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Nasal surgery can make a dramatic improvement in the appearance and function of your nose. Your nose can be sculpted to attractively harmonize with your face, and corrections can be made inside to make it function properly, so you can breathe, smell and sleep more peacefully.
How A Nose Should Look
Rhinoplasty is the most complex cosmetic facial surgical procedure. It requires meticulous attention to detail and a sculptors feel for creating the perfect shape. Today, rhinoplasty is one of the most frequently performed cosmetic surgical procedures because it can be accomplished with greater comfort and precision than ever before, and the cosmetic improvements are usually so impressive. The nose is a prominent part of the face, but it should fade into your face so that others notice your eyes, not just your nose.
Our goal is a totally natural looking nose that functions normally and enhances your appearance. The nose should maintain our personality and heritage, but should be handsome and elegant.
The nose can be increased or decreased in size, narrowed or widened, lengthened or shortened in any combination to provide the most esthetic balance with your other facial features.
We perform computer imaging for all rhinoplasty procedures. This lets the patient see how the nose will look after various treatment options. The patient can then select the procedure and the degree of change they prefer, to get the result they really want. This helps Dr. McBride meet their goals because he has a perfect image of the patient’s goals in mind.
What Bothers You About Your Nose?
Most people complain about a hump on the bridge of the nose, a wide nose, an excessively large nose, or a round, bulbous tip. Some people complain about the tip of their nose pulling down when they smile, others want to correct an asymmetry, and a few complain that their nasal tip is too high. Occasionally, someone complains that the base of their nose is too wide.
So, what are the most important features to improve? First, we want to correct the features that bother the patient. But we want to be sure that we also correct other important features, so that we obtain the best-looking nose possible. For this reason, Dr. McBride feels that computer imaging is an almost indispensible tool in rhinoplasty planning. It lets Dr. McBride and the patient work together to plan the alterations that will create the best nasal contours for the patient.
Many patients place more emphasis on maintaining a particular family trait than on creating an ideal nose. The surgeon might have a tendency to eliminate the desired family trait in order to create the nose that he thinks will look best. Computer imaging lets the patient see the planned changes and show the surgeon what features to maintain. Other patients think that replacing their very large nose with a small nose will fulfill their goals. Computer imaging may show them that a small nose will not look good, they will look better with less reduction.
Patients see themselves mostly from the front when they look in a mirror. They see angled side views (three-quarter views) in photographs. But, they rarely see a profile view of themselves. So, the features they see in a frontal view, the size and shape of the tip, the width of the nose, and, to some extent, the presence of a hump, are the features they want to change. But, the profile view is important too, because it is how others frequently see them.
Personality in rhinoplasty is a frequently overlooked issue. The goals of rhinoplasty are to create a nose that is appealing to the patient and others. It should harmonize with the other features of the face, and the personality of the patient. Male and female individuals with a strong personality will look better with a more prominent nose that has a high, straight profile line, rather than a smaller nose or one with a low, more concave profile line. A softer “nasal personality”, which many individuals may prefer, is achieved by creating a smaller, slimmer nose with a more concave profile line.
Computer imaging also helps the patient develop realistic expectations regarding the final result. Dr. McBride will use the computer imaging to show you what can actually be accomplished, not what might look the best, but cannot be accomplished because of anatomical or technical limitations. This communication between patient and surgeon is critical to creating the best result that meets the patient’s goals.Whatever your goals, computer imaging will help you see what Dr. McBride can create for you.
The procedure is usually performed under light general anesthesia and local anesthesia in our out-patient surgical suite. The bone and cartilage, which form the framework of the nose, are shaped and sculpted to produce the best appearance and functional result. Dr. McBride spends additional time to place fine stitches to shape and stabilize the cartilage so that less cartilage is removed. He spends additional time to graft cartilage into defects and weak areas that other surgeons may not treat. This extra effort results in shorter recovery, and much better stability and overall appearance. Dr. McBride believes he is not finished with surgery until he has produced the best result he can achieve.
A splint is usually applied over the bridge of the nose to maintain the desired form. The incisions inside the nose are closed with stitches that dissolve. There will be a few stitches on the outside that will be removed within five or six days, when the splint is removed. It is almost never necessary to pack the nose or insert splints inside the nose after surgery.
Patients usually have very little discomfort after surgery. However, they can experience mild swelling, bruising and stuffiness of the nose. Nasal decongestant sprays, and cold packs, can help to maintain a satisfactory airway and minimize swelling. You can usually return to work and routine activities within three to six days. Strenuous activities should be curtailed for two to three weeks.