Commonly known as a nose job, a rhinoplasty is a reconstructive cosmetic procedure whose purpose is to improve the aesthetic, balance, and functionality of the nose and to restore, or create optimal nasal-facial proportion, beauty and harmony. However, as the nose is a delicate and sensitive part of the face, rhinoplasty is considered to be one of the most intricate and complex facial cosmetic surgeries. There are a plethora of reasons why patients decide to have a nose job but, oftentimes, the procedure is done to open airway flow, repair obvious and unsightly imperfections, and improve the body part’s overall aesthetic appearance.
Fortunately, with their state-of-the-art equipment, over 22 years of rhinoplasty experience and advanced surgical techniques, Dr. Mulholland and the seasoned team at SpaMedica are more than up to the task.
While the cost of a rhinoplasty in Toronto at SpaMedica varies according to the particular areas of the nose that you would like to alter, in general, pricing starts from $4,999 (for a tip-plasty). A standard reduction rhinoplasty of the bridge, tip, and nostrils is $8,999. However, if you have already received a nose job from another surgeon and are unsatisfied with the results, the SpaMedica team may perform a revision rhinoplasty, which is often very complex, for as much $12,999.
Typically, most nose job Toronto patients begin to look “socially acceptable” 3 weeks after the procedure. By the 6th week, the reshaped nose begins to appear natural, with swelling significantly improved. However, it is important to keep in mind that the absolute final results will not begin to show until a year after the procedure.
The length of your Toronto rhinoplasty depends on the complexity and extent of the cosmetic work performed. However, on average, a rhinoplasty procedure at SpaMedica takes approximately 90 minutes to perform. Patients will also require post-operative care for a couple of hours after the procedure before they can be driven home by a friend or family member.
In truth, there is no particular age restriction for rhinoplasty in Ontario, and there is no specific trait that defines a “good” candidate (for the very young, the nose has to have stopped growing, usually 17-18 years old, before considering rhinoplasty surgery). Fundamentally, good candidates are patients who want to improve the appearance of their nose and would like to boost their self-confidence.
However, while there are no specific traits that dictate candidacy, there are certain conditions that can make the process more seamless.
Well-Defined Bone Structure
A well-defined bone structure can make a great deal of difference for a rhinoplasty procedure, as the cosmetic surgeon will have proper support while performing alterations.
Proper Physical Health
Good health and a lack of serious medical conditions are vital for a proper recovery following a rhinoplasty procedure.
As is the case with most cosmetic procedures, good rhinoplasty candidates have realistic expectations concerning the risks and benefits of the surgery.
Finally, please note that individuals who are pregnant at the time of surgery or who have had multiple rhinoplasty procedures in the past are not candidates, as they may have soft nasal tissue that does not lend itself to repeated surgery.
Improve Face Symmetry
A cosmetic rhinoplasty procedure can improve several common aesthetic imbalances between the nose and the face.
Fix Bridge Bumps
A rhinoplasty procedure can eliminate bridge bumps, which result from an overgrowth of cartilage.
Reduce Nasal Bones
A rhinoplasty cosmetic surgery can reduce excessively wide nasal bones that make the nose look massive and unsightly.
Straighten Crooked Nose
A crooked nose is hard to miss, but a rhinoplasty procedure at SpaMedica can make alterations that boost self-confidence.
Reduce a Bulbous Tip
A large bulbous tip can be unsightly, but a rhinoplasty, or tip-plasty, can create a more defined tip which will be more attractive and more harmonized to thinner facial features.
Fix a Bridge Scoop
A bridge augment with bone, cartilage, or an implant, can restore more natural and attractive bridge height and renewed strength to the nose.
Like all cosmetic surgeries, rhinoplasty procedures are associated with possible risks and complications that patients should consider prior to undergoing the procedure.
Some of the uncommon risks and complications for a rhinoplasty procedure are:
Irregularities of the Nose Bridge
These small irregularities of the nose bridge may occur from the shifting of bones after the surgery. However, they can generally be adjusted with simple molding.
