Nose Surgery/Rhinoplasty


Rhinoplasty Surgery For A Shapelier and More Proportionate Nose




Is your mirror telling you your nose doesn’t fit your face?

Have you suffered a nose injury or a birth defect that needs repair? Perhaps your nose just doesn’t fit your face and you are tired of being asked to do Jimmy Durante impersonations.

Whatever the reason, with a rhinoplasty surgery for nose reshaping from Dr. Kim-Chi Vu, your nose will have new appeal and your face will now be in proportion.

Schedule Your Nose Reshaping/Rhinoplasty Consultation With Dr. Vu Today By Calling 503.601.2910 or Toll Free 866.297.8522.

This is a procedure covered by CosmetAssure. Learn how Dr. Vu protects you from any potential financial burden from complications by visiting our Complications Assurance page.


Nose Reshaping/Rhinoplasty – A Quick Glance

Who Is A Rhinoplasty Surgery Candidate?

If you have an abnormal appearance of the nose as a result of birth defects, injury, or disease, or a nose that is cosmetically unattractive or does not “fit” with your other facial features.

Intended Results:

More attractive nasal shape. Your Nose in better proportion to other facial features.

Procedure Description

The procedure is done on an outpatient basis under general anesthesia. Frequently used for difficult or larger noses, rhinoplasty involves one external incision across the columella (strut between the nostrils). Bones, cartilage, and soft tissues are reshaped under direct vision.

Open Rhinoplasty:

If only the nasal tip is abnormal, it may be corrected with either a standard or external open approach.

Open Tip-Plasty:

Large nostrils may be reduced through tiny incisions at the outer base of the nostrils with either type of rhinoplasty.

Rhinoplasty Recuperation And Healing:

The patient goes home with an external cast or splint in place. The nose may be packed for 24-48 hours. The cast or splint is usually removed in one week.

Initial discomfort is easily controlled with oral medication.

The majority of swelling and bruising subsides progressively over 2-4 weeks. External sutures (if any) are removed in 4-6 days. Internal sutures dissolve on their own.

Semifinal result is evident in 3 months. Final result is evident in 12-14 months which is the time necessary for complete tissue softening.


The specific risks and the suitability of this rhinoplasty procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

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Rhinoplasty Potential Risks

No surgeries are performed without risks.

Dr. Vu’s goal is to perform the planned procedure, take extra precaution during surgery, and most important of all is to be safe and yet achieve utmost optimal outcomes.

Following are some of the potential risks that are commonly discussed about regarding rhinoplasty surgery.

A. Possible Need for further surgery

If asymmetry or an undesired contour is present after surgery, you may require an additional small surgical procedure to revise the appearance.

This seems to occur more commonly in nasal procedures than in other cosmetic surgery operations because we cannot always predict how the nose will heal over time. If a second procedure seems necessary, we usually wish to wait at least 6 months from the time of the most recent procedure.

B. Difficulty breathing

Swelling: It takes 10-12 months for ALL swelling to disappear and for your final result to show. Nasal surgery causes swelling both inside and outside the nose. If your septum has been operated on, you will have plastic splints within the nostrils. Dr. Vu or a nurse will usually remove the splints in 7-14 days.

C. Decreased sensation

Scarring: Internal scarring or adhesions may occur, but are unlikely complications. Reduced sensation or numbness of nose may occur (usually the nasal tip) following rhinoplasty. The problem usually (but not always) disappears with time.

D. Nasal obstruction

Possible healing problems may occur which may result in the airways remaining blocked or obstructed causing difficulty in breathing.

E. Injury to adjacent structures and nasal functions

Injury to nerves, tear ducts, muscles and sense of smell are very rare, but can potentially occur.

F. Perforated nasal septum

A permanent hole (perforation) developing through the septum (divider between the two sides of the nose) is a remote possibility following rhinoplasty. Most small perforations are essentially asymptomatic.

In rare cases, further surgical correction may be indicated. Very rarely, the septal perforation cannot be corrected.

G. Tip swelling

There may be persistent swelling in the nose especially around the tip that may be temporary, last several months or years, or may be permanent.

We offer financing through Care Credits and Please contact our office at 503-601-2910 to obtain the best rate and to initiate the application process.

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Rhinoplasty Postoperative Care

Special attentions are placed during your rhinoplasty postoperative period. Dr. Vu’s goal is to make sure that you are comfortable after you leave the surgery center, and have proper instructions how to take care of yourself in order for you to have a pleasant surgical experience.

A. Nasal packing

We usually are able to avoid nasal packing after surgery. If you have bled slightly more than usual during your operation, or if there is some other reason, we may occasionally use packing.

With packing in place, you will have to breathe through your mouth, and you will have somewhat more swelling than usual. We will usually remove such packing in 24-48 hours.

B. Internal splints

If you have had surgery on your septum as part of your rhinoplasty, plastic splints willbe sutured inside your nose. Although these take up some room, your nasal passages should not be totally obstructed. Dr. Vu will usually remove the splints from 7 to 14 days after surgery.

C. External splint

The splint put on your nose at the end of surgery is intended to provide protection, serving as a sort of small external skeleton. We will change it in the office 2-3 times a week. It will be removed in 10-14 days.

D. Head elevation

Keeping your head (and nose) elevated tends to reduce swelling. If possible, sleep on two or three pillows.

E. Dried blood in nostrils

After surgery, some oozing and bleeding usually occurs for a day or two, and crusting dried blood will collect in the nostrils. Use of NA-SAL or Ocean Spray Saline Nasal Spray for a few days will help clean the area; debris can be removed with an infant aspiration bulb.

F. Numbness and swelling

You may experience some degree of numbness of the tip of your nose for up to one year. You may have some swelling for 12-36 months, and the incision site inside the nose may remain swollen or feel firm for many months after surgery.

G. Swelling

Increasing Intermittent increases in swelling will occur for the first few weeks after surgery.

H. Dripping

You may want to carry some tissues with you for a few weeks after surgery, as your nose may “drip.”

I. Activities

Nasal surgery usually hurts very little. Many people feel quite “normal” within a day or two. If your work keeps you sedentary, you may return when you are able. Heavy exercise or straining can cause bleeding or swelling during the first 2-3 weeks. Please be careful!

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Schedule Your Nose Reshaping/Rhinoplasty Consultation With Dr. Vu Today By Calling 503.601.2910 or Toll Free 866.297.8522.

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