120 Spadina Road
Toronto, Ontario, Canada M5R 2T8
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Your nose is one of the most prominent, defining features on your face. For those who are unhappy with the size and shape of their nose, which may have been altered due to an injury or previous surgery, Dr. William G. Middleton offers a solution at his Toronto cosmetic surgery practice. Nose surgery (“rhinoplasty”) can effectively improve the appearance and proportion of your nose, and may also correct the structural abnormalities of the nose that cause impaired breathing (“septorhinoplasty”). As a result of this procedure, patients may anticipate enhanced facial harmony and higher sense of self-confidence.
Rhinoplasty can improve several features of the nose, including:
You may qualify for this surgical procedure if:
If you feel you qualify as an ideal candidate for rhinoplasty, please free to contact us to schedule your initial consultation with Dr. Middleton.
The consultation is a crucial step in the rhinoplasty surgery experience, because the success and safety of the procedure will be dependent on how open you are with Dr. Middleton, a highly regarded Toronto rhinoplasty specialist; complete candidness in regards to your health, surgical goals, and lifestyle is very important.
During this visit, Dr. Middleton will examine your nose, discuss the various factors involved with nose surgery (i.e., anesthesia, potential risks and complications), assess your general health status and any pre-existing health conditions or risk factors. You may also have photographs taken for your medical record.
The first surgical step is administering anesthesia. You have more than one anesthetic option for rhinoplasty; choices include general anesthesia and intravenous sedation (which Dr. Middleton determines during the consultation).
Afterward, incisions will be made. Depending on your individualized case and surgical plan, the rhinoplasty procedure will be performed using the “closed” method, which entails incisions that are hidden inside the nose, or the “open” method, which involves incisions made across the narrow strip of tissue that separates the nostrils, or columella. With the open method, the inner structure of the nose is fully exposed, as the soft tissues that cover the nose are gently raised. This technique allows Dr. Middleton an ease of visibility and access to the entire treatment area. Sometimes the contour can be improved by adding tissue, such as using cartilage grafted from other areas of the body. If the septum is deviated, causing you breathing problems, Dr. Middleton will straighten it out and the projections inside the nose will be reduced.
After the nose is sculpted to the desired shape, nasal skin and tissue is redraped (if the open method was performed) and incisions are closed. Depending on the complexity of the procedure, nose surgery usually takes about one to two hours.
Many rhinoplasty patients undergo additional augmentation procedures, such as chin and cheek implants procedures, to help balance out their features. During the consultation at Dr. Middleton’s Toronto practice, he will determine if an additional procedure will provide you optimal facial enhancement results.
To help aid in the initial healing period, a splint, internal tubes or packing will be placed inside the nose. A splint or bandages will be placed on the outer structure of the nose, which should be worn for about a week or so, to keep it stable.
You should spend the first day in bed with your head elevated. It is normal for your nose and head to feel achy, and your face to feel puffy. Prescribed medication can help alleviate any discomfort, and cold compresses applied to the treatment area will help reduce the swelling. Both bruising and swelling will begin to subside after about three days, and should be completely gone in about two weeks.
About three days after surgery, the swelling and bruising around your eyes will begin to subside, and should be near completely gone in about two weeks. It is common for bleeding to occur during the first few days of recovery, and some stuffiness could persist for a few weeks. Dr. Middleton will ask that you not blow your nose during the first week after your nasal procedure.
Most patients are up and active within two days of their procedure. All dressings, splints, and sutures are typically removed after about 10 to 12 days, during which you are able to return to your normal routine. Rubbing and bumping your nose, or other strenuous activities, should be avoided for several more weeks.
The cost of rhinoplasty in Toronto, at the practice of Dr. Middleton, ranges between $6,000 and $10,000. The several fee components are: medical tests, the surgeon’s professional fee, facility fee, anesthesia fee, surgical garments, and medications. For financing information, please visit our surgical procedure price page.
If rhinoplasty is performed to correct problems that interfere with a patient’s breathing, then it may be covered by health insurance. If you undergo nose surgery for cosmetic reasons, there is minimal chance that it will be covered, in part or in whole. You, the patient, are responsible for checking with your insurance provider regarding the degree of coverage.
If you are interested in contacting the office of Toronto rhinoplasty surgeon Dr. Middleton at (416) 966-3223 to schedule your consultation.