Temecula Rhinoplasty
When a patient has a rhinoplasty (nose job), the size and prominence of the nose is diminished and one then begins to see other parts of the face that are beautiful.
There is simply no other procedure in the facial plastic surgery realm that provides improvement in areas next to where the surgery was performed. That may be because not only do we make the nose smaller but also less a focus to look at and so others can see the rest of us.
Our nose sits at the center of our face for all to see. The nose projects its own beauty and accentuates and harmonizes with the other beautiful parts of our face. But when the nose is too prominent or otherwise detracts from our facial physique, rhinoplasty surgery can restore the nose’s natural and beautiful line. This wonderful procedure also diminishes the scale of the nose to fit the size of the face and lends harmony between nasal contour and the overall facial form.
Open vs Closed Rhinoplasty
There are two kinds of rhinoplasties: closed and open. In a closed rhinoplasty, all of the incisions are inside the nose and there are no external incisions. Closed rhinoplasties can solve most cosmetic issues related to the nose and focus on reducing the overall size of the nose, taking the “bump” down and refining and making the nasal tip less prominent. Closed rhinoplasty can also be used to raise the drooping tip and can also thereby decrease the length of the nose if it is too long. In any event and with all patients, rhinoplasty is performed to balance all of the parts of the nose to bring them into harmony.
Closed rhinoplasty involves much less operating time than an open rhinoplasty and so much less swelling results and the swelling resolves much more quickly too. Closed rhinoplasties are also less expensive because of the shorter surgical time.
Reshaping the Nasal Tip Through Rhinoplasty
Some patients have more challenging problems with the nose and one issue is the tip that not only droops but doesn’t stick out far enough. In this situation, open rhinoplasty may be required to “build up” the tip. Most facial plastic surgeons believe now, that open rhinoplasty is a better approach in these patients. During open rhinoplasty, the internal incisions used for the closed approach are connected with an incision underneath the nose and the skin is lifted to see the tip directly. The tip can then be modified.
There are other reasons that may determine what approach a plastic surgeon will recommend for a particular patient including how they trained and the length of their experience with rhinoplasty. Open rhinoplasty can be easier to learn because everything can be seen directly. On the other hand, closed rhinoplasty generally takes years to decades to master because the surgeon can see most of the support structures but not all of them. But this long “learning curve” can pay off for the patient because closed rhinoplasty does result in less swelling and faster resolution of swelling and is usually safer because of its beauty and simplicity.
Closed rhinoplasty is a relatively short procedure with generally minimal discomfort and fast healing. Though there is swelling after the procedure, patients see that the swelling is mostly gone by one week when the splint is removed. When the splint comes off, patients immediately notice that the “bump” is gone but there is still some swelling about the side of the nose that takes about four weeks to resolve. The tip remains swollen for up to six months with the typical rhinoplasty but after about two weeks, the nose is still smaller than prior to surgery so thereafter the swelling is mostly just noticed by the patient. As the swelling comes down, patients notice not only that the tip is smaller and less prominent but also narrower, finer and more sculpted.
One goal within current rhinoplasty technique is to preserve the ethnicity of the nose while, at the same time reducing the size and making the nose harmonize with the face. Patients with angular facial features require reducing the angularity of the nose but not to the point where the nose doesn’t harmonize with the rest of the facial appearance. Other patients may have a naturally wider face and a thicker, wider nose. The nose should be refined with rhinoplasty but only to the point that it matches the face.
Balancing the Face With Rhinoplasty and Chin Augmentation
There are a host of other issues that are important to discuss prior to surgery. Some patients may have a prominent nose and a chin that does not stick far forward enough. In order to bring the nose into harmony with face, sometime an augmentation of the chin may be necessary. Other patients may have a wide nasal base with some flaring of the nostrils. At surgery the nasal width and flaring can be reduced to match the rest of the nose.
Rhinoplasty with Facelift
Rhinoplasty can be performed in conjunction with other cosmetic procedures. The most common procedure performed with rhinoplasty is a face lift. As patients age, the nose can become more prominent and the face at the same time becomes smaller. Nasal tip drooping can also occur during the aging process, necessitating a rhinoplasty. In this situation, sometimes only a tip rhinoplasty may be all that is required.
A thorough consultation with a plastic surgeon can help to define these important issues in rhinoplasty and help patients get to their wishes for nasal beauty and harmony.
Additional Reading about Rhinoplasty (Nose Jobs):
Additional Reading about Rhinoplasty (Nose Jobs):Rhinoplasty: Aesthetic Ideals and Ideas