The external scar on the columella typically heals imperceptibly but can occasionally be visible.
There is a risk of compromised breathing after making the nose smaller and more attractive, so a SpaMedica rhinoplasty surgeon will always be sure to perform an airway surgery, when indicated during your rhinoplasty. Rarely, even after rhinoplasty and septoplasty, compromised air flow can occur and may require further airflow surgery.
Although infections are very rare after rhinoplasty procedures, Dr. Mulholland and his experienced team still prescribe a prophylactic antibiotic after surgery and take every precaution to ensure that the surgery is a smooth, seamless experience.
Regardless, Dr. Mulholland and his operative team will thoroughly review the risks and benefits of your rhinoplasty surgery at the time of your consultation.
Led by the incomparable Dr. Mulholland, the skilled and experienced cosmetic surgeons at SpaMedica combine technical proficiency and unparalleled precision with an individualized approach that puts the patient first. Dr. Mulholland is dual certified and trained in both ENT, head and neck oncology and craniofacial trauma, as well as being a certified plastic surgeon, which has afforded Dr. Mulholland a deep understanding of both naso-facial anatomy and nasal and airway function.
Dr. Mulholland has performed 1000-2000 of the best nose surgeries in Toronto over the past 22 years, making him one of Canada’s most highly respected leaders in rhinoplasty surgery.
Dr. Mulholland will also perform computer-simulated rhinoplasty surgery during your consultation to show you, very closely, the range of outcomes you are likely to achieve. This “try before you buy” approach to educating nose job patients has resulted in Dr. Mulholland accumulating a high percentage of happy rhinoplasty patients, as they could see the probable range of outcomes and ensure these outcomes match their expectations before undergoing the procedure.
By using advanced plastic surgery techniques and state-of-the-art equipment, the SpaMedica team is capable of producing incredible results while also reducing the risk of complications. We’re proud to have what we believe to be the best nose job surgeon in Toronto!
There are two broad categories of rhinoplasty procedures. At SpaMedica, the staff is well-trained in both types of procedures, and will deploy the best approach to achieve the optimal outcome for your nose.
In this type of rhinoplasty procedure, a small incision is made in the base of the nose and the nasal skin is lifted up over the bone structure. This way, it is possible for doctors to change the complex structure of the nasal tip anatomy in order to produce excellent long-term results.
In an internal rhinoplasty, the incisions are placed within the nose and the nostrils. As such, this approach is excellent for dorsal bridge reductions and addressing concerns regarding obstructed airways and minor tip problems. But while this approach saves the patient from the small incision in the skin that defines the external rhinoplasty, it is not recommended for more complex work involving changes to the tip of the nose. In truth, a combination of the external and internal approach will give patients the best possible cosmetic outcome.
An injection rhinoplasty, or “5-minute nose job” can be an excellent option for those patients who want to change their naso-facial shape, but do not want to undergo a rhinoplasty surgery. An injection rhinoplasty involves using a dermal soft tissue filler, such as Juvederm, Restylane, Revanesse, and/or Teosyal, injected under the nasal skin to improve the appearance of bridge bumps, bridge scoops, crooked noses and bulbous tips. A dermal filler can even be used, on occasion to help with nasal breathing obstruction. Dr. Mulholland helped pioneer the “5-minute nose job” over the past 10 years and you can see him on YouTube and appearing on many network TV shows performing the injection rhinoplasty.
Dr. Mulholland has performed high volume cosmetic rhinoplasty surgery in Toronto for over 22 years, with hundreds of happy nose job patients. For over 20 years, Dr. Mulholland has mastered and offered computer-simulated rhinoplasty imaging for ALL CONSULTS to ensure they can see the range of improvements that are likely to occur. Dr. Mulholland has been doing cosmetic rhinoplasty surgery in Toronto for so long and has had so many successful results, he can usually show you a computer-simulated image of your probable outcome and this will be very close to what you actually achieve.
