SECOND QUARTER 2005, VOLUME 19, NO 2

Refinement and Restructuring of Your Nose: Knowing Options and Answers

IN THIS ISSUE

Can Money Buy You Happiness?

Refinement and Restructuring of Your Nose: Knowing Options and Answers

Ask the Surgeon / Health Tip / What’s New

Do your homework, be prepared… all for the right reasons

Rhinoplasty, or nose surgery, is one of the most popular procedures with over half a million people improving the appearance of their nose each year. Some patients are unhappy with the nose they were born with or with the way aging has affected their nose. For others, an injury may have distorted the nose, or the goal may be to improve breathing. In every case, however, nothing has a greater impact on how a person looks than the size and shape of the nose. The nose is the most defining characteristic of the face, and even a slight alteration can greatly improve one’s appearance.

Options for Refinement

If you have difficulty breathing through your nose, you may benefit from a functional rhinoplasty. Nasal obstructions may be caused by a crooked septum, the cartilage and bone that divides the nose into two air chambers; by internal structures that are enlarged; or by weak sidewalls of the nose. Surgery can improve your ability to breathe by adjusting and supporting the inside of your nose. This type of surgery may be covered by your insurance company, as it is medically necessary and cannot be controlled by medication.

Nasal sculpting and refinement can be accomplished with little trauma to the nose. Diamond-crystal files allow for precise alterations in the shaping of the nose. Filler substances can be used to increase the definition of the top and sides of the nose. Small changes can result in incredible visible impact on the symmetry of the face.

More extensive restructuring of the nose will require underlying bone and cartilage to be removed, added to, or rearranged to provide a newly shaped structure. The tissues are then re-draped over the new frame and the incisions are closed.

Frequently Asked Questions

Can you make me look like this person in the photo?

Photographs are a good place to begin our discussion about what you do like and don’t like. It is not possible to recreate someone else’s nose on your face; the goal is to improve on the nose you already have. Your discussion should lead to an agreement of what you and your surgeon see as a realistic expectation from the surgery.

Can you fix a nose that sticks out too far?

Yes, you are referring to the projection of the nose. You may also be looking at the projection of the nasal tip, which tends to droop as we age. Depending on your specific case, the overall size of the nose may be reduced, which will allow the tip to drop back toward your face, or the tip cartilage may be manipulated upwards or removed to deproject the tip.

How do you remove a bump from the top of my nose?

A bump or hump is often on the nasal bridge (dorsum). It can be reduced by using a file-like instrument to shave off and smooth down the excess bone. Occasionally, it may be necessary to create controlled breaks in nasal bone to achieve simple hump reduction. The skin easily re-drapes and adheres to the new shape of the nose.

My nose is too close to my face, can you fix that?

A saddle nose is defined as one where the middle of the nose is too close to the face. A low bridge can be congenital or caused by trauma or disease. This can be remedied by building up the dorsum with your own cartilage (from the nasal septum, ear, or rib) or by using an artificial material.

I am unhappy with the width of my nose, can you make it more narrow?

Yes, several factors may be contributing to a nose that appears too wide. The distance between the nasal bones, the cartilage in the tip of the nose that is too wide, and the thickness of the nasal skin will be taken into account and reduced if necessary.

How noticeable are the scars?

Incisions are usually placed inside the nose, where they are out of sight. In some cases, an incision is made in the area of skin separating the nostrils; however, they heal very well and are often imperceptible to most people.

Will I be awake during the surgery?

No. Using intravenous sedation and local anesthesia (numbing medication administered to the surgical area), you will be asleep during the surgery. You will not feel anything during the surgery and will wake up soon after it is completed.

I want to have rhinoplasty, but I’m very nervous. How can I overcome this?

It is normal to be nervous about surgery. Take full advantage of your consultation appointment by coming prepared with a list of questions. You will feel more comfortable after discussing your concerns with your surgeon and determining your optimal treatment plan. You may want to review before and after photos and the testimonials of patients that have gone through the same thing. This will help you feel that you are not alone.

Rhinoplasty may be your answer to improved health, increased self-confidence, and a younger looking you. Schedule an appointm?nt today to determine your needs and options.

Is your nose symmetrical? Your surgeon will evaluate your nose from several different angles before surgery. From the frontal view, the nose should lie within parallel lines drawn down from the inner corners of the eyes to the nostrils. From the base view, the nasal tip should appear triangular and the nostrils should be symmetrical in shape and size.