Premier Rhinoplasty
Nasal jobs, are popular among men and women who are dissatisfied with the size and/or shape of their features. Being such a prominent feature, the size and shape of the may be the most defining characteristic of one's head. The physician performs the job for both cosmetic and functional (breathing) indications at our facility. Nasal operations frequently involves the external appearance, as well as the internal structure and breathing apparatus.
Typical Reasons for a Correction Include:
- Decreasing or Increasing the Size
- Removing the Bump
- Narrowing the Nose
- Increasing or Decreasing the Projection
- Correction of a Crocked Nose
- Correction of a Hanging or Drooping Tip
- Relief of Airway Obstruction
Conditions requiring an operation may be a result of natural causes, birth defects or traumatic deformities. Frequently, patients who desire an operation are concerned that their features appears too large or out of proportion. The chin are important balancing features of the profile, and can often affect one's appearance. A small, flattened or receding chin may also be a contributing factor to a patient's complaint of an "unattractive profile." For these reasons, chin enlargement or augmentation or a chin implant may be considered and discussed at the time of the surgery consultation as this procedure is frequently performed at the same time as other procedures to improve and balance the proportions.
Before performing the operation, Dr. Gershenbaum always works with the patient to agree on a treatment plan. The objective of surgery varies with each individual patient, and the ideal job varies depending on skin type, ethnic background, shape and proportions. The end result of the procedure should reflect the agreed upon plan, and the feature should be completely natural in appearance. It should never look "operated." The operation can be performed after the mid-teens, when the growth spurt has ended.
Deformities can be corrected by adding to, removing, reshaping and/or rearranging bones and cartilage. The procedure can be accomplished through a closed technique, where incisions are made inside only. Dr. Gershenbaum performs closed surgery with more minor procedures, such as removing a nasal hump or narrowing the nasal bridge.
For more extensive procedures, Dr. Gershenbaum generally prefers an open approach, in which an incision is also made across the columella (the skin bridge between the nostrils), which connects the internal incisions. Dr. Gershenbaum believes this approach to corrections is unparalleled for exposure and accuracy for precision work with greater predictability in results. The resultant scar is generally near imperceptible. It is also at times desirable to narrow the nostrils, which generally leave near imperceptible scars as well.
>The degree of nasal improvement through this operation depends on the basic structure of your skin, as well as on the operative plan that is applied. At the Aventura Center, the goal is not to give you a new feature, but to improve and enhance your old features in a natural way that compliments your face.
The procedures are performed in an outpatient surgical facility. Rhinoplasty can be comfortably performed using local anesthesia with I.V. sedation or under general anesthesia. It generally takes 2 to three hours. Afterwards there is usually a nasal splint, sutures (stitches) and nasal packing. Nasal packing is removed in two to four days. The splint is removed in five to seven days. Internal sutures dissolve by themselves and external sutures, if used, are removed in five to seven days. Swelling and bruising around the eyes, and cheeks are common. Bruising is usually gone in one to two weeks.
After the operation, most of the obvious swelling resolves in several weeks after the surgery; however, it can take up to twelve months for all the swelling to resolve. Some numbness may be present for several months and optimal breathing may take weeks or months following surgery. Patients generally report being uncomfortable rather than having pain. Regardless, pain medications are always prescribed.
Most patients are up and about within two days, and able to return to work or school within seven to ten days. Strenuous activity is generally avoided for four to six weeks.
Nasal Surgery Complications
As with other cosmetic surgery procedures, complications are very unlikely when this procedure is performed by a skilled and competent surgeon. Complications include, but are not limited to, anesthesia risks, bleeding, infection, poor wound healing, scaring, persistent or increased deformity, breathing problems and need for revisional surgery.
