Nasal Reshaping Surgery

Any surgical procedure which changes the shape or function of the nose is termed a rhinoplasty. In some cases at septal rhinoplasty may be performed if there is a problem both with the appearance of the nose as well as the ability to breathe out of the nose. Approximately 20% of nasal septal repair is going to require additional procedures to completely correct the breathing problems that the patient is attempting to restore. This reiterates the importance of the evaluation before surgery to determine the goals and appropriate surgical procedure to perform.

For a proper rhinoplasty evaluation, consultation with a board certified head and neck surgeon is appropriate. The consultation should include not only a discussion between the patient and the physician about the goals of the surgery, but also a thorough evaluation of the structure, appearance, and internal anatomy of the nose. Only with a thorough consultation is surgical planning able to be undertaken.

Rhinoplasty surgery is undertaken as an outpatient procedure. The level of anesthesia necessary for the procedure is dependent upon exactly what is done. Some procedures can be done with local anesthesia while others require complete general anesthesia. Most procedures can be undertaken with a slight intravenous sedation combined with local anesthesia. The exact anesthetic used will be between the patient, anesthesiologist, and surgeon and is dependent upon the exact procedure performed and health of the patient.

The recent advent of temporary injectable fillers, and use of botulinum toxin products and cosmetic surgery, has allowed for nonsurgical options for rhinoplasty surgery. These procedures can help her with certain a static changes in the nose. They are temporary and are not a permanent replacement for surgical rhinoplasty. The biggest change that a nonsurgical rhinoplasty can produce is a change in the nasal dorsum. This is evident on the profile.

Functional rhinoplasty surgery focuses on return of function in the nose and the ability to breathe through the nose. There are many areas that can be addressed including the middle part of the inside of the nose term the septum, the nasal sidewalls which can collapse, and the turbinates. Sometimes all or some of these must be addressed to obtain the optimal results. In other cases medical management is also necessary for allergies or chronic rhinosinusitis in addition to surgical treatment of the nose.

Dr. Verret is a facial plastic surgeon in the Dallas area. For more information about nonsurgical nose job or non-surgical rhinoplasty contact him at 972.608.0100.

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