Rhinoplasty is surgery to reshape the nose. The nose is unique in that it is not only crucial for breathing but is also a centerpiece of our face, playing an important role in our appearance and self-identity. Rhinoplasty surgery aims to reshape the nose in a way that improves both the function and the appearance of the nose. No two noses are the same, since the nose comprises a three-dimensional construct of skin, bone, and cartilage that can vary widely in size, shape, strength, and thickness. A Rhinoplasty may be performed to correct a congenital defect, to repair an injury, to improve breathing, or to improve one's appearance. Dr. Delaney and his team at Huntington ENT approach every Rhinoplasty surgery by tailoring the treatment plan to each patient's needs and desires, working within the confines of that patient’s anatomy.
During Rhinoplasty, the surgeon may attempt to do one or more of the following:
- Remove a hump
- Modify the bridge
- Reshape the tip
- Reshape or resize the nostrils
- Repair an injury
- Open breathing passages
- Increase or decrease the size
Rhinoplasty is a surgery that most prospective patients contemplate for years before seeking a consultation with a surgeon. This can be one of the most daunting surgeries to consider but also the most rewarding. At Huntington ENT, we can perform computer morphing imaging to provide a simulation of what our goals for surgery will be. This will help further ensure that Dr. Delaney’s and the patient’s visions are congruent.
Candidates for Rhinoplasty usually have considered having the surgery for a while and can describe the specific changes that he or she would like to see. It is important to wait until your facial skeleton has matured before undergoing Rhinoplasty. Typically this is around age 16 in females and 18 in males. Patients considering Rhinoplasty should be in overall good health and are not actively smoking. It is important that candidates have realistic expectations about what Rhinoplasty can do. Dr. Delaney will be able to discuss with you what he believes will be a realistic outcome.
Rhinoplasty is usually an outpatient procedure performed under general anesthesia. The duration of the surgery will depend on the complexity of the surgery. For a patient with a deviated septum, a septoplasty, a surgery to straighten the septum, can also be performed at the same time.
Will insurance cover your Rhinoplasty?
Insurance may cover the cost of your Rhinoplasty if the surgery is being done as a reconstructive or medically necessary procedure. If you are having Rhinoplasty for purely cosmetic reasons, insurance will not cover the cost.
Revision (secondary) Rhinoplasty corrects deformities caused by or inadequately treated by a previous Rhinoplasty or injuries sustained following a prior surgery. It is a more difficult procedure to perform than primary Rhinoplasty because the anatomy is usually altered and there may be scarring or tissue contracture. Because of its complexity, revision Rhinoplasty requires the skills of a highly trained specialist. Such surgeries can be performed for functional or cosmetic reasons. In some cases, additional cartilage may be taken from the ear or the ribs to reconstruct the nose.
Candidates for Revision Rhinoplasty
Anyone who is unhappy with the results of their initial Rhinoplasty procedure may be a candidate for revision Rhinoplasty. In general, patients should wait at least 1 year after their initial surgery to allow the nose to heal fully before considering revision surgery. Patients should discuss their initial procedure with their surgeon in order to determine the new goals of the revision. Through consultation and physical examination, Dr. Delaney will help you determine whether you would be a good candidate for a Revision Rhinoplasty.
Chin augmentation using silicone implants is an option for those who want a stronger chin permanently. Chin augmentation is often performed together with a Rhinoplasty to improve facial harmony or with chin liposuction to create a sharper neck silhouette. A chin implant can be placed through a hidden incision through the mouth or through a small incision under the chin. The ideal candidate should have a fully-developed facial skeleton, which usually occurs after adolescence.
Blepharoplasty (eyelid surgery) is a procedure for correcting sagging or drooping eyelids. The eyelid, because its skin is much thinner than that in other parts of the face, is often one of the first facial areas to exhibit signs of aging. Eyelids that sag or droop can affect peripheral vision and make it more difficult to apply make up.
A Brow lift (aka Forehead lift) is a procedure performed to reduce signs of aging in the forehead area. It aims to remove or minimize deep horizontal creases across the forehead and bridge of the nose, and the frown lines between the eyebrows. It also lifts the eyebrows, making the eyes look more open.
Over time, gravity and sun exposure take their toll on the face and neck. The soft tissues of the cheek begin to sag; jowls form along the jawline; and the neck develops loose folds and fat deposits. A facelift (rhytidectomy) counteracts these signs of aging by tightening muscle, removing fat, and trimming excess skin, giving the face a fresher, more youthful look.
Most of the auricle (external portion) of the ear consists of skin over contoured cartilage; muscles and ligaments hold it in place. The lobe of the ear does not contain any cartilage, however, making it susceptible to damage, particularly if it has been pierced. Wearing heavy earrings can cause the hole in the earlobe, or the earlobe itself, to stretch considerably, or the earlobe to split or tear. A forceful pull on an inserted earring can also cause the earlobe to tear. Tears are categorized as partial, complete or multiple, and are often repaired by plastic surgeons, dermatologists and otolaryngologists.
BOTOX® is a purified and safe form of botulinum toxin A that, when injected, temporarily paralyzes muscles. It is used to treat furrows and deep wrinkles in the skin formed by the continual contraction of facial muscles. Properly placed injections of BOTOX block nerve impulses sent to muscles, weakening them to the point where they cannot contract and temporarily eliminating moderately severe furrows and lines.
BOTOX Cosmetic is used to treat the following:
- Forehead furrows
- Frown lines
- Crow's feet
- Skin bands on the neck
Results can usually be seen within 72 hours of injections, and the full effect of the medication may take up to 2 weeks to see. The effects of Botox typically last 3 to 4 months. However, regularly treated areas may retain results longer.