Nasal Cosmetic Surgery (rhinoplasty, nose job, nasal plasty)
Nasal cosmetic surgery (rhinoplasty, nose job, nasal plasty) is one of
the most commonly performed procedure by Dr. Zemplenyi at the Bel-Red Center for
Aesthetic Surgery. Reshaping of the nose (rhinoplasty) can improve and
restore harmony between the nose and the rest of the face. Whether a hump (bump) on
the nose, a crooked outline, or the shape of the tip of the nose is the
concern, all these can be addressed with rhinoplasty. Parts of
the nose may be reduced in size whereas other aspects of the nose may be
augmented (made more prominent) with a rhinoplasty in order to achieve
improved proportions and aesthetic harmony. These changes are accomplished
by reshaping the nasal framework (cartilage and nasal bone) while the overlying skin drapes
over the internal structures altered by the rhinoplasty.
Pre-operative Consultation
During your consultation for a rhinoplasty (nasal surgery) Dr.
Zemplenyi will usually analyze various views of your nose with the assistance
of computerized imaging to aid in mutual communication. Dr. Zemplenyi will address your
desires and wishes so that your procedure becomes individualized and
tailored for your needs. For example, a hump (bump) can be reduced in
size or the tip narrowed to diminish its prominence in the frontal and
side profile views. The nasal tip (lobule) may need to be altered by
careful reshaping of the cartilages at the tip of the nose to provide
narrowing and increased refinement. A prominent, protruding nasal tip
may be recessed back while a droopy tip may be supported by a cartilage
graft. A wide nasal base (flared nostrils) may also need to be
narrowed. In contrast to reduction rhinoplasty needed in many Caucasian
patients, in cases of ethnic rhinoplasty (African-Americans,
Asians, Latinos) the nasal pyramid usually requires building up
(augmentation). Depending on the complexity of the proposed changes, the
nasal tip and the framework can be accessed from the inside of the nose
(closed approach) or through a small outside incision between the
nostrils (open approach). Advanced techniques are used to correct nasal
deformities as encountered in patients with a cleft lip nose.
A twisted (crooked nose) requires straightening and reshaping of the
twisted region including correction of the underlying septal cartilage that pushes the
nose to one side. This problem is addressed by combining a rhinoplasty
and a septoplasty known as a septorhinoplasty.
As an experienced nasal surgeon Dr. Zemplenyi performs
revision rhinoplasty on patients who underwent their first nasal
surgery elsewhere. Patients are referred and travel to see Dr.
Zemplenyi from Seattle, Bellevue, the entire Puget Sound area and as far
as Oregon, California, Florida and New York.
Surgery & Anesthesia
Dr. Zemplenyi performs rhinoplasty at the Bel-Red Center for
Aesthetic Plastic Cosmetic Surgery under conscious sedation anesthesia
("twilight sleep") or under general anesthesia (also please see
our Anesthesia
& Sedation page). Depending on the complexity
of the surgery Dr. Zemplenyi chooses a closed or an open approach
rhinoplasty. During the rhinoplasty nasal surgery Dr. Zemplenyi
follows a step- by-step strategy that has been worked with your input
during the pre-operative consultation. Rhinoplasty may also be combined
with surgery to improve nasal breathing (septoplasty, turbinoplasty &
nasal valve surgery) or with sinus surgery (also please see our
Functional and Reconstructive Surgery
section for more information).
After Your Surgery
As Dr. Zemplenyi does not pack the nose after a rhinoplasty
post-operative discomfort is greatly diminished. The discomfort is
usually easily controlled with prescribed medications, and many of our
patients do not experience the need to use narcotic medications beyond
the first 24 to 48 hours. A check-up visit with Dr. Zemplenyi occurs
within the first 24 to 72 hours. A plastic nasal splint stabilizes the
nose during the first week. Most patients remain at home for the first
week, but some patients return to work with the nasal plastic splint
still in place. Camouflage cover-up make up is available through our
esthetician services and may be applied, if necessary, once the splint
is removed. While most of the swelling and bruising resolves within
fourteen days the final rhinoplasty result is not achieved until about
twelve months following the operation when all of the residual swelling
resolves, and the skin envelope conforms to the underlying modified
nasal framework.
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