Rhinoplasties can be performed on young or teenaged candidates under the age of 18 with parental consent. Rhinoplasties on young patients are typically performed after facial trauma, if there are breathing problems, or if the patient has severe self-image issues in relation to the size or shape of the nose. Underage candidates for cosmetic rhinoplasty must not only have parent consent and have stopped growing, but be mentally prepared for the permanent changes that come with plastic surgery.
- avg. recovery
About the Procedure
A youth/teenage rhinoplasty can be performed in either an open, closed or endoscopic approach. Less invasive techniques, such as a liquid rhinoplasty, are not typically used on patients under the age of 18. Be sure to consult with a board certified surgeon about which approach would best suit your individual needs. If an open approach is used, an incision will be made at the columella, just beneath the tip of the nose. The nose will then be retracted backwards, dissecting the nose cartilage with care being taken to not incise the medial crura, the cartilage that separates the nostrils. The flap will be raised off of the nose for maximum exposure and work can now be done to reshape the nasal tip, bridge, nostrils, or septum repair. Once completed, the flap will be redraped over the bone framework and external contouring and shaping is completed. The incision will be closed with sutures and an external splint or cast will be placed over the nose. If a closed approach is used, incisions will be made on the inside of the nose. The nasal structure will not be exposed which means decreased visualization for the surgeon, however postoperative scarring will be hidden and discreet. The addition of an endoscope may be used during a closed rhinoplasty to increase visualization. When repair has been completed, sutures will close incisions and an external splint or cast will be placed over the nose.
The goal of youth/teen rhinoplasty is to achieve facial harmony by changing the shape, size or angle of the nose in patients under the age of 18. Rhinoplasties can also be used to correct breathing problems resulting from irregularities inside the nose.
What to Expect
Rhinoplasties on young patients are typically performed after facial trauma, if there are breathing problems, or if the patient has severe self-image issues in relation to the size or shape of the nose. Here is a quick guide for what to expect before, during, and after a youth/teen rhinoplasty.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 2 weeks before and after surgery
- Limit sun exposure for 2 weeks
- Do not eat or drink anything 6 hours prior
- Purchase all recovery items beforehand
During Treatment: Closed Technique
- General or local anesthesia with sedation
- Incisions made on the nasal membrane in varying locations to access different parts of the nose
- Nose is reshaped and refined
- Sutures to close incisions
- External splint or cast will be placed over the nose
An external splint is applied to help support the underlying nasal framework for approximately 1 week. Bruising around both eyes, swelling, lip and teeth numbness is common and typically resolves within 1-2 weeks. Nasal swelling will continue to resolve over the next month postoperatively. The nose itself will continue to heal over the next 1-1.5 years. Makeup may be worn as soon as the cast is removed. Depending on the method used, normal activities may be resumed 2-3 days post-op.
The ideal candidate for a youth/teen rhinoplasty is under the age of 18 with severe nasal deformities, has parental consent, and has had a thorough physical and mental consultation from a plastic surgeon.
Not Recommended For
Youth/teen rhinoplasty is not recommended for candidates who have not physically stopped growing or for patients who are not psychologically ready for the physical changes after surgery.
Side effects from a youth/teen rhinoplasty may include numbness, nosebleeds, scarring, swelling, bursting of small blood vessels on the surface of the skin, permanent nerve damage, and under or over correction that necessitates revision rhinoplasty.