Ahmet R. Karaca, MD

Ahmet R. Karaca, MD


The “nose job” or rhinoplasty is one of the most common plastic surgery procedures performed in the world and one of the few plastic surgery procedures regularly performed on children and adults alike. Rhinoplasty may be performed to correct almost any structural or cosmetic imperfection in the nose. 

What is a Rhinoplasty?

Rhinoplasty is a form of plastic surgery that is performed on either adults or children to correct a variety of conditions, including:

  • Changing the size of the nose
  • Removing a bony hump or ridge on the bridge of the nose
  • Sculpting or altering the shape of the tip of the nose
  • Making the nasal bridge wider or more narrow
  • Adjusting the size angle of the nostrils
  • Adjusting the angle between the nose and upper lip

Rhinoplasty also corrects nasal birth defects, injuries or conditions that may impair an individual’s breathing, such as a deviated septum. In these cases, rhinoplasty may be covered as a medical procedure by some insurance carriers.

Benefits of Rhinoplasty

Rhinoplasty is one of the most commonly performed plastic surgeries worldwide because it provides a marked improvement to a patient’s quality of life, helping individuals breathe easier or simply feel better about their appearance. Rhinoplasty is a safe and effective procedure that is regularly performed on children and adults alike. The results of this procedure are permanent.

Is Rhinoplasty Right For Me?

Rhinoplasty may be right for you if you are in general good health and want to achieve one or more of the following:

  • Changing the size of your nose or nostrils to be in proportion to the rest of your facial features
  • Adjust the width of the bridge of your nose or remove a bump or ridge on it
  • Reshape your nose to its original form if it has been damaged by an injury
  • Correct a congenital condition, such as a deviated septum, in order to improve breathing
  • Correct unsatisfactory results from a previous rhinoplasty procedure

Rhinoplasty Surgery – Available Techniques

Rhinoplasty is a customized procedure tailored to each individual. There are several approaches and techniques that may be used, each designed to solve specific issues. The most suitable approach for you will be selected during your initial consultation at Birmingham Plastic Surgery, based on a variety of factors. Dr. Karaca will assess the shape of your nose, discuss your goals and determine the best approach to address your specific issues, choosing from the following options:

  • Open rhinoplasty – This procedure involves two incisions on the outside and inside of the nose.Through these, the skin of the nose is raised, the internal structure is reshaped, and excess skin and cartilage tissue are extracted. Tissue grafts are used to support and maintain the new nasal structure.  Dr. Karaca does not use the open rhinoplasty because of his experience with closed rhinoplasty and because of the scar on the philtrum ( bottom of nose ) when the open method is used.
  • Closed rhinoplasty – Closed rhinoplasty,  offers the benefit that no incisions are made on the outside of the nose, so it leaves no visible scar. Closed rhinoplasty is best performed by a skilled specialist, such as Dr. Karaca. Closed rhinoplasty requires the same downtime and recovery period as open rhinoplasty and produces attractive, natural-looking results with no visible scarring, except in the case of alar flare reduction.

Rhinoplasty Recovery

You will be instructed to keep your head elevated for 24 hours to minimize swelling immediately after the surgery. Some patients experience discomfort, and we recommend resting and refraining from strenuous physical activity. The splint is removed on the 7th day. Swelling will increase and then subside during the first 10 days following surgery. Other minor symptoms and discomfort will disappear gradually, and stitches will dissolve on their own. You may resume non-strenuous work activities after about two weeks, and makeup may be used to conceal any discoloration you may still be experiencing during this time. Dr. Karaca recommends that you hold off on resuming regular exercise and physical activity for 4 to 6 weeks until the swelling disappears.


Frequently Asked Questions

What is a Rhinoplasty?

A rhinoplasty, commonly referred to as a nose job, is a surgical procedure that is performed to change the shape or look of a nose or improve its function.

How old do I have to be to undergo a Rhinoplasty?

Technically speaking, a rhinoplasty can be performed any time after nasal growth is complete. Nasal growth is usually complete in girls by age 15 and in boys by age 16. However, an emotionally mature and cooperative patient is also an essential requirement for a successful rhinoplasty. In rare cases, surgery may be performed at younger ages when severe functional impairment or other medical indications dictate.

Am I too old for a Rhinoplasty?

Cosmetic rhinoplasty becomes increasingly more challenging with age. All other factors being equal, the best time to perform cosmetic rhinoplasty is in mid-to-late adolescence or early adulthood. Functional rhinoplasty is often necessary in later life to prevent adverse health manifestations of chronic nasal obstruction. Adequate anesthetic tolerance is necessary for elective nasal surgery, regardless of age. The decision to perform rhinoplasty at any age is best made after a thorough rhinoplasty assessment and a discussion with your surgeon regarding the risks and benefits of nasal surgery.

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