I remember as a kid watching The Sonny and Cher variety show and hearing people talk about the size of Cher’s nose. It was rather pronounced, but I always felt like it fit her look and style. At some point, though, I remember thinking somehow her face looked different…and then I realized her nose looked smaller. I’ve read since that at one point she looked at her image on the screen and made the comment that she looked like she was “all nose.” The surgery truly did make her face look more proportioned, and since then she has had a number of plastic surgeries performed.


Wikimedia Commons

The two reasons most people have a nose job is because they are conscientious of a defect in their appearance or they have a problem with their breathing. Rhinoplasty surgery has been around for a long time and is one of the most popular cosmetic procedures done. According to the American Society of Plastic Surgeons it continues to be a trend, especially for men. The following article explains the history rhinoplasty:

The Right Nose for the Face, or Adventures in Rhinoplasty | The Huffington Post

Rhinoplasty, commonly known as a “nose job,” is not just a 20th-century cosmetic procedure. In fact, the earliest rhinoplasty was recorded in ancient India, by an Ayurvedic physician Sushruta (c800 BC), who described the necessity for reconstruction of the nose due to the mutilation of a criminal’s face, religious, political or military punishment.

From the rudimentary beginnings, Rhinoplasty has evolved from strictly a repair procedure, which was perfected by an English physician, Joseph Constantine Carpue. His technique is now referred to as “Carpue’s Operation.” It involved using a flap of skin taken from the forehead and placed over the nose to reshape or repair damaged cartilage.

Read the full post here:  The Right Nose for the Face, or Adventures in Rhinoplasty | The Huffington Post

The traditional rhinoplasty surgery has at least a one-month recovery time, and you probably need to take one to two weeks off work depending on your job. In the first week you’ll have definite signs of swelling and bruising so if your job is centered around your appearance, you need to plan ahead. Another option is a nonsurgical rhinoplasty that uses fillers to fix the desired areas, but it will only last up to a year.

This video demonstrates some options with a nose job and how a surgeon fixes a young lady’s nose using this non-invasive technique:

A traditional nose job generally uses a graft of either autologous ear or rib cartilage, meaning it is harvested from the patient at the time of the surgery. There are some criticisms concerning the outcome of the rhinoplasty as well as the soreness from the donor site. Overall, though, it is a very popular method that is being widely used.

This post discusses the potential negatives of this type of surgery:

Using Patient’s Own Rib Cartilage Reduces Complication Rates in Rhinoplasty

Autologous rib cartilage is the preferred source of graft material for rhinoplasty because of its strength and ample volume. However, using rib cartilage for dorsal augmentation to build up the bridge of the nose has been criticized for its tendency to warp and issues at the cartilage donor site, such as pneumothorax (a collapsed lung) and postoperative scarring.

Rib cage


Ten studies were done with regards to the complications which included 491 patients, and the outcome proved that issues were a fairly low percentage. The need for a larger group of subjects in order to examine the positive and negative results will be beneficial long term, as mentioned in the quote below from Jee Hye Wee, M.D., of the National Medical Center, Seoul, South Korea:

“The overall long-term complications associated with autologous rib cartilage use in rhinoplasty were low. Because warping and hypertrophic chest scarring had relatively high rates, surgeons should pay more attention to reduce these complications. … Future analysis should include studies with larger pools of patients, clearer definitions of complications and longer-term follow-up to obtain more reliable results,” the study concludes.

Using Patient’s Own Rib Cartilage Reduces Complication Rates in Rhinoplasty