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.
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.