Rhinoplasty, also known as a nose job, is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose, by resolving nasal traum defect, respiratory impediment or a failed primary rhinoplasty. In closed rhinoplasty and open rhinoplasty a functional, aesthetic, and facially proportionate nose is created by separating the nasal skin and the soft tissues from the osseo-cartilaginous nasal framework, correcting them as required for form and function, suturing the incisions and applying a stent to immobilize the corrected (new) nose to ensure the proper healing of the surgical cuts. Men seeking refinement of the nose often have associated breathing difficulties.  The broad nasal tip, long hanging nose a  prominent or angled dorsal bump and wide nostrils are most often conceived as problematic.  These areas can be carefully corrected by endonasal surgery.  Using incisions within the nose the large nasal bump can be shaved down,  the broad nasal tip cartilages trimmed and reshaped.  Intranasal glands and a deviated septum can be corrected simultaneously.  This results in improved breathing as well as appearance.  The nostrils can be thinned by incisions at the base.  The resultant scars are typically difficult to notice.

A large percentage of male rhinoplasty can be performed under sedation with local anesthesia. Younger patients prefer to be “put out”. The nose can be well anesthetized with proper local blocks. In this manner post operative pain is minimized. Surgery lasts less than 2 hours with most men able to leave the house the following day. Results are visible as soon as the splint is removed at one week.  Moderate swelling subsides over the following weeks and months. The nose, being the most dominant feature of our faces can be significantly improved with conservative changes.  Our goal is to make the changes that will improve your appearance without making them obvious.  Modest changes in the nasal bridge and tip change a person’s appearance dramatically. My goal is to change your appearance without it being obvious. Bumps and irregularities of the nasal bridge are typically “filed” down.  Breaking of bones is rarely necessary.  Small incisions placed within the nose allow resection and repositioning of the wide and projecting nasal tip. Nasal surgery is relatively painless.  Results are noticeable at one week when the splint is removed.  Some patients return to work in 5 days or less.  Occasional bruising lasts 12 to 14 days. It takes six weeks to see the majority of changes.
Non-surgical rhinoplasty is commonly performed by injecting one of several fillers under topical and local anesthesia. Results are visible immediately after a short office treatment; irregularities or depressions in the nasal dorsum (bridge) or tip can be filled with fat, Radiesse or Bellafil.

Difficulty breathing through the nose is caused by several conditions.  Allergies, smoking and hay fever cause swelling of the nasal lining.  Thereby partially closing the airway.  Oral antihistamines and nasal sprays usually temporarily correct most conditions.  If these treatments are not effective opening of the airway may be necessary by resecting and shifting the nasal septum or removing enlarged turbinates (nasal glands).  Sinus conditions producing pressure in the face and headaches may be improved by septal or turbinate surgery.  Severe sinus conditions are best managed by ear, nose and throat specialists. Surgically correctable conditions are often reimbursed by insurance carriers and can be addressed at the time of cosmetic procedures.  Medical insurance will only reimburse for recent nasal injuries or breathing difficulties.  Please schedule a visit so we can evaluate and examine you to determine what is the most appropriate option.

Men often request improvement in their nasal appearance when correction of nasal breathing difficulties is undertaken.  Straightening of the dorsal bump, raising of the tip, narrowing of the upper nose and correcting assymetries are often requested.  Significant improvements can be made with internal incisions to file down the bones and trim redundant cartilages.  Wide nostrils may be narrowed with inconspicuous external incisions.  Nasal appearance and breathing are almost always restored to normal.

Copyright © 2011, Luis A. Cenedese, M.D. F.A.C.S., Beaute des Arts Institute. All rights reserved.
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