RHINOPLASTY

What is a RHinoplasty?

Rhinoplasty, commonly known as a nose job, is a surgical procedure aimed at reshaping and improving the nose's appearance. Performed under anesthesia, the duration of the surgery varies depending on the specific technique used and the extent of the changes desired. This procedure not only enhances the aesthetics of the nose but also contributes to improved facial harmony and self-confidence.

How is a Rhinoplasty performed?

The choice between open and closed rhinoplasty depends on the patient's specific anatomical needs and desired outcomes. During a consultation, a board-certified facial plastic surgeon, such as Dr. House, can evaluate the patient's unique nasal characteristics and recommend the most appropriate approach for achieving their aesthetic goals.

Both open and closed rhinoplasty techniques have their advantages and are effective in the hands of a skilled surgeon. Dr. House specializes in both approaches, ensuring that patients receive personalized and expert care tailored to their individual needs.

Open Rhinoplasty

• It is called "open" because it involves making a small incision on the columella, which is the strip of skin that separates the nostrils. This incision allows the surgeon to lift the skin and access the underlying nasal structures. During open rhinoplasty, the surgeon has a direct view of the nasal anatomy, which provides greater precision and control over the surgical changes.
• The open rhinoplasty approach is indicated in cases where significant nasal reshaping is required. It offers excellent visibility of the nasal structures, making it suitable for complex surgeries, such as correcting a deviated septum, refining the nasal tip, or addressing major structural issues. The open technique allows the surgeon to accurately assess and modify the nasal framework, ensuring precise and natural-looking results. While the incision on the columella may leave a small scar, it typically heals well and becomes inconspicuous over time.

Closed Rhinoplasty

• It is often referred to as "endonasal" rhinoplasty. Unlike open rhinoplasty, this technique does not require an external incision on the columella. Instead, all incisions are made inside the nostrils, making them hidden from view.
• Closed rhinoplasty is indicated for patients seeking more minor adjustments to their nasal appearance. It is suitable for cases where the nasal tip refinement or minor dorsal hump reduction is needed. This technique is less invasive than open rhinoplasty, resulting in less swelling and a quicker recovery. It is particularly well-suited for patients with well-defined nasal structures who require less extensive modifications.

Nasal Breathing is Critical: Functional Rhinoplasty

Rhinoplasty isn't just about looks. Functional rhinoplasty is a specialized branch of rhinoplasty surgery that focuses not only on enhancing the aesthetic appearance of the nose but also on improving its functionality, particularly in terms of breathing. With his extensive background in Otolaryngology (Ear, Nose, and Throat/ENT medicine), Dr. House is uniquely equipped to excel in this intricate field.

The nose plays a crucial role in our respiratory function, and any alterations made during rhinoplasty must prioritize the preservation or enhancement of airflow. Addressing issues such as septal deviation, allergic rhinitis, inferior turbinate hypertrophy, and nasal valve collapse is of utmost importance.

Septal deviation can significantly obstruct airflow and compromise breathing, often requiring corrective measures during rhinoplasty to restore proper alignment. Allergic rhinitis and conditions like inferior turbinate hypertrophy can lead to chronic nasal congestion, impacting a patient's daily life.

Addressing these concerns involves a multifaceted approach, which may include reshaping the nasal septum and turbinates to optimize airflow and alleviate breathing difficulties. Furthermore, understanding the nuances of nasal valve collapse is crucial, as it can result in airflow restriction and a compromised aesthetic outcome.

With his in-depth knowledge of nasal anatomy, airflow dynamics, and ENT principles, Dr. House is able navigate the complexities of functional rhinoplasty with precision. He understands that achieving both improved breathing and aesthetic harmony is paramount, ultimately leading to a higher quality of life.

REvision RHINOPLASTY

Our expertise extends to revision rhinoplasty for patients who need further enhancements or corrections after previous surgeries.

Revision rhinoplasty, also known as secondary rhinoplasty, is a specialized surgical procedure performed to address cosmetic or functional issues that persist or arise following a previous rhinoplasty. While rhinoplasty can yield transformative results, it is considered one of the most complex procedures in facial plastic surgery, and occasionally, patients may require a revision to achieve their desired outcome.

Nationally, the average rate of revision rhinoplasty is approximately 22%, highlighting the intricate nature of nasal surgery and the importance of choosing an experienced and skilled surgeon like Dr. House. Revision rhinoplasty may be necessary for various reasons, including dissatisfaction with the initial results, breathing difficulties, or structural irregularities. Dr. House understands that each revision case is unique and requires a customized approach to address the specific concerns and challenges presented by the patient. With his extensive expertise in facial plastic surgery, Dr. House is dedicated to achieving exceptional outcomes for patients seeking revision rhinoplasty, helping them achieve the natural and harmonious results they desire.