At SpaMedica, a Toronto rhinoplasty is performed under general and local anesthesia with IV sedation. The local anesthesia contains adrenaline that will constrict the blood vessels of the nose, which helps minimize bruising and swelling. Prior to your surgery, Dr. Mulholland will determine the best type of anesthesia to use based on your previous medical history, as well as your current prescriptions.
During the procedure, the surgeon will make a small incision to access the bone structure. Once gaining access, the doctor will proceed to make the planned alterations, including bridge reduction and tip support augmentation. Finally, the nostrils may need to be reduced and narrowed and airway/airflow surgery performed to ensure there will be less risk of airway obstruction after the surgery.
Prior to your procedure, Dr. Mulholland, one of the top rhinoplasty surgeons in Toronto, and his team will review your medications and medical history. Based on the scope of the surgery, SpaMedica doctors may recommend that you stop taking certain medications before the surgery. It is also recommended that you consume a healthy diet and drink plenty of liquid before your surgery.
Please note that, after the surgery, you will be impaired from the general anesthesia and thus unable to drive for at least 24 hours. Most patients will go home following their procedure with internal packing in the nose to minimize the risk of bleeding from the septal airway surgery, as well as a cast on the external portion of their nose. As you will mostly be breathing through your mouth, be sure to stock up on plenty of water to prevent it from drying out.
The patient will usually return to SpaMedica after 3 days to have the sutures and nasal packing removed. Once the packing is removed, you will be able to breathe through the nose far more easily.
Following your procedure, Dr. Mulholland and his team in Toronto will recommend a comprehensive postoperative care regime. This regime will include instructions about the importance of avoiding physical activity, abstaining from alcohol and smoking, and minimizing exposure to the sun.
Day of Surgery: Patient returns home with internal packing to minimize the risk of bleeding. There is bruising and swelling under the eyes.
Day 3: The packing is removed, allowing the patient to breathe through the nose more easily.
Week 1: The scar of the external rhinoplasty procedure is healed and barely visible. Make up can be applied and the patient may also return to work, with the excuse of gum or wisdom teeth surgery as the reason for moderate swelling.
Week 3: Noticeable swelling and bruising begin to subside, allowing the patient to appear more in public and at social events without feeling self-conscious.
Week 6: The patient may resume playing sports. At this point, the reshaped nose begins to appear natural, with swelling significantly improved.
A rhinoplasty is often combined with liposuction reduction of a double chin, or chin and cheek augmentation. Non-surgical treatments such as lip augmentation and dermal fillers to the chin and laser skin treatments can go well with rhinoplasty surgery.
At SpaMedica, the actual rhinoplasty procedure will not be felt due to anesthesia, both local freezing and the general or IV sedation. While there may be swelling and discomfort afterwards, there will be no extreme or long-term pain. In fact, most SpaMedica rhinoplasty patients are surprised to discover that the nose job is less painful after the surgery, than the throat is from the tube and the anesthetic. Remember, the pain is in adjusting to the nose, not recovering from the “adjusted” nose.
As a result of the surgical precision and innovative techniques utilized at SpaMedica, there is usually no need for post-procedure touch-ups after your nose job in our Toronto clinic. Reported rates of revision rhinoplasty surgery on the internet can be 20-25%. Over the past 20+ years, Dr. Mulholland’s rhinoplasty revision rate is 2-3%. The most common cause for a “touch-up” is a small bone fragment that pops out of place and leaves a small and annoying bump on the bridge despite all the best efforts of the patient and surgeon. Should you be unsatisfied with the final results, an enhancement rhinoplasty can be performed to correct aesthetic or functional problems.
During a rhinoplasty, the doctors at SpaMedica may be required to perform a complementary procedure designed to enlarge the airway passages in order to compensate for a smaller nose. Known as a septoplasty (and may also include turbinate and valvular procedures) functional airway procedures serve to counteract the airflow obstruction and breathing problems that can occur after a nose job and are offered automatically to all SpaMedica cosmetic rhinoplasty patients when indicated.