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Rhinoplasty is the oldest procedure in
facial plastic surgery, and one of the most popular.
The result can be subtle or dramatic depending on the
patient's desired effect. It is also the most complex
operation in cosmetic surgery. Nasal anatomy and facial
structure vary from person to person, and procedures
must be individualized for each patient.
The cookie cutter noses of the past are
no longer performed. If you have been holding off out
of concern for looking “fixed” we strive
to create a nose that is natural and balanced to fit
your face. Dr. Pearlman frequently teaches and lectures
on Rhinoplasty and Revision Rhinoplasty throughout the
world. To further appreciate the complexity of nasal
surgery, Dr. Pearlman frequently performs Revision Rhinoplasty
on patients treated elsewhere.
There has been a lot of press lately about
a “non-surgical” rhinoplasty, which uses fillers such
as Restylane
and Radiesse that are injected to fill around bumps
and camouflage the nose. This might be fine for small
areas, but these are temporary fillers. Rhinoplasty
is an artistic sculpting of the nose that involves removing
and narrowing some areas and enhancing others. This
can rarely be achieved with proper balance using fillers.
Fillers are substances that are injected in lines and
clumps under the skin. When placed in the soft skin
of the face, bumps are rarely seen. However, the skin
of the nose is close to the underlying bony and cartilaginous
structures. Placement of these fillers in large volumes
can leave visible bumps and streaks. Fillers are more
appropriate for tiny irregularities that might remain
from previously successful rhinoplasty. |
Computer Imaging
Being able to see what your face might look like after rhinoplasty
can be very useful. Computer imaging makes this possible.
Computer images help both the patient and doctor visualize
potential changes in the face prior to surgery. It also helps
stimulate dialogue between the doctor and the patient in further
understanding the operation. Computer imaging is not a guarantee
of results, but a wonderful tool for demonstrating possible
enhancements to the nose and face. As a matter of fact, most
patients feel their live results are better than the image
they once saw.
Actual
before and after photos of rhinoplasties by Dr. Pearlman
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Rhinoplasty Thumbnails
The Rhinoplasty
Procedure
The nose is altered through hidden incisions
inside the nostril, occasionally with a tiny additional
incision across the bottom of the nose. This external
incision, called open rhinoplasty, is usually reserved
for difficult revision surgery. As long as an un-operated
nose is not severely twisted, equal results can be obtained
without making an open rhinoplasty incision.
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rhinoplasty, chin implant
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rhinoplasty, chin implant
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During surgery, the cartilage in
the tip of the nose is reshaped. The tip can be rotated
upward or downward, as well as brought closer or further
from the face.. Humps in the upper part of the nose
can be removed internally as well. A wide nose can be
narrowed, which accentuates once overlooked attractive
eyes. The modern rhinoplasty may utilize grafts to add
to some areas as well as remove tissue from another
area, all in creating a balanced, natural, strong look.
These grafts are usually taken from the cartilage inside
your own nose.
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Revision Rhinoplasty
Dr. Pearlman is often called on to reshape
those noses that are "pinched" or deformed from surgery or traumatic
injury in the past. Revision rhinoplasty is one of his specialties.
Noses that are too narrow or collapsed from trauma or previous
surgery do not function as well either. With his background
in Ear, Nose and Throat surgery, Dr. Pearlman is adept in creating
a more functional and sculpted nose. To quote a traditional
architectural theme, in terms of the nose, “form follows function.”
Functional and breathing problems
such as blockage of the nose from conditions like a deviated
septum and sinusitis can be addressed at the same time. A
thorough exam of the inside of the nose is performed during
the consultation using a specialized headlight for viewing
the nose and sometimes nasal endoscopic equipment.
For those who have nasal obstruction alone, correction of
a deviated septum will not change the appearance of the nose.
So, if you are happy with the appearance of your nose, septoplasty
will leave it unchanged. If desired, cosmetic changes simultaneously
with septoplasty would be the way to go if you have ever considered
changing your nose. Any aesthetic change, however, is not
covered by medical insurance.
Other nasal procedures that Dr. Pearlman performs are reconstruction
of the skin and structures of the nose after removal of skin
cancers and correction of septal perforations.
Questions? Contact
Dr. Pearlman about Nose Surgery.
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