Reduction rhinoplasty is one of the most common types of nose reshaping surgery. This procedure can give a patient a nose that is more proportionate to the other facial features. In particular, it can address bumps on the bridge of the nose, an elongated nasal tip, or excessively flared nostrils. The doctor removes small amounts of bone or cartilage to achieve the desired results. To reduce the size of the nostrils, the doctor may need to use a technique called alar base reduction. During this process, he or she removes small wedges of tissue from the area where the nostrils meet the cheeks.
Both open and closed rhinoplasty can be extremely effective. The doctor will determine the right technique for each patient, based on the natural shape of the nose and the goals for surgery. If the patient desires dramatic changes, or if the doctor is performing post-traumatic rhinoplasty, an open technique may work best. This method gives the doctor access to a larger part of the nose. In many cases, it also helps him or her to make small adjustments to the nasal tip. If a patient wants to address the bridge of the nose, closed rhinoplasty may work well. However, because each patient is different, there are no hard and fast rules regarding the "right" procedure to use.
During a rhinoplasty the bone and cartilage underneath the skin is modified. In most cases a surgeon will make an incision inside the nostrils or in the septum which is located between the nostrils. The bone or cartilage will be either clipped or bumped up. When a change in the nose is intended to be subtle, a surgeon may collect cartilage from deep inside the nose or possibly from the ear. When the nose is to be altered dramatically, implants or bone grafting may be utilized.
Meeting with multiple prospective surgeons is also a great way to make your choice. Make sure you are comfortable speaking to the surgeon, and make sure he or she asks you plenty of questions, and does not rush you through any part of the consultation. After you have fully described your goals, the surgeon should provide you with informative, thoroughly explained options.
After the patient is sedated, the surgeon creates tiny incisions inside the nostrils or on the columella. Then he or she carefully lifts the skin to access the underlying bone and cartilage. The surgeon can then remove or graft tissues, as needed. Typically, a doctor uses conservative methods to minimize the impact to the surrounding tissues while still achieving the desired results. When the reshaping process is complete, the doctor lays the skin back down over the new contours of the nose and closes the incisions.
Patients may require reconstructive rhinoplasty if they have lost all or part of their noses to an accident, skin cancer, or another serious illness. During the treatment, a surgeon rebuilds the nose using skin grafts, flap techniques, and other advanced methods. Due to the complex nature of this procedure, patients may require multiple surgeries over a period of several months. Additionally, reconstructive rhinoplasty is a specialized procedure, and patients should look for surgeons who have extensive experience in this area.
There are many pros and cons to both a non-surgical nose job and a surgical rhinoplasty. Some of the advantages that people love about a non-surgical nose job (completed with dermal filler) is that it is fast and easy. In less than 15 minutes, a bump can be masked or a bridge created. Another great advantage is that if you were considering a rhinoplasty, but wanted to test the waters first, you can have a non-surgical nose job completed. *If you realize that the look is not for you, the dermal filler used on your nose is dissolvable and reversible.* Some of the disadvantages to this temporary nose job is that it will only last around 9 months depending on the type of injectable filler used, so you would have to return on a regular basis to maintain your results. Another disadvantage is that not everyone is a great candidate for non-surgical rhinoplasty depending on what needs to be done to improve or correct your area of concern. A free consult in our office with help you determine if the non-surgical nose job is the appropriate choice for you.
Dr. Kamak (PhD in Pharmacy) is an artist with the threads, he loves to use anywhere in the body, and recently he started to use them for a butt lift, especially if the client does not need extra volume. The PDO threads are made of the same material as the wound stitches. The material is hypoallergic, with no metal residue. The material is biocompatible (it blends with the body tissue) and biodegradable (it dissolve by itself over time). The 360 bi-directional barb threads lift the tissue up against the gravity and hold it in place. Over time, new collagen builds up and replace the threads to provide a natural tether to keep the tissue lifted. It is widely used for a non-surgical facelift and we started to use it in different parts of the body