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What is a teenage rhinoplasty?

Teenagers are relentlessly subjected to peer pressure, constantly taunted for perceived differences and physical deformities. For most teenagers, a supposedly abnormal or deformed nose can cause crippling social anxiety and embarrassment.

Teenage rhinoplasty is a procedure that corrects the appearance of the nose, fixing issues like large nostrils, asymmetry, and lack of proportion. The procedure surgically alters the nose structure to ensure optimal facial balance, proportionality, and symmetry, empowering teenagers to sail through these turbulent years without social anxiety and self-consciousness.

The benefits of teenage rhinoplasty

  • Corrects a large nasal hump
  • Slims a wide nasal bridge
  • Corrects a drooping tip
  • Improves wide nostrils
  • Restores nasal symmetry
  • Boosts confidence and self-esteem
  • Can also be used to improve breathing at the same time (septoplasty)

What can I expect from the teen rhinoplasty procedure?

Step 1: Surgery can be performed under general or local anesthesia with sedation. We prefer general anesthesia, which is safer with total airway protection at all times.

Step 2: Incisions are made to provide access to the underlying structure of the nose. A closed technique places the incisions inside the nostrils, so there is no visible scarring. Dr. Pearlman uses this for the majority of his primary rhinoplasties. An open technique places a small incision on the base of the nose between the nostrils.

Dr. Pearlman will discuss the reasons for choosing incisions at the time of your consultation.

Young freckled lady

Step 3: Cartilage is removed, reshaped, or added where needed to correct the appearance of the nose. Wide nasal bony humps are removed with precision micro instruments. Removing cartilage and suture contouring corrects a large nasal tip. Reshaping cartilage and adding support using your own cartilage can address a drooping nasal tip. Form and function go together in rhinoplasty. This is what Dr. Pearlman stresses when lecturing around the world. Grafts of one’s own cartilage are often added to maintain or enhance nasal support during cartilage shaping.

Step 4: Once the nose is properly shaped, the incisions are closed.

Step 5: Nasal packing and splints are placed to help support the nose while it heals. Very light nasal packing is often used and typically removed the next day. An external cast splint is left on for one week.

FAQs Teenage Rhinoplasty

    Will people notice that my child has had a nose job?

    As a dual board-certified facial plastic surgeon, Dr. Pearlman in NYC takes great care to graft noses that enhance the appearance, not alter it. He prides himself in achieving extremely natural results that will leave people wondering, “what’s different?” The best compliment we get following rhinoplasty is when patients are told they “look great” but the observer cannot tell why.

    What is the advantage of computer imaging?

    Dr. Pearlman utilizes Mirror computer imaging and VECTRA 3D imaging technology during his consultations for all primary rhinoplasty patients, including teens. Mirror and VECTRA 3D imaging allow Dr. Pearlman to manipulate a “before” photo of your face to visually demonstrate the effects of the rhinoplasty procedure. This technology allows you to preview a very close approximation of what your nose will look like after surgery so you and Dr. Pearlman can decide what techniques will best suit your needs.

    Will there be any lasting scarring?

    If Dr. Pearlman uses a closed technique, there won’t be any visible scarring. If he uses an open technique, there will be a scar at the base of the nose between the nostrils, but this incision will likely fade over time and is small to start with. During your consultation, Dr. Pearlman will discuss which technique is most appropriate for your unique nose.

    What will the first week of recovery entail?

    You will have some bruising and swelling around the eyes during your first week of recovery. Some patients need time to adjust to breathing through their mouth; it’s akin to having a mild cold. Fatigue from the anesthesia is common for the first day or two. Patients should rest the first few days in an upright position to minimize swelling for better healing.

    How do I know if my teen is ready for a rhinoplasty?

    Talking to your teen and understanding his or her motivations for the surgery is an important step in understanding if s/he is ready. Your teen should understand this is a surgical procedure and, while rare, may pose risks and complications.

    Good candidates for teenage rhinoplasty understand that surgery won’t change their lives; it is merely a tool to help enhance their natural beauty and improve their confidence. Yet we often find that the change in one’s self-image and self-esteem far outstrips the physical changes from rhinoplasty.

    Can rhinoplasty correct breathing abnormalities?

    A septoplasty may be performed in conjunction with a rhinoplasty to correct breathing problems caused by a deviated septum. Septoplasties are commonly performed on teens with breathing impairments. For breathing issues alone, a septoplasty can be performed without any external changes to the nose whatsoever.