Posts Tagged ‘revision rhinoplasty’

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Rhinoplasty: Non-Surgical, Cosmetic, and Reconstructive

Friday, July 30th, 2010

In actuality, there are various forms of rhinoplasty surgery for patients with different needs. If the surgery is done for merely cosmetic reasons, patients may opt for a non-surgical nose job. The second type of rhinoplasty is surgical cosmetic rhinoplasty, for both cosmetic and medical purposes. Finally, the last type of rhinoplasty is reconstructive rhinoplasty which is different from surgical cosmetic rhinoplasty because it is more than just cosmetic and the main goal of it is to provide instant relief for those who suffer from obstructed breathing caused by abnormalities in the anatomy of the nose.

A non-surgical nose job is a procedure where an injection is used to smooth the contours of your nose. It can provide fast results without any surgical interference at all. Its obvious advantages over other nose job options include very little pain, lower cost, fast recovery and lower risks compared to surgical procedures. It can cost about ten times less than the traditional rhinoplasty procedure. The injection will require corrective injections every two years, but still it is cheaper than surgery and much less risky.

Traditional rhinoplasty corrects the shape and size of the patient’s nose. Those who need to reduce the size of their nose will have to undergo traditional rhinoplasty surgery.

Reconstructive rhinoplasty is for those patients who suffer from a physical injury and need to realign the tissue in their nose. Sometimes an abnormal growth in cartilage or other tissue may also result in a breathing problem. Since it is not a cosmetic procedure, in most cases it is covered by health insurance.

Reconstructive rhinoplasty is a very delicate and invasive procedure. During the post surgical recovery, there is a risk of damaging the nose or other problems arising which may require revision rhinoplasty to make minor corrections. To learn more schedule a consultation with your Los Angeles rhinoplasty surgeon.

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Open Rhinoplasty

Friday, June 18th, 2010

Open rhinoplasty is a technique for nasal surgery where the cartilage of the nose is exposed by peeling back the nasal skin. This is done with a small outside incision on the “columella”, the aspect of the nose sandwiched between the two nostrils, and additional incisions placed inside the nose. The incision placed outside usually heals well and rarely causes cosmetic problems. These incisions have the form of a zigzag.

Advantages of Open Rhinoplasty

Grafting is generally performed more extensively in open nasal operations than with endonasal or ‘closed’ rhinoplasty. Unfortunately, this ease of exposure and grafting does not necessarily translate into a better outcome for every patient.
Revision rhinoplasty is still a common procedure sought out even after open nasal reshaping plastic surgery. Some extensive secondary reconstructive rhinoplasties are best approached through the open technique. The closed rhinoplasty operation may truly be inferior for these complicated revision rhinoplasties.


Disadvantages of Open Rhinoplasty

An open rhinoplasty lasts longer. Usually, the additional time necessary for opening and closing the nose easily adds an additional hour or more to the overall surgery time. As a rule open rhinoplasty takes 3 hours.
There may be more scaring after an open nasal reshaping operation. More surgical dissection and separation of tissues are necessary for the open rhinoplasty procedure. These operated nasal tissues have to heal afterwards which means scaring. Scaring may cause thickening of tissues or it may create forces which can pull structures in unwanted directions. Thus, added support with grafting is important. The additional scaring is more important, if revision surgery becomes necessary.
The swelling may last longer. No scientific studies have been performed to prove this notion but rhinoplasty surgeons who perform both, open and closed rhinoplasties, observed this difference. Reasons lie in the additional surgical dissection required for open rhinoplasty and the extra healing necessary afterwards. Though these advantages and disadvantages of open rhinoplasty are real, they do not make this operation better or worse if compared to the closed approach.

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Is a Nose Job Permanent and Does It Result in Permanent Scars?

Wednesday, June 9th, 2010

Unlike breast augmentation, face lift and many other cosmetic surgeries, rhinoplasty lasts forever, since once removed, bone or cartridge will never regrow.

