Rhinoplasty in Dallas, Texas

rhinoplasty dallas, tx

What is Rhinoplasty?

Rhinoplasty (nose surgery) is one of the most frequently performed plastic surgery procedures. During rhinoplasty, the nose is reshaped, reduced or augmented to improve its appearance. Rhinoplasty may be performed to correct a birth defect or repair an injury such as a broken nose. It is also often performed strictly for cosmetic reasons.

For a patient with ongoing sinusitis, rhinoplasty is sometimes performed in conjunction with endoscopic sinus surgery; for a patient with a deviated septum, it is often performed along with septoplasty, a procedure that corrects a deviated septum. In such cases, rhinoplasty effectively treats health and breathing problems, in addition to improving the patient’s appearance.

Candidates for Rhinoplasty

Candidates for rhinoplasty have finished their facial growth. Girls should typically be at least 15 or 16 years old; boys should be at least 17 or 18. Patients considering rhinoplasty should be in overall good health and not smoke. It is important that candidates have realistic expectations about what rhinoplasty can do. Although undergoing rhinoplasty may boost self-confidence, it should not be viewed as a cure-all for personality or relationship issues, and should not be the result of social pressure

Goals of Procedure

There are several goals of rhinoplasty; they include facilitating breathing as well as improving appearance. During rhinoplasty, the surgeon may attempt to do one or more of the following:

  • Remove a hump
  • Modify the bridge
  • Reshape the tip
  • Reshape or resize the nostrils
  • Repair an injury
  • Open breathing passages
  • Increase or decrease size

Rhinoplasty can involve modifying bone, skin or cartilage, or all three.

The Rhinoplasty Procedure

Rhinoplasty, which takes from 1 to 2 hours, is usually an outpatient procedure performed under IV sedation or general anesthesia. Two techniques are typically used. In closed rhinoplasty, incisions are made within the nostrils. In open rhinoplasty, an incision is made across the columella, the tissue between the nostrils. With both methods, the soft tissues covering the nose are gently lifted, and the bone and cartilage are sculpted to the desired shape.

If additional cartilage is needed to augment the nose, it is frequently taken from the patient’s nasal septum. If larger sections of tissue are required, cartilage may be surgically removed from the ear or other parts of the body as well. If the patient has a deviated septum, the septum and inner structures of the nose are adjusted to improve breathing. The tissues are then redraped and stitched closed. If necessary, nostrils are reshaped in the final stage of rhinoplasty.

Recovery

Immediately after surgery, the patient’s nose and eye area are usually bruised and swollen. Splints and nasal packing remain in the nose for a few days. During this period, the patient may experience some nasal pain or a dull headache, as well as some bleeding and drainage from the nose. Most patients feel like themselves within a few days and are able to return to regular activities in about a week.

To increase comfort, and decrease bleeding and swelling, rhinoplasty patients are advised to follow these post-surgical directives:

  • Avoid strenuous activities
  • Take baths instead of showers
  • Avoid blowing the nose
  • Avoid becoming constipated
  • Avoid exaggerated facial expressions
  • Brush the teeth gently
  • Avoid pulling clothing over the head
  • Limit dietary sodium
  • Do not use ice packs
  • Use sunscreen that has an SPF of 30 or higher

Although the patient usually looks “normal” a week or two after surgery, minimal swelling may be present for as much as a year.

Risks of Rhinoplasty

Complications associated with rhinoplasty are rare and, when they occur, usually minor. Surgical risks, in general, include infection or adverse reaction to anesthesia. In the case of rhinoplasty, specific risks include the following:

  • Recurring nosebleeds
  • Difficulty breathing through the nose
  • Permanent numbness in or around the nose
  • Persistent pain
  • Discoloration of skin on the nose
  • Scarring
  • Perforation of the nasal septum

It is possible that a patient is not satisfied with the results of the rhinoplasty. In such a case, a second surgery, called a revision rhinoplasty, may be performed at a later date.

Rhinoplasty FAQ

What is rhinoplasty?

Rhinoplasty, or nose surgery, is one of the most common plastic surgery procedures performed. During a rhinoplasty, the surgeon is able to reshape, reduce or augment a patient’s nose to improve appearance.