We use a range of grafting materials, such as autologous rib cartilage, donor rib cartilage, and ear cartilage, selecting the best option based on each patient's needs.

• Autologous Rib Cartilage: Sourced from the patient for significant reconstructive needs, through as small, hidden incision in the natural crease just below the breast or pectoralis muscle.
• Donor Rib Cartilage: An alternative for those who prefer not to use their own cartilage.
• Ear Cartilage: Ideal for minor revisions, known for its flexibility and ease of shaping.

Why should you choose Dr. House?

Having completed a fellowship under the mentorship of Dr. Paul Nassif, MD, one of the world's foremost rhinoplasty surgeons and renowned star of E!'s "Botched" TV show, Dr. House brings a wealth of knowledge and artistry to the field of rhinoplasty. He is deeply committed to helping patients achieve their desired nasal aesthetics and function, recognizing the pivotal role the nose plays in facial harmony and expression.

During his illustrious surgical residency in head and neck surgery at UCSF, Dr. House made significant contributions to peer-reviewed journals, focusing on advanced rhinoplasty techniques and intricate anatomical insights. His dedication to mastering his craft continued with specialized fellowship training under the guidance of Dr. Nassif, solidifying his status as a leading expert in the realm of rhinoplasty.

Dr. House is unwavering in his commitment to providing personalized care. Each patient receives comprehensive preoperative instructions, personally reviewed by Dr. House during their preoperative consultation. Furthermore, he goes the extra mile by offering his personal cell phone number to all surgical patients, ensuring they have direct access to him around the clock for any concerns or questions.

At the core of Dr. House's approach is his profound compassion and respect for each patient, fostering a sense of individualized care rather than mere statistical cases. This compassionate foundation is combined with his exceptional surgical skills and deep knowledge, bringing world-class, peer-reviewed, and time-tested rhinoplasty techniques to the San Francisco Bay Area. His ultimate dedication is to deliver outstanding, natural-looking results that instill confidence and rejuvenation in his valued patients.

Interested in rhinoplasty or revision rhinoplasty at HouseMD Plastics? Schedule a consultation today to explore your options and start your journey towards a refreshed, rejuvenated appearance.

What is the expected recovery?

Recovery from rhinoplasty surgery is a crucial phase in the journey toward achieving the desired nasal aesthetics and functionality. While individual experiences may vary, here's a general overview of what to expect during the recovery period:

1. Immediate Post-Op Phase (Day 1-7):

• Swelling and Bruising: Swelling and bruising around the eyes and nose are common and usually peak in intensity within the first 48 hours. Cold compresses can help alleviate swelling.
• Nasal Packing: In some cases, nasal packing or splints may be placed inside the nose to support the healing process. These are typically removed within a week.
• Pain Management: Pain and discomfort are usually mild to moderate and can be managed with prescribed or over-the-counter pain medications.
• Rest and Elevation: Resting with your head elevated can help reduce swelling and promote healing.
• Ice compresses may be useful if you see bruifor the first 48 hours
• Some oozing from the nose is normal for the first 48 hours

2. First Weeks (Weeks 1-2):

• Initial Follow-Up: You will have a follow-up appointment with your surgeon to assess healing progress and remove any splints or packing.
• Breathing: Breathing through the nose may be partially obstructed due to swelling and internal changes. This improves gradually.
• Stitches Removal: If external stitches were used, they are typically removed within the first week.
• Return to Work: Many patients can return to work or school after the first week, but strenuous activities should be avoided.

3. Subsequent Weeks (Weeks 2-6, 75% healing ):

• Continued Healing: Swelling continues to diminish, and you'll notice gradual improvements in the appearance of your nose.
• Exercise: Light exercise can be resumed, but strenuous activities should still be avoided until 3-4 weeks postop to minimize swelling.
• Avoiding Sun Exposure: Protect your nose from direct sun exposure to prevent long-lasting discoloration.

4. Long-Term Recovery (Months 3-12, 95% healing):

• Final Results: The final results of rhinoplasty takes anywhere from 1-3 years to fully manifest, as the skin shrinkwraps around the nasal cartilage.
• Nasal Function: Breathing typically improves as swelling decreases and internal tissues heal.
• Scarring: Scarring, if any, is usually minimal and inconspicuous, especially if the incisions were made inside the nose.

It's essential to follow your surgeon's post-operative instructions diligently to optimize the healing process and achieve the best possible outcome. This may include dietary guidelines, specific cleaning instructions, and any restrictions on physical activities. Rhinoplasty recovery is a gradual process, and while initial improvements are visible within weeks, the final results may take some time to fully appreciate. Patience and adherence to the post-operative care plan are key to successful rhinoplasty recovery.