Rhinoplasty – Nose Surgery
Rhinoplasty (Nasal Reshaping) in Sherman, TX
What is Rhinoplasty?
Nose surgery (Rhinoplasty) is a procedure to reshape the nose in order to create a more pleasing look and, in some instances, to correct severe breathing problems. With approximately 400,000 operations performed each year, rhinoplasty is considered the most popular cosmetic procedure in the United States.
How does Nose Surgery work?
Rhinoplasty usually involves reducing the size of the nose by removing and sculpting the nasal tissues in order to enhance the facial appearance. The results are unique to each individual, and depend upon such factors as skin condition and thickness, nasal and facial structure, genetic contributions, and age. Traditionally, a “nose job” was performed only to correct major problems. However, recent surgical innovations allow for individuals to benefit from more moderate improvements from the procedure as well. In general, having nose surgery provides the patient with a better facial balance and overall appearance.
Dr. Narasimhan’s Philosophy
Perhaps one of the most challenging operations in all of plastic surgery is rhinoplasty (nasal reshaping). The complex structure of the nose makes this operation difficult. Dr Narasimhan has dual training in plastic surgery and ear, nose and throat surgery, in which he was able to learn the intricate techniques for this operation. He trained at UT Southwestern in Dallas with some of the best in nasal surgery. Choosing a surgeon is very important as the nose the first thing we see when we look at a person.
Reasons for considering Nose Surgery
Bring a better proportion to the nose and facial features.
Reduce the size of the nose that is too large or too wide.
Correct an overly arched or “Roman” nose.
Re-form a crooked or elongated nose tip.
Restore the nose if damaged from an accident or sports injury.
Help with breathing problems by rebuilding the nasal passage.
Treat nasal deformities caused at birth.
Note: If rhinoplasty is being utilized to correct a breathing problem or nose deformity, the procedure may be covered under the patient’s insurance policy.
Am I a good candidate?
Rhinoplasty can be done for cosmetic reasons, for example to reduce the hump on the nose or make a nasal tip smaller; or for functional reasons to improve breathing. Also, trauma or injury can affect both appearance and function. A patient with these issues might want to make an appointment.
Nose surgery procedure
The approach varies depending on the patient. Depending on your anatomy, Dr Narasimhan may use an external approach where the scar is on the outside of the nose, or an approach in which incisions are placed on the inside. The profile of the nose (dorsum), the tip of the nose, and the nasal septum or midline may all be addressed. Occasionally the nasal bones may have to be repositioned. In addition there are bony structures called turbinates which may obstruct nasal breathing and may need to be addressed as well. Dr Narasimhan will use an individualized approach for your case.
Types of Rhinoplasty procedures
Two basic methods are utilized for performing nose surgery:
- The open technique: allows for maximum visibility and control over the procedure. The incision used in the open technique is placed in-between the nostrils on the columella (the medial nostril strip).
- The Endonasal technique: the incisions are made inside the nasal passages. Because these incisions are hidden, they are invisible after surgery. In the endonasal (Closed) technique, the incisions are internal and heal faster; however, there is less surgical control over the outcome.
What to expect during surgery
To begin the surgery, tiny incisions are made which allow the surgeon to access the underlying nasal structure. Once the skin is opened, the cartilage and bone are reshaped to form the basis for the new look.
Before and After
How long is the procedure?
The rhinoplasty procedure lasts from one to three hours. The surgeon may elect to utilize either local or general anesthesia, depending upon the complexity of the operation.
What to expect after a Rhinoplasty?
The process of healing takes sometimes a year, but the initial swelling may last several weeks. You will have splints inside the nose and sometimes on the outside to protect the surgical area for about a week. During this time you may have some swelling around the eyes and nose; this is normal.
The nose will need to be well-protected from the sun for the first year after the procedure while the body is adjusting to the new look. Patients sometimes report minor pain associated with the surgery. Pain can be effectively treated with oral medication and/or cold compresses.
A splint, bandages, and/or gauze are applied immediately following surgery to aid in the healing process and to minimize movement of the nose. Patients must refrain from smoking for several weeks before and after the surgery. In addition, any corrective glasses that are worn must be taped up and off the nose.
It will be important not to strain too much, and to maintain light activities. But gradually as this subsides you should start to see improvement in appearance and function.
Risk and Complications from Nose Surgery
While complications are rare, patients can minimize the risk of potential problems by carefully following the post-surgical directions given by the surgeon.
- Skin problems or skin breakdown from bandaging
- Nasal blockage caused by swelling inside the nose
- Injury to your septum
- A raised scar at the base of the nose with the open approach
When will I start to see results?
Swealling can start to go down after two weeks, however it can take up to a year or more to see the results.
Schedule a consultation
To learn more about rhinoplasty or to schedule a consultation, call The Swamy Clinic at (903) 893-6311 today!