Rhinoplasty

Reshaping the contours of the nose, a procedure termed Rhinoplasty, can define the appearance of the nose and bring it into harmony with other facial features. Its appearance can be altered by reducing a nasal hump, changing the shape of the tip or bridge, raising or lowering the tip, or narrowing the span of the nostrils.

Rhinoplasty is performed by recontouring the cartilage and bone that form the framework of the nose. The skin is then redraped to create a new shape. A small plastic splint is worn over the bridge of the nose for four to five days following the surgery.

Rhinoplasty is one of the most elegant and complex operations we perform in facial plastic surgery. It is a delicate operation of illusion and balance that produces very satisfying results. Too often reduction rhinoplasty techniques that were once popular years ago resulted in patients’ nasal collapse years after their surgery. Patients who were initially happy with their noses are now miserable, plagued with symptoms of nasal blockage, and we are asked to evaluate and treat these patients. Dr. Koch is board certified in two disciplines, and is especially qualified to treat the nose via nose surgery. As a Board Certified Facial Plastic Surgeon and a Board Certified Otolaryngologist, he has the unique ability to improve the appearance of the nose while simultaneously improving its breathing function. If your septum is deviated or your nasal passages are blocked, we are able to correct your breathing. If this is the case, insurance may reimburse you for the functional portion of the procedure.

During the rhinoplasty consultation, we will discuss in depth your individual desires and goals, as each nose is different and requires a unique approach. Your wishes can be portrayed on a screen for viewing with the aid of a computer. This advancement in technology allows us to alter a computer enhanced image of your nose and face to emulate your final outcome. It also allows us to understand exactly what you are aiming to achieve.

Following surgery, you may be pleasantly surprised by how well you feel. Bruising and significant swelling are uncommon, and although many patients take a week off of work or school, some immediately return to their routines. Light exercise is permitted after the first week; however, heavy contact sports are not a good idea for at least four to six weeks. Whether you are repairing a broken nose or desiring a smaller, more balanced nose, rhinoplasty is a procedure that can give you the chance to make lifetime-lasting improvements in your breathing and your appearance.

The best candidate for rhinoplasty is a physically healthy man or woman who is realistic about their expectations, looking to reshape the nose by reducing or increasing the size, changing the shape of the tip or the bridge, narrowing the span of the nostrils, removing a hump, or changing the angle between the nose and upper lip. Rhinoplasty can also alleviate some breathing problems. The procedure takes place in an outpatient surgery center. It is most often performed with local anesthesia and sedation or with general anesthesia. Rhinoplasty usually takes between one and two hours to complete, although more complicated procedures may take longer.

*Please note, patient number six also had a small chin implant placed.