Rhinoplasty requires great attention to detail. It is best, however, not to postpone the surgery indefinitely. The overlying soft tissue on the bridge of the nose is not sufficient to conceal even the slightest irregularity. With aging, the skin loses elasticity and may not adapt to the new shape. Development of scar tissue beneath the skin may alter the result desired by both patient and surgeon.

Remembering that rhinoplasty is really more art than surgery, the doctor will frequently refer to the photographs and notes he has made prior to the procedure. He will carefully check the symmetry of the shape of the nose and make sure that the changes he is making are the right ones to achieve the desired result. Very small alterations, incisions as small as a millimeter or two, can make large differences after the swelling has gone down in the overall appearance and balance of the finished look. This is the artistry of the surgeon you have selected.

When the surgeon has completed the sculpting process, he will carefully check the blood vessels in the area to see if they have been affected by the surgery, he will measure the nostril openings to see if they conform to his pre-op notes and measurements and then he will begin the process of closing up the nose. Small sutures will be used to close the incisions made during the procedure whether internal or external. These incisions are similar in size and form to the ones employed by heart surgeons when they are closing up small veins and arteries after cardiovascular surgery.

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