Can I make my nostrils smaller?
The width of the nostrils can be decreased by increasing tip projection, narrowing the nasal base by removing tissue in the nostril sill at the junction with the upper lip, or decreasing nostril flare by removing excess nostril rim at the nasal base.
What can I do to minimize bleeding during rhinoplasty surgery?
Every rhinoplasty surgeon has their own preoperative regimen to reduce bleeding in the nose which is very vascular. I have a full 8.5 x 11 sheet of paper, single spaced, identifying foods, supplements, and medicines that may thin the blood and increase the risk of bleeding during rhinoplasty. In fact, I also recommend avoiding these products before less invasive procedures such as Botox and fillers to avoid or at least reduce bruising.
Can I improve both function (nasal breathing) and appearance with a rhinoplasty?
If a patient has both functional and aesthetic problems with their nose, both issues are more effectively and efficiently corrected at the same time rather than staging the procedures.
What is an open roof deformity after rhinoplasty?
An open roof deformity occurs when the nasal bones are separated from each other and the underlying septum in the center of the bridge. This causes a wider bridge and frequently a small groove or depression. This can be corrected by repositioning the bones and sometimes adding cartilage to correct the depression.
How should I select a rhinoplasty surgeon?
For many individuals this is the most difficult part of rhinoplasty surgery. You obviously want a board certified surgeon but also an individual that specializes in this procedure, who spends most of their time doing this operation, and can show you multiple examples of excellent results in patients who had a nose like yours.
Can a fractured nose be straightened without a full rhinoplasty?
If the deviation is located within the nasal bones, not the cartilage, it is easier to straighten the nose without a full rhinoplasty. I recommend patients see a rhinoplasty specialist within two weeks after the trauma because it is easier to effectively correct the deviation with a limited procedure before the bones have healed.
My nose is turned up (too short) three weeks after rhinoplasty. Will the tip drop?
I tell patients it is impossible to evaluate their rhinoplasty results three weeks after their surgery. I recommend they talk to their surgeon because many factors such as extensive tip work or reconstruction with revision surgery will influence their appearance during the post operative period.
Can I augment my weak chin at the same time as my rhinoplasty?
A chin implant is frequently placed at the same time as a rhinoplasty procedure. Augmenting a weak chin will improve lower facial balance and enhance the rhinoplasty results.
Why is my tip still hard 18 months after rhinoplasty?
We typically tell a patient that it will take about one year to see final results, but in some cases such as revisions, operations where extensive tip grafting is necessary, or individuals with thick skin, complete healing may take 18 – 24 months.
Can I do a lip lift at the same time as my rhinoplasty?
For a long time, we have discussed risks of doing both a rhinoplasty and a lip lift during the same operation. Recent studies have indicated that there is little or no increased risk of doing this when necessary but I suggest patients discuss this with their own surgeon because there is no consensus.