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Rhinoplasty (Plastic Surgery of the Nose)
Rhinoplasty is one of the few cosmetic procedures widely known and understood by the general public. It is by far the most frequently requested procedure. Patients request change of a "family trait" or correction from a prior broken nose. Many times, accompanying twisting of the internal structures of the nose prevents the free flow of air through the nose. Both internal surgery to improve breathing can be coupled with external surgery for appearance, resulting in the most pleased patients that our practice has shared. In almost all patients, incisions are hidden inside the nose and the "traditional packing" is no longer necessary. A small dressing around the nose is removed in five days and slight bruising, if at all, fades after ten to twelve days.
The majority of patients return to work or school in one week. Little postoperative pain has been the rule, however, ample medication is provided if discomfort is present. Patients often describe the worst part of their procedure as a stuffiness similar to a cold during the first week. After this, breathing is greatly improved and the cosmetic result is readily appreciated as the dressing is removed. The swelling persists for several months and the final result can be appreciated progressively over the first year. Whether it is elevation of a drooping tip, definement and narrowing of a broad bovis tip, or the lowering of a bump over the bridge, rhinoplasty has been a favorite of most patients. Teenagers, after finishing their growth curve around fourteen to sixteen, often are accompanied by parents about a refinement before entering into adult life.
Usually done under local anesthesia with IV sedation, patients experience little nausea and are often home after a few hours. Surgery to correct blocked breathing of the nose is usually covered by insurance and will gladly be filed by the office.
Reconstructive surgery after accidents must be evaluated on a case by case basis and cosmetic surgery will always be a patient's responsibility.
New office based laser turbinectomies have provided rapid relief for those addicted to nose sprays without the need for anesthesia, surgery, or downtime. This laser debulking of the turbinates, or moist swollen membranes inside the nose, have provided more room for nasal breathing. Although not suitable for every patient, most individuals unable to breathe through their nose will benefit.
