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Nose Reshaping

A More Pleasing Profile...And a New Source of Pride. The procedure, Rhinoplasty.

The nose is the most prominent feature of the human face. For many people, it is simply a part of their good looks and rarely merits a second thought. For countless others, the nose is an almost constant source of embarrassment. Today, however, plastic surgery can correct a multitude of faults. Rhinoplasty can shorten, tilt up, build up or straighten. In short, Board Certified Chicago Plastic Surgeon, Dr. David A. Ross can create a new profile that ultimately contributes to a healthier self-image.

Rhinoplasty can make the most prominent feature on your face a permanent source of pride. It can give you a whole new appearance and a new outlook on life.

INTRODUCTION

Rhinoplasty is one of the oldest operations in plastic surgery. The nose is a source of pride for many and a source of great embarrassment for others. Rhinoplasty can correct many of the faults we see in our nose. Often this procedure can be combined with functional improvement of the nasal airway through correction of abnormal internal nasal structures. Many insurance companies cover functional nasal correction. Very few insurance companies consider rhinoplasty a necessary medical procedure.

TECHNIQUE

Rhinoplasty is individualized to meet the patient's needs and expectations. All rhinoplasty are performed through predominantly internal incisions and usually include an improvement of the nasal tip, straightening of the dorsum and adjustment of the bony nasal skeleton. These procedures may be performed as an open procedure with a small externally visible incision through the columella (base of nose) or may be performed as a closed procedure where all of the incisions are hidden. Different advantages exist in either approach. The choice is usually left to the discretion of the surgeon.

Surgery of the nose is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.

Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose.

 

                 


Other Procedures Performed by Chicago Plastic Surgeon, Dr. David Ross:


Open Rhinoplasty
- Open rhinoplasty involves a small incision across the columella, between the nostrils, in addition to incisions on the inside of your nose. Open surgery is usually preferred in more complicated cases.


Closed Rhinoplasty
-Closed rhinoplasty involves incision confined to the inside of your nose. Swelling improves soon and recovery is fast. However, your surgeon may have a limited ability to achieve some changes in your nose because of her or his inability to see parts of the inside of the nose.

Nostril Reduction -During rhinoplasty procedures, in many cases the cartilage is reshaped, altered or even removed depending on the desired results. Nostrils can also be resized during rhinoplasty surgery to achieve a more favorable shape.

Nose Bump Reduction- The dorsum (hump) of your nose is located in between the tip and your forehead and can be any shape or size. Rhinoplasty hump or dorsum surgery can reduce the size of the hump, reshape it, or change its overall structure.

Nose Profile Straightening - If your nose inhabits a strange angle, twist, or overall crookedness, rhinoplasty surgery can help. Rhinoplasty techniques and methods can completely straighten your nose.

Nose Tiplasty/Nose Tip Reduction - Tip rhinoplasty is a suitable procedure choice for those who have good width in the upper two thirds of their nose but who are unhappy with the shape or projection of the tip of their nose. Tip rhinoplasty involves the reshaping and altering of only the nose’s tip cartilage and may also involve a cartilage tip graft.

Septoplasty - Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities.

Nose Straightening - If your nose inhabits a strange angle, twist, or overall crookedness, rhinoplasty surgery can help. Rhinoplasty techniques and methods can completely straighten your nose.

Nasal Implants -Nasal implants are used to correct nasal deficiencies in the dorsal area (bridge of nose) as well as many other areas of the nose including the tip or the sides. They may be used to give height or definition to a flat nose or tip in an ethnic African American or Asian rhinoplasty or they may be used to correct a collapse on one side of the nose to make it look straighter. An implant may also be used to support a drooping nasal tip. Implants are frequently used in revision rhinoplasty where too much cartilage was removed from a previous rhinoplasty.

Nasal Augmentation - Nasal Augmentation refers to attempts to increase the size of various aspects of one's nose. Often times it involves inserting a nasal implant to increase tip projection or bridge height.

Asian Rhinoplasty - Asian Rhinoplasty refers to changing the shape of a classic flatter Asian nose to one with a higher more prominent bridge. This often times requires the use of a nasal implant

 

Before You Elect to Undergo Blepharoplasty Have All your Questions Answered:

 

The following are questions most frequently asked by patients considering Rhinoplasty. This page is meant to serve as a brief introduction to the operation and is not a substitute for personalized consultation with a surgeon at our center. To get all your questions answered, we suggest that you call Board Certified Plastic Surgeon, Dr. David A. Ross of the Liposuction and Cosmetic Surgery Institute located in Chicago, Oakbrook, Naperville or Arlington Heights, Illinois for a personal consultation.


1. What Is Rhinoplasty?


It's an operation to alter the outer appearance of the nose.

