With more than 220,000 performed in 2016 alone, cosmetic nose surgery (or rhinoplasty) procedures have consistently been among the most frequently performed forms of plastic surgery. As a board-certified plastic surgeon and otolaryngologist with nearly thirty years of experience specializing in facial plastic surgery procedures, I have had the opportunity to perform thousands of them, and even though I have always maintained an extremely high patient satisfaction rate, I am also keenly aware that in the world of plastic surgery things might not always go as planned. Rhinoplasty, in particular, is widely considered to be one of the most difficult plastic surgery procedures to perform, and over the years I have been called upon to perform hundreds of rhinoplasty revision procedures to improve the results of nasal surgeries performed by other surgeons.
One of the reasons why rhinoplasty procedures can be so difficult is because the nose is more than just decorative. The goal of cosmetic rhinoplasty is to change the size and/or shape of the nose in order to bring it into a more harmonious balance with the other facial features, but the plastic surgeon must be extremely careful not to impair the nose’s functionality or restrict airflow. Moreover, the nose primarily made up of soft tissue and cartilage, and so it does have the potential to grow and change over time. A plastic surgeon performing nose surgery has to consider not only what the nose looks like now, but what it will look like ten or even twenty years from now. This makes performing nose surgery on adolescents particularly challenging. Finally, the nose is a very vascular area, riddled with tiny blood vessels. As a result, nose surgery can cause a great deal of swelling and bruising. In fact, it is not uncommon to take up to a year for the new nasal contour to fully refine, so some patients may not discover until long after their surgery that their results do not live up to their expectations.
Fortunately, revision rhinoplasty can address the cosmetic and anatomical complications that arise as the result of a previous, unsuccessful, rhinoplasty surgery, correcting any functional issues while leaving the patient with a natural appearance. Every revision rhinoplasty procedure is unique, as it must be tailored to the unique needs of the individual patient, however I have found that the key to a successful outcome is to formulate a surgical plan that addresses both the cosmetic and functional elements of the nose, one that finds a way to correct the external appearance, including asymmetry, twisting, and projection, while at the same time dealing with the more troublesome problems that can range from breathing troubles to a collapse of the nasal bridge. This detailed planning is best done during a one-on-one facial plastic surgery consultation, when I can carefully examine the patient’s nose and have a frank and open dialogue about the patient’s expectations, possible pitfalls, and potential results.
If you are troubled by the appearance of your nose and would like to discuss what a rhinoplasty or revision rhinoplasty may be able to do for you, or is you are interested in any of the other facial plastic surgery procedures that I perform, please contact me, Dr. Fernando Burstein so that we can schedule a full consultation. Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.