Steven J White MD

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RHINOPLASTY

Rhinoplasty - Nose Reshaping Surgery in Dallas, TX

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Overview

As humans, the nose is one of our most prominent features. It is important to our overall appearance that it is well shaped, functions properly, and fits within the natural contours on our face. For those unhappy with the shape, size or proportion of their nose, rhinoplasty (cosmetic nose surgery) may offer the improvement they seek. Dallas, Texas plastic surgeon, Dr. Steven J. White, performs rhinoplasty surgery and creates natural, soft results. There are many variations to the rhinoplasty procedure. The technique Dr. White uses will depend upon your individual features and aesthetic goals. Alterations can be made to change your nose angle, reshape the tip, narrow the nostrils or change the size or width of the nasal bridge. Dr. White will discuss your options with you during your pre-op consultation.

Best Candidates

Rhinoplasty, or nose job, offers benefits to individuals of most any age. However, children and teens should wait until their facial growth is complete. For girls, this typically occurs around age 16, and for boys at age 18. Good candidates for a rhinoplasty include healthy individuals with any of the following issues:

 

  • A nose that is disproportionately large for the face
  • A hump or depression on the nasal bridge
  • A wide shape nose
  • A nasal tip that droops
  • An enlarged nasal tip
  • Excessively flared nostrils
  • An off-center or crooked nose
  • A nose that is asymmetrical caused by injury or birth
  • A nose that impairs breathing

Surgical Technique

There are a couple of different ways to perform nose surgery, that being the closed technique and the open technique. Many plastic surgeons prefer the open rhinoplasty method because this approach allows them to gain a better view of the inside of the nose, as well as greater access to its support structures. The incision is made between the nostrils or under the nose near the nostrils. Once this incision is made, the skin is pulled back and the bones, cartilage and tissue within the nose are exposed so that reshaping and reconstruction can occur. Once the incisions are closed, scarring is minimal and will not be seen. Closed rhinoplasty is less invasive. It is generally used when only mild reshaping is needed, or if the tip of the nose is being addressed

During/After Surgery

Rhinoplasty is considered an outpatient procedure. It is performed in an accredited surgical facility under general anesthesia. Patients will be swollen and bruised around the eyes and nose for up to 2 weeks. These are the primary side effects after surgery, but they will go away quickly if proper care is taken. Nasal packing, which is the insertion of gauze or cotton into the nasal chamber to control bleeding may be used. After surgery, patients will wear a nose splint for a couple of days. Once this splint is removed, the newly shaped nose will be revealed. It can take a few months for the nose to gain its sensation, as well as its final contour and softness.

Expected Cost

This is a specialized, tailored surgery, thus the cost will vary depending on the surgical case, as well as the aesthetic goals of the patient. Severe cases of nasal reconstruction surgery involving skin or cartilage grafting will increase the overall cost.

Get a Softer, Gorgeous Nose!

Noses that are too large or too wide, or have a specific deformity may only be able to be enhanced through nose surgery. Rhinoplasty can make a nose look smaller, more defined, softer in appearance, and natural looking as it pertains to the rest of the face. Countless patients have had rhinoplasty surgery at our office and love their results. We invite you to call our plastic surgery center today to learn more about this popular cosmetic procedure.

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Plan Your Procedure

Recovery Time  
2-4 Weeks
Average Procedure Time  
1-2 Hours
Post-op Follow-up  
1 Week
Procedure Recovery Location  
Out-Patient
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Rhinoplasty FAQs

What Will My Nose Look Like?

In general, rhinoplasty (cosmetic nose surgery) is designed to reduce excess cartilage and bone in the nose, removing irregularities and bumps to give a straightened, smooth and, usually, smaller appearance. Adding tissue to enhance certain features of the nose can also occur. The overall trend in modern rhinoplasty is away from over-reduction of tissue that can reduce the ability to breath through the nose and towards individualized treatment of each segment of the nose to give a balanced and refined look without compromising function.

Operative Time?

Usually, Rhinoplasty takes from three to five hours depending on the complexity of the condition of the nose. Nearly all rhinoplasty operations are done as outpatient surgeries.

Bruising Afterwards?

This depends again on how complex the procedure is, but in general most patients experience five to seven days of purple discoloration and swelling around the eyes and upper cheeks. The nose itself will be swollen for around ten to fourteen days or longer, but subtle resolution of the swelling at the tip of the nose can take months to go away.

Insurance Pay Policy?

The condition described is usually associated with a deviated septum or a bent internal framework of the nose. Most of the time this results from trauma, such as a broken nose, but many patients with this condition cannot recall an episode where this might have occurred. The condition described in this question however, could also result from allergies or the two conditions can exist simultaneously. Careful examination is needed before surgery to separate the two conditions. While individual insurance policies can vary, in general, functional surgery to improve breathing is considered a covered benefit in many group policies. If additional correction of a cosmetic deformity of the nose is done at the same time the cost of this part of the procedure is usually not covered by insurance.

Nose Growth, Postoperatively?

In general, our noses tend to elongate as we enter the middle years of our life and drooping of the tip of the nose can occur in the later years as elasticity disappears from the body. While undergoing a cosmetic rhinoplasty as a teenager or young adult will not prevent the effects of aging on the nose, the final shape that results from this surgery is expected to last a lifetime and regrowth of bumps and deformities corrected by the operation is a rare occurrence.

Related Procedures

*Individual results are not guaranteed and may vary from person to person. Images may contain models.