Rhinoplasty Dallas – Nose Surgery Plano – TX
Enhancing Your Appearance with Nose Surgery
The nose plays both an aesthetic and a physiological purpose. Physiologically, it is our main avenue through which we breathe. Aesthetically, the nose is a central focus of our face, providing balance and harmony to our facial features. The shape of the nose helps one to breathe properly, so if there are any abnormalities, either because of genetics or prior injury, the abnormality must be corrected. In a similar way, when there is injury to the nose or some kind of abnormality that obstructs the flow of breath into the lungs, it can result in breathing problems, or snoring and sleep apnea.
Rhinoplasty, more commonly known as the ‘Nose Job’ or nasal surgery can be used to correct physiological abnormalities and injuries. This common surgery can improve one’s appearance by creating a nose that is proportionate to the rest of one’s facial features, thus complimenting one’s natural beauty. The results are often an increase in self-confidence and self-esteem.
Why Nasal Surgery?
Rhinoplasty is performed in order to accomplish:
- Change to nasal proportion and scale, especially relative to other facial features
- Change in nasal width
- Alteration nasal profile, especially along the bridge of the nose
- Alteration of nasal tip, especially one that is out of proportion with the rest of the nose or one that droops
- Change in shape of the nostrils, especially large, misshapen or flaring nostrils
- Harmony of nasal shape, proportion and scale
Is it Right for Me?
The decision to undergo rhinoplasty surgery is one that you should carefully consider. As with any cosmetic surgical procedure, be sure that your motivations are centered around fulfilling and enhancing your own sense of innate beauty and self-image.
Nasal surgery may be right for those who:
- Are physically healthy
- Have completed all growth of the face and are over 13 years old
- Do not smoke
- Have realistic expectations of nasal surgery
What to expect during your consultation
In order to create the best possible results from your nasal surgery, it is important that we sit in consultation to discuss your desires and expectations, as well as how rhinoplasty will impact your health, lifestyle and general well-being.It is a good idea to prepare by considering the following before your consultation:
- General medical history, including any previous surgeries or life-threatening illness
- A detailed account of current prescription medications, supplements (vitamins or others) that you take
- Any use of tobacco or other drugs
- What are your motivations for surgery? What are your expectations?
At the consultation, we will also:
- Evaluate your current health
- Examine the condition of your pre-operative nose for size, shape and irregularities and photograph your nose from all angles
- Based on the information gathered, I will discuss your surgical options and recommend a course of treatment
- Disclose the risk of common complications associated with nose surgery and the use of anesthesia
- Cover what to do the day of surgery
- Cover post-operative care and recovery
Preparing for surgery
In the weeks before surgery, your surgeon may request:
- Further laboratory testing or medical evaluations
- Adjusting current prescriptions
- That you avoid the consumption of alcohol, drugs and abstain from smoking for a certain period surrounding surgery
Finally, I will go over the options you may have regarding the location of your surgery. Typically, the rhinoplasty procedure is performed on an outpatient basis, which means that the surgery can be performed in our accredited outpatient ambulatory surgical center or a hospital.
How is Rhinoplasty Performed?
Depending on your individual circumstances, I may suggest either intravenous or general anesthesia.
There are two surgical approaches for surgery of the nose:
- Open procedure – A small incision is made under the tip of the nose, along the columella, the strip of skin that connects the tip of the nose to the upper lip. This allows the surgeon to pull the skin of the nose away completely from the structures of the nose for full access to the cartilage beneath.
- Closed procedure – Small incisions are made inside the nostrils themselves, hiding the incisions within the nose.
Reshaping the Nose Structure
The structures of the nose are easily malleable because they are composed of soft tissues and cartilage or soft bone. In order to reshape the nasal structure, surgeons often shave existing cartilage to reduce size and alter shape or they use cartilage from other parts of the patients’ body to build up the nose. Cartilage from the middle nose, or septum, is used for this purpose, but cartilage from the ear can be used as well.
Correcting a Deviated Septum
Some people are born with a condition that inhibits clear and easy breathing, caused by a deviated septum. Correction of this condition is a common reason for nose surgery and the results are instantaneous.
Closing the Incision
Nasal surgery usually lasts about an hour or two, depending on the amount of correction required. Once I have determined that the results have been achieved, I will replace the skin of the nose back over the structures of the nose, and the incisions are closed with small sutures. Any incisions on the outside of the nose are made in the natural creases of the nose so that they are unnoticeable.
I’ll often use splints or small tubes to support the newly shaped nasal structures, which are usually removed in under one week.
See the Results
You will not be able to notice the true results of your rhinoplasty immediately, particularly since initial swelling and bandages will obscure your view of the nose itself. After a week or two, your bandages and splints will be removed, allowing full view of the results, which will continue to unfold for up to a year after surgery. It is important to be patient and follow your instructions specifically, in order to achieve the best results possible.
Important Facts About the Safety and Risks of Nose Surgery
Ultimately, the decision to undergo nose surgery is yours alone. After careful consideration of both the risks and benefits of surgery, you’ll have to weigh the risks against the potential benefits to make an informed decision that you can live with. You and I will go over all potential risks of surgery and my office staff will make themselves available to answer any and all of your questions.
Here is a listing of some of the risks associated with rhinoplasty:
- Adverse scarring
- Complications associated with anesthesia
- Broken blood vessels on the surface of the nose
- Nasal passages may become altered such that it becomes difficult to breathe
- A small tear in the septum called a nasal septal perforation may occur, but it is rare. In this case, further surgeries may be necessary
- Excessive bleeding (hematoma)
- Complications associated with scar healing, including pain associated with surgery
- Potential loss of nose sensation, which can be either permanent or temporary
- Potential risks of anesthesia use
- Blood clots
- Sutures break through the skin, necessitating immediate removal
When you go home
After any surgery, it is important to closely monitor how you feel, especially directly after surgery. Varying degrees of pain are certainly to be expected, however, if you experience any kind of tightness or shortness of breath, pains deep in your chest or an irregular heart beat you should go to the ER immediately and call me on the way. To avoid complications, it is of paramount importance that you strictly follow your post-surgical instructions and be careful!
Recovery from nose surgery is relatively short, but it is important to be patient as your results begin to unfold over time. Splints and tubes to support the new nasal structures will be inserted and stitches will have to be cleaned.
Here are some important questions to ask before surgery:
- Where will I recover directly after surgery?
- Will I be prescribed any post-surgery medications?
- How often do my bandages need to be changed and when will they be removed permanently?
- When will the splint, support tubes and/or stitches be removed?
- How soon will I need to return for a follow-up visit?
The results will be long-lasting
As with any cosmetic surgery, it is of paramount importance that you follow your post-surgery instructions exactly to ensure the best long-term results.