If a nose job is carried out properly, the results should not deteriorate over time. However, in case of a poor rhinoplasty procedure, nostrils may begin to pinch or scar tissue can form.

Though nose surgery results are permanent, the aging process will have an effect on the appearance of your nose as your face changes, but the overall reshaping and new nasal structure should remain the same. Though nose reshaping surgery is permanent, many people prefer revisiting their surgeon to keep track of the progress of their nose. In such cases if they feel any changes do need to be made, they are able to consult their Los Angeles rhinoplasty surgeon and discuss their options.

Despite the permanence of rhinoplasty results, you may want to reshape your nose again as your face matures and is reshaped with age or you may simply want to touch up your surgery after the initial rhinoplasty. If you wish to do this, then you should undergo revision rhinoplasty. This procedure can be ideal for enhancing or revising the poor aspects of your initial rhinoplasty.

Scaring after rhinoplasty

Some slight and almost unnoticeable scarring is inevitable after rhinoplasty. The extant of scaring depends on the type of nose surgery: a closed rhinoplasty surgery creates scars only on the inside of the nose, whereas an open rhinoplasty which may be necessary for more extensive reshaping, creates only one external scar at the base of the columella. This scar fades over time, becoming nearly impossible for others to detect.

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Three Criteria for Undergoing Rhinoplasty

Tuesday, May 18th, 2010

Rhinoplasty is one of the most common procedures performed in Los Angeles. Despite its popularity, it is not appropriate for everyone. There are several criteria which determine whether or not one is a right rhinoplasty candidate.

Criterion 1. Patient’s General Health

Consult with your Los Angelos rhinoplasty surgeon about your general health before undergoing any surgical procedure. Even if you are healthy but are on any medications, speak to your doctor. Even a minor health problem may lead to serious complications during the surgery or the rhinoplasty recovery phase. Remember that only a candid talk with your doctor will allow you to come to a final decision. If your health is poor, the nose job surgeon should refuse to operate on you.

Criterion  2. Reasons for Getting Rhinoplasty

People tend to believe that a change in their appearance will heal a broken heart, cure depression or fill an emotional void. Unfortunately this is not true. If a patient who wants to undergo rhinoplasty hopes that the surgical procedure is powerful enough to bring such psychological benefits, he/she might be much more frustrated after the surgery discovering that they don’t feel happier.

You are a good candidate for rhinoplasty only if your main goal for undergoing rhinoplasty is simply improving your looks, your comfort level or your health.

Criterion  3. Age requirements

Age criterion is also among the most important ones. The recommended age for girls is 14 or 15, while for boys it is slightly later. If nose job is performed before the face has completely matured, a revision rhinoplasty may be required to correct any shifting that may take place during the maturation process.

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Nose Job Without Surgery

Wednesday, May 12th, 2010

A nose job without surgery, also known as an injection rhinoplasty, non-surgical rhinoplasty or a “15-minute nose job” is an excellent solution for those patients who are scared about rhinoplasty surgery and its cost or are doubtful about the surgical outcome. A nose job without surgery is painless, scarless and reversible in case the patient is not satisfied with the results. It allows patients to obtain quick results with little or no healing time.

Of course non-surgical rhinoplasty has some disadvantages in comparison with the traditional nose job since it cannot actually reduce the size of a large nose. However the creation of symmetry or smoothing out of contour irregularities can give the nose a smaller look. Furthermore, injection rhinoplasty can be a great alternative to surgical revision rhinoplasty for patients dissatisfied with the results of primary rhinoplasty.

Anyone with a mild to moderate nasal hump or a drooping nasal tip who does not want to change the size of their nose is a candidate for injection rhinoplasty.

The non-surgical nose job is a great option for Asian clients who have a flattened nasal bridge and/or a broad, poorly defined nasal tip and dorsum. The procedure does not result in a “Caucasian” appearing nose since the fundamental structure of the client’s nose is not being altered.

