Rhinoplasty (Nose Job)

Rhinoplasty is the procedure to improve the appearance of your nose.  The nose, when out of proportion to your face, becomes prominent both to you and those around you.  But every nose is different, as is every face.  There are numerous factors that go into the recommended procedure including the gender, ethnicity, skin thickness, and the overall proportions of the face.  For this reason, no two operations are the same.

But it is important when choosing a rhinoplasty surgeon that he not only is skilled in improving the cosmetic appearance of the nose but also appreciates the nose for its most basic function, breathing.  Dr. Guy trained in Otolaryngology-Head and Neck Surgery before his Facial Plastic Surgery Fellowship where he had extensive training in all aspects of the nose from the cosmetic to reconstruction, allergies, sinus problems, and acute trauma.  He understands that getting the best result involves not only improving the appearance of the nose but also maintaining its function.  This is also where limitations come in regarding how refined or narrowed a nose can be made. If too much support is removed from the nose it may look very nice early on, but as time goes on it can develop obstruction and a pinched appearance. Having a surgeon who appreciates the nose and understands the healing and how the nose evolves with time and minimize many of these risks.

This patient in her 20s is a singer and wanted to avoid any treatment that would affect her voice. Click on the image below to see more about her case.

One of the biggest concerns patients have regarding rhinoplasty involves the use of “packing.”  By understanding the anatomy of the nose, Dr. Guy avoids the use of nasal packing to allow  for a more pleasant post operative recuperation.  Most patients are able to return to work or school within a week of surgery.  For those not doing any rigorous activity then they may return even sooner.  Dr. Guy can discuss all of this with you at the time of consultation.

Revision Rhinoplasty

A revision rhinoplasty is exactly what the name implies, a revision. There are many reasons why one undergoes a revision rhinoplasty. It could be that the first surgery did not live up to your expectations. It could be that during the healing process the scar tissue formed in such a way that led to an undesirable result. It could also be that trauma occurred in the post operative period which affected the final result. Lastly, it could be that the original goals of surgery were not realistic based on your anatomy. The most common reason for this is based on the facial structure and thickness of the skin.

Whatever the reason you are seeking revision, there are certain concepts to keep in mind. You need to wait at least an entire year before proceeding with any revision. The reason is that the nose holds on to swelling more than any other structure. As a result, if you consider operating before the edema/swelling resolves, you may be left with a suboptimal result. Second, the predictability of healing declines with each operation. Therefore, with revision, the goals of the operation need to be more clearly defined. This is because there are usually fewer improvements that can be reliably created because of the unpredictability of healing.