Rhinoplasty Surgery - Nose Job Columbus, Ohio

Current trends and new techniques in rhinoplasty surgery Columbus, Ohio: 2014

Rhinoplasty surgery is one of the oldest plastic surgery procedures. Incidence of rhinoplasty or nose reshaping surgery remains relatively constant from year to year. There is a recent economic downturn caused a decrease in all cosmetic surgery procedures including rhinoplasty surgery. However, they had recovered to prerecession numbers in 2013. By 2014 the most common facial plastic surgery procedure requested by both female and male patients under the age of 35 is rhinoplasty surgery. Rhinoplasty patient’s generally fit into one of two demographic age categories. There is the younger set, from teens to mid thirties or patient who present in their midlife after their child bearing years. Younger patients challenged by the recent economy are beginning to feel more settled and starting to re-enter the rhinoplasty marketplace.

How is the rhinoplasty procedure different today?

The technique for rhinoplasty surgery has been of how to approach the nose through either a closed or open approach. The open approach is by far the most popular method used today because it allows for direct visualization and access to the cartilage and boney structures of the nose. Rhinoplasty revision rates seem to be less frequent after having an open rhinoplasty. With this approach surgeons are more incline to preserve the essential architecture and structure of the nose. The dreaded ‘saddle nose’ defect which occurs as a result as over resection of either the nasal cartilage or bone is more likely avoided with the open approach.

What is the appropriate age for rhinoplasty surgery?

The nose has generally achieved its adult size and shape by 16 to 17 years of age in female and 17 to 18 years of age for males. The growth plates in the nose have closed by these ages and rhinoplasty surgery would be considered safe. Otherwise there are no age restrictions to having rhinoplasty surgery. As we age the cartilage of the nose loses of some of it structural integrity which can make surgery more complicated. In these cases cartilage grafts may be necessary to provide additional support.

Is rhinoplasty surgery more common in females?

Female patients are generally more incline to request cosmetic surgery than males. However, when it comes to rhinoplasty surgery males and females present with equal frequency. Men just like women are also concerned with the size and shape of their nose. It’s not unusual for men and women to request rhinoplasty surgery to correct post traumatic injuries and breathing disturbances. The rhinoplasty maneuvers and techniques used in males are essentially the same as used in females. However the cartilage components of the male nose may be stronger than that of females and the skin envelope thicker. These nuances however should not limit the procedure in any way. A good rhinoplasty surgeon should be prepared in these cases to deal with the situation.

Is there a limited rhinoplasty procedure?

There is a limited rhinoplasty procedure. Some patients present with request for minor alterations of either the rip of the nose or to remove a bump on the nose. A tip rhinoplasty is a limited procedure where the cartilage that makes up the tip of the nose are exposed and altered. The tip cartilages can be narrowed and shaped with minimal disruption resulting in a quick four to five day recovery process. A bump on the nose which comes from over projection of cartilage and bone can be corrected without any external incisions. This is a closed rhinoplasty. Patients who undergo ‘bump’ removal surgery usual return to normal activities within seven days.

Why do patients get black eyes after rhinoplasty surgery?

In cases where there is a bump on the nose or nasal bones are wide, a maneuver is performed in the rhinoplasty procedure to narrow the nasal bones. Technically the nasal bones are broken and repositioned to achieve a more desirable appearance to the bridge area of the nose. Nasal bones heal just like any boney fracture and require six to eight weeks to become stable. This maneuver involves making a controlled cut in the side of the nasal bone where there are many small blood vessels. Occasionally these vessels can be traumatized during the procedure resulting in bruising or black eyes. Some patients are more susceptible to bruising but any bruising has usually resolved within one to two weeks. With proper preparation and use of preoperative medications bruising can be kept to a minimum or eliminated.

Will a rhinoplasty correct breathing problems?

Breathing problems are usually a symptom of a deviated nasal septum, enlarged turbinates, or distorted nasal structures. A rhinoplasty typically only involves the external nasal deformities involving the nasal bones and outer nasal cartilages. When the functional problems stem from a deviated nasal septum a setorhinoplasty can be performed to correct the breathing problem as well as the external deformity. In my practice is to correct the breathing component during the septorhinoplasty procedure at no additional cost to the patient.

Are there other procedures which improve rhinoplasty results?

Patients with nasal deformities often have other skeletal deficiencies which accentuate the nasal deformity. One example is a weak chin. The nose may appear over projecting when the chin is recessed. The same is true with patients who have malar hypoplasia or flat cheek bones. In the case of a weak chin, a chin implant can be placed on top of the chin bone to push the soft tissue of the chin forward, improving facial balance and make the nose appear less projection. Cheek implants are also another useful option to approve facial balance and harmony. Although facial implants require another procedure they can usual be placed at the time of the rhinoplasty without additional recovery time. A recent study by Dr. Rollin K. Daniel in the September 2013 issue of Aesthetic Surgery Journal suggests brow lifting may approve the aesthetic outcome of rhinoplasty. Laxity of the central forehead and brow skin can obscure the detail of the bridge of the nose in older patients. A brow lift can dramatically improve the aesthetic appearance in the glabellar region. Glabellar botox can also enhance the appearance in this area and may be an effective tool to enhance rhinoplasty results.

Can I have rhinoplasty surgery to look like a celebrity?

It has been reported recently that an increasing number of patients request nasal surgery in the hopes of looking like a movie star or pop singer. There are limitations as to the degree of change that can be changed. This is dictated by the patient’s own anatomy and facial proportions. Some of the disastrous results we see on television or on the internet are a result of overzealous surgeons trying to alter the nose to much. Michael Jackson is a perfect example. However when facial similarities exist it is possible to make changes to the nose that may look like that of someone else.

Is there a non-surgical rhinoplasty?

A non-surgical rhinoplasty involves injecting some type of filler such as Juvederm, Restylane, or Radiesse under the skin to fill in a deficite area. Filler results don’t last and may result in lumpiness or asymmetry. However for patients with a minor nasal deformity or who refuse surgical correction, a filler injection can offer a quick and simple alternative. The risk of filler injections in the nose however can be loss of vasularity of the nasal skin and necrosis.