December 23, 2011
Question:
Is it possible for the nose to continue to grow after a nose job even for an adult?
Answer:
When individuals age, they often experience drooping of the nasal tip. This is due to a loss of support. A drooping tip may create the appearance of a dorsal hump, and the dorsum now appears convex. This can contribute to the appearance of a larger nose. A rhinoplasty can help to bring up the tip and increase the nasolabial angle for a more youthful appearance. As one ages following a rhinoplasty, you may still notice subtle changes. However, if a solid support system is in place, the tip will not have a tendency to droop and add to the appearance of a larger nose. As a result, any effects of aging will not be as noticeable. Thank you and I hope this helps.
December 22, 2011
Question:
Can you correct my deviated septum and do a cosmetic nose procedure during the same appointment?
Answer:
Yes, this is a very common procedure known as a septorhinoplasty. Oftentimes, patients experience breathing issues from a deviated septum and desire a cosmetic improvement at the same time. Sometimes, a cosmetic change will also be necessary to improve one’s breathing. For example, for a patient with a deviated septum and pinched nostrils, cosmetic alteration will be necessary to improve the patient’s breathing. Thank you and I hope this helps.
December 21, 2011
Question:
I’ve heard the terms open and closed rhinoplasty tossed around. Can you explain the differences between the two procedures?
Answer:
A closed rhinoplasty is an approach taken when a moderate amount of work needs to be performed. All of the incisions are made inside the nose. An open rhinoplasty allows me to get a better view of the inside of the nose, and we perform this when more involved work is necessary. There are certain things that can be performed during an open rhinoplasty that cannot be performed during a closed rhinoplasty. A small incision is made under the columella during an open rhinoplasty, which allows me to lift the nasal skin and obtain a better view in comparison to a closed surgery. Thank you and I hope this helps.
December 20, 2011
Question:
I heard that over-resection can cause an over short nose, but how does it also cause a droopy nose?
Answer:
Over-resection of the lower lateral cartilage complex in patients with a heavy sebaceous skin-soft tissue envelope can cause tip ptosis and nasal obstruction. This problem often occurs in Hispanic, Asian, Middle Eastern and African American patients. Thank you for the question.
December 18, 2011
Question:
How do the shorter nasal bones affect an African American nose job?
Answer:
The nasal bones of African American patients are particularly short, flat, and wide. If possible, osteotomies or fracturing of the nasal bones are performed with a dorsal augmentation using diced cartilage wrapped in fascia. If the nasal bones are too short, the osteotomies will not be performed. However, augmentation will still improve the dorsum. Thank you for the question.
December 16, 2011
Question:
I feel like my nose droops down, not the tip exactly but more the skin that is between the nostrils. It almost seems like the skin there is too long and needs to be leveled off. Can this be done?
Answer:
Correction of a hanging columella is commonly performed during rhinoplasty. In skilled hands, excellent results can be attained.
December 14, 2011
Question:
I had a nose job and my nose looks pinched. I’m also having trouble breathing. Is this just caused by the swelling? Will it get better once the swelling goes down or is this something I would need a revision procedure for?
Answer:
Over-aggressive removal of cartilage and tissue from the nose during a rhinoplasty can lead to a “pinched” appearance and difficulty breathing. When too much cartilage is removed, often in an attempt to make the nose or tip smaller, the structure of the nose can be weakened causing it to collapse or narrow, both of which lead to trouble breathing.
December 12, 2011
Question:
I had a septoplasty that led to a septal perforation. How do you fix this?
Answer:
Trauma and prior septal surgery are the most common causes of septal perforation. For small perforations, the nasal lining can be replaced by mobilizing lining from other areas of the nose and using it to correct the defect. For larger defects, additional tissue may be needed as a scaffolding (such as a piece of fascia harvested from the scalp).
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