in Toronto, Ontario, Canada
Both the look and function of a person's nose can be improved with nose surgery, technically called rhinoplasty. In Toronto, rhinoplasty specialist Dr. Richard Rival strives to achieve a natural look that provides facial balance without an obviously operated-on result.
The best way to determine if you are a candidate for nose surgery is to request a consultation with Dr. Rival or call us toll-free at 1-866-229-FACE.
Because he is a rhinoplasty specialist, Dr. Rival maintains a specialty website all about the rhinoplasty procedure. Visit www.rhinoplastytoronto.ca for more detailed information on nose surgery.
Common concerns might include a crooked nose, a bump on the bridge, a wide bridge, a wide or "ball like" tip, a tip that droops, sticks out too far or not enough, wide or flaring nostrils. It is important to know what specific concerns you have about the appearance of your nose prior to your consultation. Many patients combine their rhinoplasty with another facial cosmetic surgery procedure like facial implants or a face lift.
We use computer imaging to help you envision an approximation of your new look and feel confident that you won't end up with an obvious nose job. Our Toronto patients enjoy seeing how different changes to their nose will affect the overall appearance of the face.
Board-certified in Facial Plastic Surgery and Otolaryngology, Dr. Rival devotes his practice exclusively to enhancement of the face and neck, with a focused specialty in rhinoplasty.
Sometimes breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping. For Ontario residents this portion of the rhinoplasty surgery may be covered by the Ministry of Health. While there is no upper age limit for having rhinoplasty, patients may be advised to wait until they are 14 or 15 (when the nose is fully developed) before undergoing rhinoplasty.
In evaluating you for nose surgery, Dr. Rival will examine your nose both internally and externally. Skin quality as well as the size and shape of your nose must be carefully studied. Sometimes, chin augmentation may be suggested so that a more pleasing facial balance can be achieved.
The Rhinoplasty Procedure
During rhinoplasty the skin of the nose is elevated to expose the underlying bone and cartilaginous framework. These structures are then re-shaped to achieve the desired result. The skin and soft tissues will re-position themselves over the new form of your nose. Generally 2 approaches can be used: the so-called closed approach where all the incisions are inside the nose, and the open approach where a small incision is made across the skin in between the nostrils. Dr. Rival has experience in both procedures. The decision of which approach to use depends on the specific nasal deformity. If the base of the nose is narrowed or the nostrils reduced, small pieces of skin below the nostrils will be removed.
Most patients will wear a nasal splint or cast for one week following their nose surgery. If any packing is used it is generally removed within 24 hours. Some degree of bruising and swelling is normal after most rhinoplasties. The bruising usually fades within 2 weeks and can be covered up with make up. The swelling in the nose can take longer to resolve. Therefore it may take several months to appreciate the final result. Depending on your occupation, most patients are able to return to work within 1 to 2 weeks. Dr. Rival will explain the procedure in detail including the possible risks and complications at the time of your consultation.