The Comprehensive Rhinoplasty Consultation
Choosing the Best Rhinoplasty Surgeon
Rhinoplasty better known as plastic surgery of the nose, is a common but challenging procedure for the patient and the surgeon. The goal of the surgeon is is to create a aesthetically pleasing nose that functions well (breathing!) and is balanced with the rest of the face and patient's ethnic appearance. Because of this, the facial plastic surgeon and the patient must have several consultations to truly be on the "same wavelength" in terms of expectation. Computer simulations is often incorporated so that the surgeon and the patient will have a better understanding of the outcome of the operation.
The Institute for Rhinoplasty and Nasal Reconstruction is comprised of some of the leading experts in nasal and facial plastic surgery, led by Dr. Babak Azizzadeh who is the founder and Director of the Institute. Dr. Azizzadeh is one of the leading rhinoplasty experts in the country having training in both nasal plastic surgery at Harvard Medical School as well as otolaryngology (surgical specialists of the nose) at UCLA. This dual training gives Dr. Azizzadeh distinct insight in both aesthetics and function of the nose. He is board-certified by both the American Board of Facial Plastic & Reconstructive Surgery as well as the American Board of Otolaryngolgoy. He is the author of the preeminent plastic surgery textbook entitled Master Techniques in Facial Rejuvenation as well as the upcoming textbook Master Techniques in Rhinoplasty & Nasal Reconstruction. Dr. Azizzadeh's expertise has been featured in the Oprah Winfrey Show, LA Times, NY Times, Discovery Health, ABC News, Fox News and ELLE.
There are many different types of patients that present for rhinoplasty. Each group presents different challenges to the surgeon, and each has their own treatment plan, according the wants, needs and physical condition of the patient.
Primary Rhinoplasty - First time patients who are unhappy with the appearance of their nose.
Revision Rhinoplasty - Patients who have had Rhinoplasty before and want it corrected to look better.
Rhinoplasty in teenagers and young adults
Ethnic Rhinoplasty -- (Asian, African American, Middle Eastern) -- in the past, all patients regardless of their ethnic origin were treated with the same rhinoplasty techniques resulting in poor results with unnatural aesthetics. The patients at our Clinic must play a critical role in the rhinoplasty approach as well as the ultimate aesthetic objectives. The ethnicity of the patient is of paramount concern to us. During your consultation, we will go over your overall goals in detail in order to better serve your specific wishes. Most individuals will obtain extremely satisfactory results with the techniques developed and used at the Institute.
Cleft lip Rhinoplasty -- all patients who are born with a cleft deformity have severe nasal deformity. These patients will require definitive rhinoplasty and nasal Reconstruction in their teenage years. A cleft lip rhinoplasty will focus on better breathing passages and improving the over all looks of the nose and face.
Aging Rhinoplasty - The nose ages just like the rest of the face. It tends to lose elasticity and the cartilages usually elongate. Many individuals look younger by simply improving the aesthetics of the nose. Unlike other parts of the body the skin of the nose becomes thicker, wider and longer. By having rhinoplasty or plastic surgery, the nose becomes more youthful looking throughout the entire face. Aging rhinoplasty is the first and sometimes the only step needed to create an entirely youthful look to the face.
Chin Augmentation - The profile is of key concern to most individuals. The nose and chin are inseparable when looking at one's profile. Many patients who present for rhinoplasty will require modification of their chin to achieve appropriate harmony. Some individuals are not aware that the chin plays an important role in how big or small the nose looks. A receded chin can make a nose look larger than it is. Chin Augmentation may be required to address this anatomic issue. The results are often astounding.
In the Comprehensive Rhinoplasty Consultation T, Dr. Babak Azizzadeh will spend a significant amount of time discussing the looks and functional concerns of the patient. The patient's history will be reviewed in detail. A careful nasal and facial exam will be conducted in conjunction with state of the art computed tomography and digital imaging, where you can see the potential changes of the operation.
