RHINOPLASTY IN NEWPORT BEACH
Dr. Horowitz and Dr. Nichter have been performing rhinoplasty surgery and functional nose surgery for over two decades. Their attention to detail, eye for aesthetic balance, and surgical expertise have gained them the reputation of being two of the best rhinoplasty surgeons in Newport Beach, CA. They perform rhinoplasty surgery on all ethnicities and address each patient individually based on their surgical goals. Some patients wish to maintain their ethnic appearance, while others prefer a more westernized nose. Some patients have rhinoplasty to address both cosmetic concerns and functional issues. It is important for any rhinoplasty surgeon to listen to the needs of their patient to ensure the optimal result is achieved.
Our doctors categorize nose surgery by the following:
- Primary Rhinoplasty: This is the first surgery performed on the nose for cosmetic reasons. The procedure reshapes the nose to create better balance of facial features. It is often times combined with chin augmentation or functional nose surgery.
- Ethnic Rhinoplasty: Still considered a first nose surgery, but for ethnic patients who wish to fix aesthetic issues with or without maintaining their natural cultural look. Ethnic rhinoplasty includes Hispanic, African-American, Asian, Middle-Eastern, Eastern European. There are common traits seen in the nose for each ethnicity mentioned. Skin thickness plays a major role with certain ethnic noses and can impact the amount of visible improvement which can be achieved.
- Revision Rhinoplasty: One of the most technically challenging procedures in all of cosmetic surgery. Not to be left in the hands of a plastic surgeon with little experience in revision nose surgery. Revision rhinoplasty can address issues not corrected to the patient’s liking or complications from the first surgery.
- Functional Nose Surgery: Correction of internal issues not cosmetic in nature. Used to improve breathing, headaches, facial pain, snoring, postnasal drip, and more.
The three most common functional issues addressed with surgery are:
- Deviated Septum
- Enlarged Turbinates
- Internal Valve Collapse
Rhinoplasty Before and Afters
WHO IS A CANDIDATE?
Any patient who is in good health who wants to improve the appearance of their nose and/or internal functional issues. This includes patients who have experienced a traumatic injury to their nose (broken nose) or require a revision surgery due to a botched rhinoplasty. The intended result of functional rhinoplasty is to improve breathing and to provide relief from other symptoms.
COSMETIC RHINOPLASTY CAN CORRECT:
FUNCTIONAL RHINOPLASTY CAN CORRECT:
Cosmetic rhinoplasty can sometimes be performed using a local anesthetic along with I.V. sedation. More often though, general anesthesia is used. Options will be discussed during the consultation. Functional rhinoplasty requires general anesthesia. Both are considered outpatient procedures and are performed in our Newport Beach accredited surgery center.
Cosmetic rhinoplasty have incisions hidden within the nostrils. In some cases, a small “nick” in the skin is placed at the upper nose near the corner of the eye. More complex nose surgeries often require an incision placed at the base of the nose called the columella. This is called an “open rhinoplasty,” because it allows the surgeon to elevate the nasal skin to directly view the interior of the nose and make necessary corrections. This technique is preferred because it greatly increases the surgeons ability to achieve the best possible result and avoiding the need for a revision surgery. The scar heals very well, and overtime is nearly invisible to the eye.
Wide noses may require narrowing of the base, which requires small incisions (Weir incisions) placed in the groove where the nostril meets the cheek. This allows the base to be positioned closer together.
More complex nose corrections may require grafts. Cartilage and bone grafts are often taken from within the nose (septum). Ear cartilage, rib, hip, or outer portion of the skull are other possible grafts. Synthetic nasal implants may be used to build-up portions of the nose.
Semifinal results are seen around 3 months. Final results are seen around 12-14 months post-surgery, which is the time necessary for complete healing of the exterior and internal portions of the nose.
If your selected surgeon feels an additional procedure would benefit your overall result, he will provide his recommendation The two most common add-on procedures include:
- Chin Augmentation
- Neck Liposuction