Austin Rhinoplasty plastic surgery
The nose is in the center of the face. Any aesthetic irregularity, whether large or small, can detract not only from the appearance of the nose itself but from the face as a whole. Abnormalities of the nose can be thought of as major (first tier) and minor (second tier). First tier, aesthetic irregularities of the nose fall into the following categories: size, dorsal shape, tip shape, and nasal deviation. The nose is a complex feature and thus there are countless irregularities that fall into the second tier. For the purpose of this website, I will focus only on the first tier issue as solving those addresses 90% of what people are looking to accomplish with a rhinoplasty.
Size abnormalities imply that the nose is either too large or two small. Both can be corrected with rhinoplasty. It should be mentioned that most patients are looking for a reduction in size of their nose or parts of their nose. The most common abnormality of the dorsal shape is a hump. A common desire is to remove the hump in favor of a straight contour to the dorsal aspect of the nose. Tip shape problems are characterized as any number of shapes but the two most common are the boxy tip or bulbous tip. These two tip types and most tips in generally benefit from improvements in tip width and length and a refinement of shape to make it more delicate in a female and distinguished in a male. Nasal deviation refers t to the crooked nose where it bends to one side or the other to the extent that it noticeable and detracts from the overall appearance.
It should also be mentioned that aesthetic abnormalities almost never occur in isolation. That is to say that they occur in inter-related clusters. Thus, rhinoplasty is designed to address the composite issues in a synergistic fashion.
Rhinoplasty, sometimes referred to as a “nose job,” is a procedure designed to reshape and structure the nose in order to bring about a more desirable appearance. Plastic surgeons agree that rhinoplasty is one of the most complex cosmetic procedures performed. It is a procedure of finesse related to both form and function where success is measured in millimeters. It is a subtle yet definite line that separates success from regret. At the same time rhinoplasty is a very popular procedure, consistently ranking in the top three most common cosmetic surgery procedures. The combination of complexity and frequency yields ad national revision rate of 15%. It is for this reason that this procedure must be respected for its intricate and important nature.
Systematic, Scientific, Analytical, Patient, and Precise (SSAPP) are the adjectives that characterize my commitment to the level of respect rhinoplasty demands. Central to my SSAPP approach is the utilization of the so called “open” rhinoplasty technique for the majority of my cases. Closed rhinoplasty is performed through incisions made inside the nostrils only. One of the consistent criticisms of this technique is the inability to visualize and control all important cartilage and bone support structures of the nose that contribute to its shape and appearance. The open technique allows complete visualization and enhanced control of all of these structural elements during the course of the surgery. Before and during surgery the nose is systematically evaluated using scientific analytical principals. A plan is generated in a patient fashion so as to bring about precise changes and exacting results.Key Points
- Additional fellowship training in Rhinoplasty by one of the world’s most respected rhinoplasty surgeons
- Published scientific contributions regarding rhinoplasty technique improvement
- Speaking engagements on nasal surgery at major scientific meetings and a nationally ranked medical schools
Rhinoplasty generally required general anesthesia but is usually performed on an outpatient basis. A small splint is applied on the outside of the nose. Often soft plastic splints are placed inside the nostrils. Packing is not routinely used. The splints, both internal and external, are removed at about one week. Bruising and swelling is generally mild and lasts about 7 days. Patients generally return to school or work at about that time.