[R331]Right Kind Of Wrong Video

Primary rhinoplasty indicates that it is the first time an operation is being performed. The first operation offers the best opportunity to obtain an excellent and predictable outcome. Seeking out a rhinoplasty specialist for this first operation significantly increases the chances of obtaining an excellent rhinoplasty result and decreases your chances of a revision.

The most important first step in a successful rhinoplasty outcome is listening to the patient and really understanding what their hopes and desires are.. then delivering on that expectation. Most surgeon's goals in primary rhinoplasty is to create a nose that enhances the attractiveness of the entire face while preserving or improving nasal function (breathing). Each nose is unique; therefore, for each case, an individualized operative plan is developed that takes into account the patient's anatomy and cosmetic goals.

Rhinoplasty is the most technically demanding and difficult operations in plastic surgery. No other operation requires the depth and breadth of specialized rhinoplasty techniques required to handle the wide range of nasal types.

Special Cases
Many surgeons can help patients with challenging tips (boxy tip, infantile, broad, ptotic nasal tip, overprojected tip, underprojected tip, over-rotated tip, under-rotated tip), nostril disproportions, traumatic noses (deviated nose, crooked nose saddle nose, fractured nose), size issues (too big, too small), skin (thick-skin nose, thin skin), and length issues (too short, too long).

Chin Augmentation
The relationship between the nose and chin is often overlooked when assessing the aesthetics of the face. Many individuals with small or undersized chin are not aware how much this feature is contributing to the illusion of a larger nose. In many cases, only minor refinements of the nose is required to significantly improve the nasal aesthetics when accompanied with chin augmentation. There are many options for chin augmentation. The most common approach is using a chin implant to obtain the desired results. This is most commonly done at the time of rhinoplasty with minimal additional recovery.

Ethnic Rhinoplasty is performed on non-Caucasian patients. Some surgeons specialize on a variety of ethnicities, including the Hispanic nose, the Middle Eastern nose, the Asian nose, and the African American nose. Each ethnic group has unique features that need to be respected when performing ethnic rhinoplasty. Otherwise, the results will look unnatural and unattractive.

Secondary Rhinoplasty
(Revision Rhinoplasty) is a specialty within a specialty. Patients with cosmetic or functional (trouble breathing) problems following primary rhinoplasty often seek additional procedures for resolution of these issues. These patients are often very emotional about there condition and often travel from around the country in hopes of correcting their nasal deformity. Secondary rhinoplasty or revision rhinoplasty are often the most challenging cases. They require the highest level of planning, judgment and surgical expertise. Often these cases require a wide range of techniques including, reconstruction with multiple grafts and occasionally rib grafts.

In certain scenarios, innovative and simple techniques can be used to correct the problem without the need for surgery.

The Consultation
Your surgeon will spend a significant amount of time discussing the aesthetic and functional concerns you have with your nose. He will ask you very specific questions about what exactly bothers you about your nose and what your expectations are. Your history will be reviewed in detail. A detailed and complete nasal and facial exam will be conducted in conjunction with state of the art digital imaging. Digital imaging may be used to help establish a clear communication regarding the expectations and what can be surgically obtained. Following careful assessment and further discussion, a unique treatment plan is developed.

Preoperative Visit
One to two weeks prior to the surgery, a final consultation is scheduled in order to review the surgical plan and make sure all of your questions are answered. At that point pre and post-operative instructions will be given.

The Procedure
Rhinoplasty is typically an outpatient procedure that takes anywhere from 2 to 4 hours to perform.

Postoperative
The recovery time generally takes between 1-2 weeks. A splint is placed on the nose which will be removed in one week. Our patients typically do not have nasal packing, which significantly reduces post operative discomfort. Following surgery, several post-operative visits will be made during the first 2 weeks. Thereafter, you will be seen every 2-3 months during the first year and then annually. The nose continues to look better during the first year. Many surgeons believe it is important to maintain a long term relationship with all of their rhinoplasty patients in order to ensure an optimal and successful outcome.

In Conclusion
Rhinoplasty has the potential of being on of the most rewarding and high impact cosmetic procedures. The outcome relies heavily on accurate patient selection, pre operative communication, and precise techniques required to produce naturally enhancing results that leave the face more attractive.