Managing expectations is imperative when undergoing any procedure. The better informed you are about the details of the procedure, including the pre/post-op protocol, the more you can prepare yourself for the journey ahead.
Below are some of the common types of Rhinoplasties. This breakdown may be helpful to define what your needs may be. Of course the only way to accurately determine what your particular needs are is by coming in for a thorough consultation and evaluation.
There are many reasons for reconstructive rhinoplasty to improve nasal function, such as a septoplasty (delayed treatment for nasal trauma/fracture) or sub mucous resection (deviated septum / obstruction). Oftentimes a severe physical/functional deviation may require cosmetic work as well, if for example, the nose has severely shifted due to injury. In this case oftentimes a board certified facial plastic surgeon will perform the cosmetic portion of the operation while an Ear Nose and Throat surgeon will work on the functional aspects. This “doubling up” on surgeons in a single surgical procedure is quite common in reconstructive rhinoplasties of this nature. While both types of surgeons are fully capable performing all aspects, both cosmetic and functional, it is wise to choose your surgeons very carefully and for the expertise in their skill set.
The term Ethnic Rhinoplasty is much more than a cleverly conceived term used by surgeons to market to non-Caucasian patients. It also can be an important factor in narrowing down your choice of surgeon, if you are non-Caucasian. A board certified facial plastic surgeon with expertise in Ethnic Rhinoplasty should only be considered. If you are African American, Asian, Hispanic or Indian seeking a rhinoplasty it is wise to find a board certified facial plastic surgeon that specializes in Ethnic Rhinoplasty.
The most common procedure is for both men and women is the Reduction Rhinoplasty. This type of rhinoplasty addresses size, proportion and balance of the nose in relation to the rest of the face. Often there is bridge bump or the nasal width; nostril size and shape are disproportionate to the rest of the face. During our initial consultation we will take all of these aspects into consideration to address your unique needs. We can discuss what sort of refinement a bump on the bridge may require. Reshaping the tip of the nose is a complex procedure. In a primary rhinoplasty the aim is often to reshape or narrow the tip for more definition and contouring. Removing tissue where the nostrils and cheek meet narrows wide nostrils.
Post-Traumatic rhinoplasty is performed as a result of nasal injury where the supporting bone and or cartilage have been damaged. Resulting damage causing asymmetry and deviation can affect airway and breathing. This operation is varied and complex and several approaches may be taken. After a significant nose injury, the underlying tissues must settle before corrective surgery can be performed. It may mean six months or longer before more extensive corrective surgery can be undertaken safely.
Augmentation rhinoplasty increases the dimensions of the nose by adding structural material or grafts for aesthetic and functional indications This is often the case where there has been supporting cartilage damage, injury, congenital deformation/ underdevelopment or unsuccessful rhinoplasty that resulted in a loss of support/tissue. There are a number of options available for augmentation and your doctor will discuss the pros and cons of each. The options range from using your own bone or rib cartilage to artificial or biological implantable materials.
A brief word about post-op
The length of any procedure will vary based on the complexity of the case and the technique used. Following your procedure the doctor will place splints and nasal supports and bandage the nose. Cold compresses help relieve the swelling and most of the time, an over the counter painkiller will alleviate any discomfort. Generally, stitches and splints will be removed within a week. Most bruising and swelling will disappear within the first two weeks. On average, it can take about six months to a year to see full results.
Are you curious if a rhinoplasty is right for you? Please don’t hesitate to call our office and book a consultation with Dr. Honrado today. 310.286.0043