Rhinoplasty is a surgical procedure designed to revise the shape of the nose or improve its functionality. While the majority of my patients choose this procedure to enhance the appearance of their noses, others wish to correct their breathing or need revision surgery from a previous rhinoplasty. Whatever the reason for considering this procedure, I will work with you to create a customized treatment plan that takes into account your cultural background, age, facial features, and goals for the procedure. The results of rhinoplasty can have a powerful effect on your confidence by providing natural-looking improvement that enhances the beauty of your face as a whole.
The open approach involves an incision across the columella (the skin between the nostrils). This allows better access to the underlying nasal structures during surgery.
The closed approach involves incisions within the nostrils so that no scars are detected after surgery. Specialized tools allow me to view and perform the procedure precisely.
What do you desire?
Removing a Bump
About 70 percent of the patients I see in my clinic dislike the appearance of their nose in profile, specifically the bump on the bridge.
A bump on the nose can be caused by excess bone, cartilage, or both. Spreader grafts may need to be placed depending on the amount of tissue removed to provide support.
Refining the Tip
The tip of the nose can be narrowed, widened, refined, and softened. Drooping tips can be lifted, and elevated tips can be lowered.
Projection can be added, and over-projected tips can be reduced. Each of these maneuvers is unique and requires an extensive understanding of the subtle nature of these types of techniques. Changing the appearance of the tip often requires harvesting cartilage from the septum, even if no breathing issues exist. Noticeable swelling will persist for at least four weeks and can persist for up to six months in rare cases.
Reducing the Bridge
Many patients would like to change the size of their nose, which generally involves reducing the bridge.
Often, there is a notable amount of swelling and bruising after this type of procedure, which resolves within one week and is markedly decreased with the intermittent application of ice for the first two days after surgery.
Revising Previous Surgery
Scar tissue in the area of the operation, loss of cartilage, secondary trauma to the nose, and changes with age can lead to an undesirable appearance to the nose after a rhinoplasty.
Revision surgery requires careful precision and planning. Cartilage may need to be harvested from the ear if the septum previously required surgery, and different incisions are often used.
The most common cause of nasal breathing issues is related to the septum and other structures in the airway.
A deviated septum can result from birth, development, or injuries, and it can lead to a crooked nasal appearance and may also disrupt airflow. Resetting the septum by surgically removing the middle portion will drastically improve airflow while making the nose straighter.
Breathing through the nose is affected for the first couple of days after surgery but is much improved within one week, at which time the nasal splint is removed if it was used.
Patients can see the results of the procedure after the first month, but because swelling may take a long time to completely subside, full results may not be evident for several months.
The scar from the open approach to rhinoplasty is difficult to notice and fades significantly over time.
There are no visible scars associated with the closed approach.
The cost of rhinoplasty surgery varies depending on the degree of correction necessary.
In 2014, according to the American Society of Plastic Surgeons (ASPS), the national average surgeon fee for rhinoplasty was $4,694. This average did not include operating room fees or other fees that are often associated with the procedure.
Discomfort after rhinoplasty is limited and can be well-managed with pain medications.
In most cases, any pain resolves within four to seven days after surgery.