A non-surgical rhinoplasty is also recommended for teenagers who are concerned about a cosmetic nasal irregularity since it is a temporary procedure and does not permanently alter the normal anatomy (teenagers are still growing and cosmetic surgery of any kind is really not recommended for this age group).

For further questions, please schedule a free consultation with a board-certified Los Angeles plastic surgeon Dr. Armen Vartany.

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Types of Rhinoplasty

Wednesday, May 5th, 2010

The nose is the most dominant part of the human face. Its prominence is what defines our facial profile, overall shape, and complexion. Many people suffer from feelings of insecurity and inadequacy caused by minor nasal disproportions. That is the main reason why a lot of people decide to undergo rhinoplasty.

There are two types of rhinolpasty – Primary and Secondary.

Primary rhinoplasty is a nose-reshaping plastic surgery. In its turn this also has two types: “open” and “closed”:

Open Rhinoplasty. For major reshaping the plastic surgeon makes incisions in the vertical strip of skin separating the nostrils. This is called the columella. The skin and soft tissue are elevated off the underlying structures of the nose so the surgeon can see the nasal anatomy.

Closed Rhinoplasty. For minor reshaping, the surgeon makes incisions within the nose. The skin of the nose is detached from the bone and cartilage, which form its supporting framework. Once exposed, bone and cartilage can be removed, reshaped, augmented or rearranged to achieve the desired new shape.

Secondary Rhinoplasty. Sometimes it is referred to as revision rhinoplasty as well. This process is performed to correct problems that develop after primary rhinoplasty. In some of the cases the problems may be minor and easily fixed. In other cases the problems are major, which makes the secondary rhinoplasty more difficult. Like Primary rhinoplasty, secondary rhinoplasty can also be done as an open or closed procedure.

Rhinoplasty is a small step that can make a remarkable change in your life.

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Revision Rhinoplasty is a Prudent Step

Tuesday, April 27th, 2010

Going for revision rhinoplasty is a prudent choice as this procedure can be much more problematic than the primary rhinoplasty. It is very important to choose a surgeon with a sophisticated understanding of surgical technique and nasal structure since revision rhinoplasty can take longer to perform and may cost significantly more.

Here are the risks of revision rhinoplasty: temporary sense of smell loss, stretched swelling, bursting of small blood vessels, excessive scarring and even skin loss, anesthesia problems, also cosmetic or functional issues. It is the surgeon’s duty to explain to you all the risks you face before you have the surgery. Be sure that the surgeon you choose is a board-certified plastic surgeon and can fix your problem.

A revision rhinoplasty performing surgeon has to fight his way through the scar tissue (each body part will create scar tissue as it heals from an operation) to make the desired changes.  The scar makes difficult the process of finding and altering the cartilages of the nose without harming it.

In case the primary rhinoplasty surgeon has removed too much cartilage from different parts of nose, then during the revision rhinoplasty it will be much more difficult to create shape for the nose.

Revision rhinoplasty is a highly specialized procedure. And the plastic surgeons should be certified by the American Board of Plastic Surgery. Board certification guarantees that your surgeon has passed exact examinations, has had extensive training and is up to date on new technology and procedure techniques.

In fact, some consider revision rhinoplasty to be the most complicated cosmetic surgery procedure. So be sure you have selected a highly qualified rhinoplasty surgeon.

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The Cost of Nose Surgery

Tuesday, April 13th, 2010

The cost of nose surgery is dependent on the following factors:

•          the surgeon’s skill level/experience

•          the extent and complication of the rhinoplasty procedure

•          the geographic location of where the surgery is performed

Only after examining your nose and discussing with you your needs and expectations, can your surgeon tell you the exact cost of rhinoplasty.

Primary nose job costs range from $3,000 to $8,000. The cost comprises of 3 fees: anesthesia fee (ranging from $600 to $1,000), facility fee (ranging from $700 to $1,100) and surgical fee (this fee is difficult to determine since it depends on such factors as the surgeon’s experience, training, skills).

