by their surgeon.
Which medications should I stop before the surgery?
Certain medications and herbal supplements may increase bleeding risk and must be discontinued prior to surgery. These can include NSAIDs, aspirin, vitamin E, ginkgo biloba, and others. Your surgeon will provide a detailed list and safe alternatives. Never stop prescription medications without medical guidance.
Can I smoke or drink alcohol before the procedure?
Nicotine restricts blood flow and increases the risk of complications, while alcohol can increase swelling and bleeding. Most surgeons recommend stopping smoking several weeks before surgery and avoiding alcohol for at least a week before and after the procedure.
Can I have rhinoplasty if I have allergies, asthma, or chronic conditions?
Many patients with allergies or asthma can safely undergo rhinoplasty, especially if the procedure includes functional correction such as septoplasty or turbinate reduction. Chronic conditions must be reviewed during consultation to ensure the surgery is safe and appropriate for your health.
Should I stop exercising before surgery?
Strenuous exercise can increase blood pressure and swelling. Surgeons typically recommend avoiding vigorous activity for several days before your procedure to minimize risks and prepare your body for healing.
Cost, Insurance & Payment
What is the cost of rhinoplasty?
The price varies based on the complexity of the case, surgeon fees, anesthesia, facility costs, and whether structural correction is required. Revision surgeries typically cost more because they are more difficult, take longer and often involve obtaining cartilage grafts from other parts of the body. A detailed estimate is provided during consultation.
For more information, visit the rhinoplasty cost page.
Will OHIP or insurance cover the procedure?
The Ministry of Health may cover septoplasty, turbinate reduction, or correction of post-traumatic deformity. Cosmetic improvements are not eligible for coverage. Private insurance rarely covers aesthetic procedures, but may reimburse medically necessary components in some cases.
Are payment plans or financing options available?
Patients often have access to flexible payment options or financing programs to make the procedure more affordable. Your clinic can provide details about approved financing partners and monthly payment structures.
Does insurance ever cover revision rhinoplasty?
Insurance providers may cover revision surgery to restore nasal airflow or correct deformities caused by trauma. Cosmetic refinements are not insured.
Anesthesia & Procedure
What type of anesthetic is used?
Anesthesia is chosen based on the complexity of the case and patient comfort. Light general anesthesia keeps you fully asleep, while deep sedation with local anesthesia may be used for limited procedures. Your surgeon will recommend the safest option.
How long is the procedure?
Simple cases may be completed quickly, while complex or revision procedures can take longer due to reconstruction and cartilage grafting. Your surgeon will estimate the expected duration beforehand.
Will I have nasal packing?
Nasal packing is used primarily to control bleeding or support the septum during healing. Dr Rival rarely uses packing, some cases will require soft internal splints that are more comfortable and removed within a week.
Can I have other cosmetic procedures at the same time?
Lip enhancement, blepharoplasty, otoplasty, and even facelifts can sometimes be performed during the same session, depending on the extent of the rhinoplasty. Your surgeon will evaluate your case individually to ensure safety.
What is the scariest part of the procedure?
Patients often feel nervous before their first surgery, especially about the unknown. However, under general anesthesia, you won’t feel or remember the procedure. Most people wake up surprised at how easy the experience was compared to their expectations.
Risks & Possible Complications
What are the risks of rhinoplasty?
Every surgery carries some level of risk. A full discussion of the possible risks and complications would be part of the consultation process. Some of the possible complications include but are not limited to nfection, bleeding , breathing difficulty, pain or numbness, aesthetic concerns and the need for revision surgery. Choosing a qualified surgeon significantly reduces these risks, and your surgeon will explain all safety protocols in detail.
What complications should I watch for after surgery?
While healing, you should monitor for unusual swelling, excessive bleeding,difficulty breathing, worsening pain, or discharge. Most concerns are minor and temporary, but any unexpected symptoms should be reported to your surgeon promptly.
When should I contact my surgeon after the operation?
Your surgeon will provide a clear list of symptoms that require follow-up. It’s always better to call if something feels unusual.
Recovery, Healing & Aftercare
How long do I need to take off work or school?
By one week, bruising and swelling are already improving and can often be covered with makeup. By two weeks, most signs of surgery are barely noticeable. Physically demanding jobs may require more time.
What will I look like two weeks after surgery?
At the two-week mark, patients typically appear socially presentable. Some swelling may persist along the bridge and tip, but this is usually noticeable only to you and your surgeon.
When can I start exercising again?
Most workouts are safe after two weeks, but activities with a risk of facial injury should be avoided for at least six weeks to protect the healing nose.
When will I see the results?
Swelling gradually subsides during the first months. About 70% of swelling resolves by the 3-month mark, with the tip taking the longest to refine.
How should I care for my nose after surgery?
Aftercare may include gentle cleaning, avoiding blowing your nose, applying cold compresses, sleeping with your head elevated, and taking prescribed medications. Proper care promotes smooth healing and better results.
How can I reduce swelling and bruising?
Keeping your head elevated, avoiding salty foods,alcohol, limiting physical activity, and applying cold packs during the first days can significantly improve recovery.
Is it normal to have breathing difficulties right after surgery?
Swelling inside the nose and internal splints can make breathing feel restricted. This resolves gradually as healing progresses.
When can I blow my nose after rhinoplasty?
Blowing your nose too early can disrupt healing and cause bleeding. Generally you can gently blow your nose after about 2 weeks from surgery.
Can I sleep on my side after rhinoplasty?
We recommend sleeping on your back for the first 48 hours with your head elevated above your heart level. Following this you can sleep on your side. Elevation helps reduce fluid buildup and protects the nasal structure.
When can I fly after surgery?
Flying can increase sinus pressure and swelling especially during descent. Generally you can fly about one week after surgery if necessary.
Additional Practical Questions
Are follow-up appointments included in the cost?
Regular follow-ups are essential to monitor healing, remove splints, and ensure the best results. This is included in the cost of your surgery.
Will I need internal or external splints, and for how long?
External splints stabilize the nasal bones, while internal splints may support the septum. The external splint is typically removed 5–7 days after surgery unless otherwise indicated.Internal splints are placed in some cases especially if significant septal surgery is done or straightening of the nose. These are also removed in one week.
Do I need someone to stay with me after surgery?
You will require a responsible adult to pick you up after surgery. This is a requirement after any form of general or sedation type of anesthesia. It is also important to have someone with you for the first 24-48 hours after rhinoplasty as you may need help with mobility, medications, meals, and safety.
Can I wear glasses after rhinoplasty?
Pressure on the healing nasal bones can affect results. We recommend not wearing glasses for 4 weeks after surgery. Alternatives include taping glasses to the forehead or using very light frames until healing progresses.