Nose Reconstruction

Rhinoplasty is a surgical procedure to change the size and or/shape of the nose. It is one of the most commonly performed plastic surgery procedures. The appearance of the nose can be changed by surgically manipulating the structures underneath the skin. The procedure is not intended to dramatically change the patient’s appearance, but rather to enhance the facial appearance and create a nose that is more in harmony with the individual’s face.

The type of rhinoplasty preformed will depend on the individual characteristics of the patient’s nose and what the person’s desires are for nasal appearance. The surgery can be preformed open and closed. An open rhinoplasty is often performed on patients whose need significant modification of tip cartilages. A small incision is made on the columella and inside the nose. The incision on the columella heals very well and is virtually imperceptible. A closed rhinoplasty in more commonly performed when the primary goal of the rhinoplasty is to address bone abnormalities such as dorsal hump. The incisions for closed rhinoplasty are all inside the nose.

The procedure can be performed under general anesthesia or local anesthesia with intravenous sedation. If the patient considering rhinoplasty also has nasal airway problems such as deviated nasal septum, the septal deviation and be corrected at the time of surgical procedure.

After the surgical procedure, a nasal splint will be placed on the nose that usually remains for seven to ten days. The splint helps the bones and cartilage maintain their new shape.

Complications for rhinoplasty include bleeding, infection, nasal airway obstruction, nasal deformity, scarring, as well as reaction to the anesthesia. Minor bleeding is not uncommon after the procedure and should be expected. Not infrequently minor touch-up or revision surgery is necessary after the healing has completed. The risks of surgery are low in healthy individuals and when performed by a qualified plastic surgeon.


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  • Dr. Miller and his team at Dreams Med Spa did a wonderful job from pre-op to surgery and follow up examinations. Takes the time to listen and finds exactly what works for you. Clean office and pre-op rooms, private and professional staff as well as on time appts. and follow up cares. I will be using them for any future needs I may have

  • Because I was treated for breast cancer at 32, I was fairly certain I would opt for reconstructive surgery. I didn't know which doc to go with. I'm so thankful someone steered me towards Dr. Miller. The process is a little lengthy in nature and getting "fills" to stretch the tissue to accommodate the new breast implants was not my favorite. But, cancer treatment is not a sprint...It's a marathon and this was just part of the treatment and recovery process. The discomfort was worth it, without a doubt. I'd do it again.

  • Since i was younger i knew i always wanted bigger breast. Once i was able to afford it i knew i had to do it and i’m soooo glad i did! This process was smooth and easier then i thought. If you are even questioning the procedure i suggest at least going in for a free consultation!!