Photographs of the patient will be taken and evaluated. Special attention will be made to the lips and chin as the computer will vary the face, in these evaluations. Small chances can be made on each screen of the computer until you and your surgeon are happy with the results. After your consultation you and your surgeon will go over the treatment plan in detail. This is a very important step in rhinoplasty..
Age, ethnicity, skin thickness, profile, aesthetics of the nose, nasal lip relationship; nasal chin relationship, history of trauma, breathing system, septal deviation, nasal valves, allergies and sinus disease are all covered during your consultation at The Institute for Rhinoplasty & Nasal Reconstruction before any surgery is performed.
A week before surgery the surgeon will have another consultation to be sure the patient's wants and needs are met, and to go over what has been discussed. Pre and post operative instructions will be finalized.
In most cases Rhinoplasty is usually an outpatient procedure. The recovery time generally last between one and two weeks. The patient will have a splint on the nose, which will be removed one week later. Most patients will not have nasal packing. Following the surgery, the patient will be seen by Dr. Azizzadeh several times in the first 7-10 days. The patient will thereafter be seen by Dr. Azizzadeh every three months for a one-year period and annually after that time frame. Follow up is a critical component of rhinoplasty as the nose will continue to improve over the first 12 months. For patients from out of the area, special arrangements via virtual consultations will be made to ensure appropriate recovery. Rhinoplasty, unlike all other cosmetic procedures requires a long-term commitment by the surgeon and the patient in order to ensure a successful and satisfactory outcome. This is a pre-requisite for Dr. Azizzadeh from any patient that desires to have nasal surgery.
Rhinoplasty is a plastic surgery procedure which involves the correcting or reconstruction of the nose by resolving nasal trauma, congenital defect or respiratory impediment(1). These procedures are carried out by an otolaryngologist, a maxillofacial surgeon or a plastic surgeon(2). Of course these procedures have been taking place for a very long time to correct nasal trauma and facial defects but in recent years this procedure has become more of a cosmetic surgery than a reconstructive surgery. Most people nowadays who are seeking this surgery do it because they wish to have more aesthetically pleasing nose.
There are two types of Rhinoplasty, open Rhinoplasty and closed Rhinoplasty. The difference is that in open Rhinoplasty there is an incision made to the patient's columella (the fleshy external end of the nasal septum) while in closed Rhinoplasty there is no incision made to the columella(3). Most patients prefer closed Rhinoplasty procedures because they leave less external scarring (which is important in cosmetic surgeries) and a much quicker post-surgical recovery. Ultimately though the whether it be open or closed the call lies in the hands of the surgeon.
Most people voluntarily purchase this procedure, but there are many other reasons why this procedure can take place, such as: Vasomotor Rhinitis, Bites, Burns, Nasal Fractures, Naso-Orbito-Ethmoidal fractures (damage to the nose and eye sockets or the ethmoid bone), Neoplasms, Septal Hematoma and Inflammatory conditions(4).
Typically any sort of rhinoplastic procedure is carried out on a patient who is under sedation, this can be from general anesthetic or local anesthetic. Typically a local anesthetic is administered first to reduce vascularity in the desired region, which will limit bleeding during the surgery. The surgeon then corrects the nasal region as required and afterwards inserts a stent which will be secured with tape. This stent will help to immobilize the nose while it is healing.
Typically the healing process is short, it is usually recommended that the patient spend at least one week resting and allowing themselves to recover. Most patients are resume their typical daily activities after about two weeks. It is however advised that you should refrain from any sort of physical activity where you run the risk of facial trauma for at least six weeks after the surgery. The nasal swelling does take a very long time to disappear completely but after a few months most of the swelling will be gone(5).
When looking for a rhinoplasty choose the best surgeon specialist for you. Expert nasal reconstruction and revision rhinoplasty procedures are some of the more complicated surgeries in the field. Find someone you are comfortable with and has the training and experience to do it right.
In conclusion, the outcome of rhinoplasty relies on precise techniques to improve the aesthetics and breathing function of the nose. Pre-operative planning is paramount to successful outcome.
Watch Dr. Azizzadeh Discuss The Evolutionary Process of the Rhinoplasty