OMFS Care Center

Nose Surgery (Rhinoplasty)

Rhinoplasty is more than cosmetic facial surgery. Our goal is to create a nose for you that is uniquely yours and harmonious with your face. We generally recommend that our patients wait until they are at least 14 or 15 years of age to undergo Rhinoplasty.

The size and shape of your nose is largely inherited, and you may be unhappy with it for a number of reasons. Perhaps you don’t like its shape. Perhaps it’s out of proportion with your other facial features. Some people dislike the shape or position of their nostrils. Maybe the tip is too wide, pinched, large or bulbous. Maybe you sustained a trauma that did not heal properly. In the hands of a skilled oral & maxillofacial surgeon, these and other concerns can be addressed by “Cosmetic” or “Corrective” Rhinoplasty.

The true function of your nose is to allow air to enter and exit the body. When nasal passageways are obstructed, breathing becomes difficult. A common cause of breathing problem is a deviated septum, a defect in the dividing wall in the nose. Some of the ailments associated with nasal obstruction are snoring, dry mouth, postnasal drip and nosebleeds.

These can be relieved by “Corrective Rhinoplasty”, which includes Septoplasty to correct defects of the septum and widen nasal passages, and Turbinectomy to cauterize and trim the turbinates – the shelf-like lining of the nose, to create a balanced airflow. Also, “Nasal Injury Repair Surgery” corrects injuries to nasal bones and the nasal septum when they are fractured or disrupted. The timing of this surgery is crucial, as nasal bone fractures tend to heal quickly.

A decision that you and your surgeon will need to discuss is whether Open or Closed Rhinoplasty is best for you. During “open” or “external” Rhinoplasty, a small incision is made in the columella - the central column that separates the nostrils – and the nasal skin is lifted off the tip of the nose through this incision. During the more traditional “closed” Rhinoplasty, several cuts are made in the nostrils and extending over the columella.

One advantage of the “open” technique is that it allows the surgeon better exposure to the nasal anatomy. One advantage of “closed” Rhinoplasty is that it causes less disruption of the nasal tip blood supply, which lessens post surgical nasal tip swelling, as well as reducing the risk of nasal tip complications.

Revision Rhinoplasty is a “do over” of a nose upon which the original Rhinoplasty was unskillfully performed. In most cases, Revision Rhinoplasty is necessary because the original surgery was performed too aggressively, resulting in an “over operated” look.

Importantly, the ability to breathe through the nose is considered paramount to the outcome of any nasal surgery and many Rhinoplasty cases are actually Septorhinoplasty given straightening of nasal septum is very important in improving the nasal airway.  During your initial consultation your doctor will discuss all details of your case including: if you are a good candidate, surgical options and techniques, potential risks and complications of surgery, pre- and post-operative instructions, and recovery course, as well as what to expect after surgery.


You should be highly selective in choosing a surgeon for Rhinoplasty, as it is one of the most surgically and aesthetically challenging procedures performed today.


Dr. Julian and Dr. Woo are both Board Certified Oral and Maxillofacial Surgeons with experience in all aspects of Facial Cosmetic Surgery including that of the Nose, Sinuses, Eyes, Ears, Chin, Cheek, etc. They are skilled and experienced in all techniques of Rhinoplasty and Sinus Surgery, and will strive to create the nose that is natural looking and harmonious with the rest of your face.

To schedule your initial consultation, please call (559) 459-4101.

 

 

Copyright © 2012 Robert S. Julian, DDS, MD, INC.  All Rights Reserved.

 

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