A rhinoplasty may be performed as a reconstructive procedure to correct a birth defect, a repair surgery to remedy an injury like a broken nose, or simply for cosmetic reasons. Sometimes the procedure is performed in conjunction with endoscopic sinus surgery for patients with ongoing sinusitis or with a septoplasty, a procedure to correct a deviated septum. In these cases, the operation effectively treats health and breathing problems, as well as improving the patient’s appearance.

What are the benefits of a rhinoplasty?

Rhinoplasty has several specific goals. Some facilitate breathing as well as improve facial appearance. During a rhinoplasty, the surgeon may make your appearance more pleasing to you by:

  • Removing a hump on your nose
  • Modifying the bridge of your nose
  • Reshaping the tip of your nose
  • Reshaping or resizing your nostrils
  • Repairing your nose after an injury
  • Increasing or decreasing the size of your nose
Are you a good candidate for a rhinoplasty?

In order to be a candidate for a rhinoplasty procedure you must meet the following criteria:

  • Be at least 13 years old so that facial growth is complete
  • Be in overall good health
  • Not be a smoker
  • Have realistic expectations about the outcome of the surgery
How is a rhinoplasty performed?

Rhinoplasty is usually an outpatient procedure performed under IV sedation or general anesthesia. It usually takes from 1 to 2 hours to complete. Surgeons use one of two techniques when performing nose surgery. In a closed rhinoplasty, incisions are made within the nostrils. In an open rhinoplasty, the incision is made across the columella, the tissue between the nostrils.

With both methods, the surgeon gently lifts the soft tissues covering the nose. The surgeon sculpts the bone and cartilage to the desired shape. Any additional cartilage needed to augment the nose can often be taken from the septum. If the patient has a deviated septum, the surgeon will adjust the septum and the inner structures of the nose to improve breathing. Then the tissues are re-draped and stitched closed. If the patient desires nostril reshaping, this is done as the final stage of rhinoplasty.

What is the recovery from a rhinoplasty like?

Immediately after surgery, your nose and eyes are usually bruised and swollen. Splints and some packing material will remain inside your nose for a few days. During this period, you may experience some nasal pain or a dull headache, as well as some bleeding and drainage from your nose. Most patients are comfortable enough to return to regular activities in about a week. Contact lenses can be worn immediately after the procedure, but glasses may need to be taped to your forehead or propped on your cheeks for up to seven weeks.

Are there any restrictions in the weeks following a rhinoplasty?

While you will be able to resume normal activities about a week after surgery, you will have to protect your nose while it heals by observing the following directives during the post-operative period:

  • Avoid strenuous activities
  • Take baths instead of showers
  • Avoid blowing your nose
  • Avoid constipation
  • Avoid making exaggerated facial expressions
  • Brush your teeth gently
  • Avoid pulling clothing over your head
  • Use sunscreen of SPF 30 or higher
  • Limit dietary sodium
  • Do not use ice packs
Are most patients pleased with the results of a rhinoplasty?

Patients with realistic goals for rhinoplasty are generally very happy with the new shape of their nose. The exact results depend on your nasal bone and cartilage structure, your facial shape, the thickness of your skin and your age. While you will look and feel fine within a week or two, you may have minimal swelling for as long as a year after the rhinoplasty procedure. Although your appearance may not be absolutely optimal until a year has passed, you will more than likely be extremely pleased with the results of your nose surgery soon after the procedure.

What are the possible risks of rhinoplasty?

Complications arising from a rhinoplasty are rare and when they do occur, usually minor. These may include infection, nosebleed, or a reaction to the anesthesia. Some few patients may experience recurring nosebleed or numbness in or around the nose. On rare occasions, the nasal septum may be perforated, but this can be repaired. In general, a rhinoplasty is considered a very safe surgical procedure.

Will insurance cover your rhinoplasty?

Insurance may cover the cost of your rhinoplasty if the surgery is being done as a reconstructive or medically necessary procedure. If you are having a rhinoplasty for purely cosmetic reasons, insurance will not cover the cost.

What is revision rhinoplasty?

Revision or secondary, rhinoplasty corrects deformities caused by a previous operation on the nose. It is a more difficult procedure to perform than primary rhinoplasty because there is less cartilage to work with and there may be scarring or tissue contracture. When performed by a highly skilled plastic surgeon, however, a revision rhinoplasty can improve both the appearance and the function of the nose.

Questions?

Call 214-645-5560 or email us today to learn more about Rhinoplasty in Dallas, Texas or to schedule a consultation.



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