Nose surgery, also referred to as rhinoplasty, is intended to change the size and/or shape of the nose. It can bring a large or disproportionate nose into balance with the rest of the face. The nose should not be the central focus of a patient’s appearance; rather it should complement the eyes, lips and surrounding facial features. With rhinoplasty, subtle changes can provide dramatic improvements in overall appearance.
Rhinoplasty is one of the most challenging procedures in cosmetic surgery. This is due to the dual function of the nose. Not only must the surgeon alter the shape of the nose, making it more aesthetically appealing and balanced, they must do so while preserving the critical functions of the nose. These include breathing, sense of smell, taste, humidification and purification of air. Thus, patients must be extremely careful when choosing a surgeon to perform their rhinoplasty.
Dr. Hall’s unique training in both Otolaryngology (Ear, Nose and Throat) and Facial Plastic and Reconstructive Surgery gives him the expertise to achieve the aesthetic desires of patients while maintaining or improving nasal function. He has extensive training in primary rhinoplasty, revision rhinoplasty and ethnic rhinoplasty. He performs rhinoplasty and nasal surgery for both functional and cosmetic purposes. Often times, patients decide to treat both concerns at the same setting to minimize recovery. A consultation with Dr. Hall will better determine what is best for you.
Rhinoplasty is performed under general anesthesia at an outpatient surgery center. The procedure itself takes approximately three hours. During the procedure, Dr. Hall will make small incisions in your nose to allow him to gain access to the underlying cartilage and bone. The cartilage and bone are then sculpted to meet the patient’s desired appearance. If needed, cartilage from your septum can be used for grafts that can further improve the shape or function of your nose. The skin is then redraped, incisions sutured close and an external splint is applied.
Patients are able to go home after their procedure. They have a nasal splint on the outside of their nose which stays in place for one week. At one week, the splint and external sutures are removed. There is no internal packing and patients are typically able to breathe through their nose with only minor congestion after the procedure. Some minor bleeding along with bruising and swelling is to be expected. Bruising and swelling significantly improves over the course of a few weeks. Some minor, unnoticeable swelling can persist for up to one year but a final result can be appreciated around six weeks to three months after the procedure.
Patients are asked to refrain from all physical activity for two weeks. At two weeks, patients can resume light activity and full, unrestricted activity is allowed at three weeks. Patients must be careful not to apply pressure or bump their nose for six weeks.
Dr. Hall believes in providing a private, comfortable, honest environment to discuss each patient’s goals. He allots ample time for each consultation to not only address any and all patient concerns, but also to develop a strong rapport with each patient. He believes the keys to successful facial plastic surgery are natural, long lasting results coupled with a strong relationship between patient, surgeon and the rest of the staff.
At the beginning of your consultation, you will meet with a member of our staff who will tell you a little about our practice and what to expect going forward. They will also obtain your medical history, which Dr. Hall will review so he can customize his treatment accordingly. Dr. Hall will then listen to your concerns and perform a head and neck exam, focusing on your nose. He will then take digital photographs, which can be modified, to show you what changes you can expect with surgery. These photographs serve as a communication tool between patient and surgeon. At the conclusion of your consultation, you will be provided with a quote for the procedures or treatments discussed and you will have the opportunity to schedule if desired.
We know that questions arise after your consultation. We are happy to answer your questions via phone or e-mail and Dr. Hall is happy to see patients as often as necessary in follow up/second consultation.
Yes, it is not uncommon for patients to have their breathing concerns addressed at the same time as their cosmetic concerns. This allows patients to combine their recovery and heal all under one timeframe.
Breathing issues or nasal obstruction can be multifactorial. Dr. Hall’s unique training in both facial plastic surgery and otolaryngology gives him the expertise to address both the functional and cosmetic issues. At your consultation, he will be able to determine what additional procedures are warranted. This can include septoplasty, turbinate reduction and/or nasal valve repair.
Dr. Hall typically performs his rhinoplasty through an open approach. This entails two incisions on the inside of your nose and one small external incision along the columella (the bridge of tissue that separates the nostrils on the base of the nose). This incision is designed to heal inconspicuously on the undersurface of your nose with most patients barely able to see it over time. For select patients, Dr. Hall also performs endonasal rhinoplasty, which utilizes only incisions on the inside of your nose. At your consultation, Dr. Hall will determine which approach is best for you to obtain your desired goals.
Patients are encouraged to bring photos of noses they find attractive to help guide the discussion with regards to rhinoplasty. This helps to understand what general size, shape and proportion the patient is seeking. Patients must also understand however that what looks good on one person, may be unbalanced in another. Realistic goals and honest communication between patient and surgeon is of utmost importance for successful rhinoplasty. Dr. Hall prides himself on taking the time to understand each patient’s goals and individualizes his treatment plan to best suit them. At the end of the consultation, digital imaging will be performed to give the patient an idea of what to expect with surgery.
For select patients who wish to avoid surgery but still improve the appearance of their nose, fillers may be an option. Fillers can camouflage a nasal hump or provide subtle changes to bring the nose into balance. Fillers are not for everyone though and they are best suited for patients seeking subtle changes, especially with regards to their nasal dorsum. In properly selected patients, fillers can provide long lasting improvements lasting approximately one year.