Functional Rhinoplasty
Rhinoplasty, or nose-job, is classically thought of as an operation to change the shape of the nose. Of course, we have our noses for a reason. Not only are our noses important for the movement of air, but also for filtration, temperature and water regulation. So, preserving these functions can be important to our well-being.
Unfortunately, we (as surgeons) forgot this as rhinoplasty grew into primarily a nose-reshaping operation in the 1950s through the 1990s. I have personally seen many patients who had rhinoplasties decades ago (while I was still a grade-schooler!) and have problems breathing.
For these patients, the answer is a ‘functional’ rhinoplasty–a rhinoplasty to improve nasal function. For many such patients, a second operation can be done that improves the ability to breathe through the nose. I have recently published an article documenting the improvement in quality of life after such surgery (Archives of Facial Plastic Surgery, 2006).
Recognition of the importance of nasal function, as well as form, is leading to a change in the way leading rhinoplasty surgeons approach the operation. Not only should short-term aesthetics be considered, but also long-term function. For this reason, I always consider nasal function in my aesthetic rhinoplasty operations.
If you are thinking about rhinoplasty, make sure your surgeon has an understanding of the importance of preservation of nasal function. For more information, visit www.sfrhinoplasty.com
What is a rhinoplasty?
Rhinoplasty is one of the most common procedures performed in the San Francisco Bay Area, and nationwide. Rhinoplasty (nose reshaping or ‘nose job’) is a procedure to alter the external appearance of the nose, improve nasal breathing, or both. The goal of rhinoplasty surgery today is to create a harmonious relationship between the nose and face, while maintaining nasal airway function.
Are all rhinoplasties the same?
I have to answer this with an emphatic “NO”. Everyone’s face is different. The goal of modern rhinoplasty is to create a harmonious appearance to the face. Moreover, a patient’s gender, ethnicity and height will all have a bearing on what should be considered the aesthetic ‘ideal’ for that patient’s nose. I consider all of these and discuss these with my patients, comparing my opinion with theirs and come up with a mutually agreeable plan for surgery. I recommend that all those seeking rhinoplasty have more than one consultation, and spend a good amount of time with their surgeon discussing options.
What is the procedure like?
The procedure is usually performed under general anesthesia. Incisions are primarily internal, though a small external incision is sometimes used. The bone and cartilage of the nose is reshaped, and care is taken to preserve the breathing function of the nose. Typically, I am able to improve nasal breathing even during cosmetic surgery of the nose. My patients may expect 5-7 days of swelling in the nose. I use absorbable sutures that do not need to be removed, and uses advanced techniques that allow me to avoid packing in most cases.
If you have questions regarding rhinoplasty, please post them here and I will do my best to answer them for you.
OR, visit www.sfrhinoplasty.com for more information