2. Will any scars be visible from the surgery?


With few exceptions, Rhinoplasty is accomplished by operating entirely within the nasal cavity. Working inside the nose, Dr. David A. Ross gains access to the cartilaginous and bony framework of the nose. By changing this support structure, the desired external change is affected. Consequently, the resultant scars are well hidden within the nose.

3. When a large nose is made smaller what happens to the excess skin?

The skin contracts evenly to the smaller framework and this happens almost immediately during surgery. However, some contracture will occur over the ensuing year, therefore, patience is required before the full benefits of the surgery are realized.

4. Does Rhinoplasty require hospitalization?

No. This operation is accomplished by Dr. David A. Ross safely and comfortably on an outpatient basis here at his Chicago clinic.

5. Will my nasal bones be fractured during surgery?

Each operation is individually tailored to the patient. Some patients may require a fracture if they have a wide bridge, but many times this is unnecessary. The art in Rhinoplasty lies in recognizing what needs to be altered and what doesn't. The surgical skill is demonstrated by operating only where specific changes are required.

6. Will it be obvious to others that I had nasal surgery?

Not necessarily. Many times, subtle changes are made that enhance the nasal appearance without broadcasting the nature of the surgery. Overzealous surgery resulting in a "ski-slope bridge" or excessively upturned nostrils can be avoided. However, if your surgery requires significant change, the change for the better may be readily obvious.

7. Can Rhinoplasty be performed in conjunction with other facial cosmetic surgery?

Yes, and often it is combined with chin enlargement or augmentation. Increasing the projection of a weak or receding chin adds greater harmony to a profile already improved by Rhinoplasty. This enlargement is accomplished by inserting a chin-shaped silicone implant through incisions made either inside the lower lip or beneath the chin in a hidden skin crease.

8. Are bandages necessary... and if so, how long are they worn?

Invariably, bandages are applied. Sometimes they are confined to the nasal tip and worn only for a few days. Frequently, they are in the form of a splint or cast applied to the bridge and is worn approximately one week.

9. How long is a patient bruised and in pain?

There should be very little bruising, particularly if your surgery only alters nasal tip cartilage. With more extensive surgery, bruising around the eyes is obvious for an average of two weeks. As with most facial cosmetic surgery, post-op pain is surprisingly minimal and easily controlled with oral analgesics. Usually, there is more discomfort from accompanying nasal congestion than actual pain.

10. When can I return to work and exercise?

Most non-strenuous occupations can be resumed within five days of surgery, provided the patient ignores bruising and bandages. Vigorous exercise can begin four weeks after surgery, and contact sports can begin six to eight weeks after surgery,

11. Are there any potential complications?

Significant medical complications are very rare and post-op infections almost never occur, A small percentage of people dissatisfied with their results will undergo a second procedure to achieve their goals.

12. What is the earliest age to undergo Rhinoplasty?

It depends on the growth patterns to maturity that differs somewhat from male to female. In the male, ages 14 to 15 and in the female, ages 12 to 13 are appropriate.

13. Does insurance cover the cost of surgery?

For purely cosmetic Rhinoplasty designed to improve your appearance, there is no insurance reimbursement. However, surgery to improve breathing can often be performed in conjunction with Rhinoplasty. This commonly involves an operation called Septoplasty and this portion of surgery to correct airway obstruction usually is insurable.

14. Before I agree to surgery, can you show me how it will change my appearance?

Yes, through Computer Imaging, Board Certified Chicago Plastic Surgeon, Dr. David A. Ross can show how you look before Rhinoplasty and project approximately how you'll look after the surgery. This electronic imaging method will help you visualize the goals of your surgery and its limitations. However, the computer image doesn't represent a guarantee of the exact results from surgery.

RISKS AND POTENTIAL COMPLICATIONS

Irregularities and asymmetries of the nose may occur months or years after a rhinoplasty. These are usually very subtle and do not negatively affect the overall result. Bleeding is seldom a problem. Infection is very rare. Alteration of nasal function, though possible, is uncommon.

DISCLAIMER

Though the above information is accurate, it is also incomplete. The best way to determine that you are a candidate for rhinoplasty surgery, form of rhinoplasty surgery and the rhinoplasty cost is to schedule a personal consultation with Board Certified Chicago Plastic Surgeon, Dr. David A. Ross of the Liposuction and Cosmetic Surgery Institute located in Chicago, Oakbrook, Naperville or Arlington Heights, Illinois. Dr. David A. Ross can critically analyze your nose and evaluate your aesthetic desires. That way Chicago Plastic Surgeon, Dr. David A. Ross can form a plan to determine how to achieve your aesthetic goals.