Revision rhinoplasty costs are much higher than primary rhinoplasty costs since revision rhinoplasty requires much more knowledge and experience and is more complex than primary nose jobs. The costs range from $10,000 to $15,000.

Choosing a board-certified rhinoplasty surgeon from the American Board of Plastic Surgery is an essential factor for a successful nose surgery and achieving satisfying results.  Since board certification requires specific and thorough surgical education and training, certified surgeons may require higher fees. However, opting for such a surgeon will increase your odds of success and reduce the risk of complications as you will receive the most appropriate treatment.

The type of certification is also important. There are more than 150 self-designated boards, but few of them (e.g. the American Board of Plastic Surgery) are designated by the American Board of Medical Specialties.

As mentioned above, the extent of the nose surgery also influences the cost of rhinoplasty, e.g. a slight modification or reduction to the point of the nose requires less surgical time and fee than narrowing the bridge or a complete change of the nose shape.

The cost of rhinoplasty may be partially covered by insurance if the procedure is a medical necessity. However, if rhinoplasty is done for purely cosmetic reasons, then it is not covered by insurance.

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Revision Rhinoplasty: Before You Undergo It

Thursday, March 25th, 2010

Revision rhinoplasty, also known as tertiary or secondary rhinoplasty is a cosmetic surgery procedure that is performed to correct a prior unsuccessful nose job. People who are not satisfied with the primary rhinoplasty results seek a revision surgery which is even more challenging than the primary one. It requires more experience and knowledge as the previous changes must be taken into consideration.

Patients who want to undergo revision rhinoplasty must be patient as it takes a full year for the nose to completely heal and during the first six months of recovery there will be some swelling and distortion. Time is also needed for the patient to adjust to his/her new appearance as dramatic changes to the appearance may be alarming at first, but may become very satisfying with time.

Patients with non-realistic expectations of the primary rhinoplasty are more prone to revision rhinoplasties. Not all cosmetic procedures may turn out the way the patient anticipates and a   surgeon who promises the exact nose you dream may be just trying to get into your wallet.

Revision rhinoplasty may be done by the primary surgeon, but in most cases patients prefer to turn to a different surgeon for a complete enhancement or correction of minor flaws. There are cases when the primary surgeon may choose to recommend one of his colleagues who might be better suited to perform a revision. Whatever the case might be, it’s up to the patient to make the final call on his/her second Los Angeles plastic surgeon.

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Celebrities and Rhinoplasty

Friday, March 19th, 2010

Many celebrities have had rhinoplasty. It seems that a nose surgery in Hollywood is a rite of passage. Some have had good results with rhinoplasty while others reached poor results due to a number of revision rhinoplasties done merely for the sake of their vanity.

Halle Berry has had rhinoplasty that looks well on her. She thinned down hrer nose a bit without looking unnatural. Other celebrity nose jobs have thinned down the nose too much, giving it a pointy and totally unnatural look.

Ashley Simpson has had rhinoplasty which dramatically changed her appearance. Due to rhinoplasty she truly has a softer facial appearance.

Some celebrities get a celebrity nose job that is too thin. Paris Hilton does not appear to have a natural looking nose. She is proof that not all celebrity nose jobs turn out successful.

Priscilla Presley also had a bad celebrity nose job that turned the once beautiful widow of Elvis Presley into a plastic cartoon person.

Cher has had her nose reconstructed. Her nose is now much straighter and the bump is taken out.

Celebrities get rhinoplasty in order to enhance their appearance and look more beautiful and handsome in television shows, movies, concerts and photos. Some celebrities claim that the reason for undergoing a plastic surgery was medical. However, the majority of nose surgeries are of a cosmetic nature.

A good rhinoplasty surgery will make the nose appear as natural as possible. Celebrity nose surgeries are often performed on young celebrities or even children of celebrities in an effort to boost their confidence and secure more roles.

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