Los Angeles rhinoplasty specialist, Dr. Stephen Pincus, performs rhinoplasty and revision rhinoplasty at two locations serving the greater Los Angeles area.
There are many people who are unhappy with the appearance of their nose for various reasons. Rhinoplasty operation consists of removing excess bone or cartilage and then rearranging and reshaping the remaining nasal structures. In all but a very few cases, the incisions are made entirely within the nose. Generally, bone and cartilage over the upper two-thirds of the nose is reduced in height and is also narrowed. Occasionally, augmentation rather than reduction is necessary if too much has been removed from some prior surgery or if it has been depressed from previous trauma. Augmentation is also used many times for the “Westernization” of certain Asian noses. Finally, the tip cartilages are made more delicate and aesthetic by means of selective resection, rotation and reshaping.
Being centrally located, the nose should blend harmoniously with the other facial features and not draw attention to itself. To this end, people seeking a rhinoplasty do so for several reasons. They may feel that it is too large or too small for their face, crooked, misshapen or, perhaps, fine except for just one minimal "problem" (bump, depression, angulation, etc.). Furthermore, with aging and gravity, the cartilages in the tip start drooping and produce an apparent lengthening of the nose with a slight hump. Finally, some people have breathing difficulties, headaches or sinus problems due to deformities within the nose. Many times these internal deformities will express themselves externally as well, as with a very deviated septum.
Not only can rhinoplasty be performed to improve the cosmetic appearance, it can also be performed for reconstructive purposes. Deformities within the nose can actually cause:
Rhinoplasty can help correct these breathing problems. Let Los Angeles rhinoplasty specialist, Dr. Stephen Pincus help you improve the appearance of your nose and face.
There is much to consider before undergoing rhinoplasty in Los Angeles. Los Angeles plastic surgeon, Dr. Pincus will give you the information you need to make an informed decision. During your consultation visit, Dr. Pincus will evaluate the structure of your nose and face, and discuss your options with you. If you are considering rhinoplasty, contact Dr. Pincus to schedule a consultation.
The period of recovery following a rhinoplasty is usually only one to two weeks. And, contrary to what you might expect, there is minimal or no pain. Also, bruising is relatively limited and usually totally resolved within ten to fourteen days. It is recommended that patients refrain from strenuous activity for approximately one month and not wear eyeglasses for four to six weeks, except in those cases where minimal work was done.
Most patients are able to return to school or work after one week, despite the occasional residual bruising. Though it is often stated that you will not see the final result for six to twelve months, it is my experience that patients have a very good idea of what their nose will look like after only a few weeks.
Being centrally located, the nose should blend harmoniously with the other facial features and not draw attention to itself.
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The operation consists of correcting areas of asymmetry and deformity resulting from a prior surgery.
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The eyes are the first features noted when people meet. And having puffy, sagging or wrinkled eyelids can convey a false image of being tired, sad or old.
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Having revised thousands of rhinoplasties, I have noticed certain features common to all.
Even a structurally symmetric, aesthetically pleasing nose can be a poor result if it is out of proportion with the other facial features by being too small or too large. However, the real clues to a poor result are the asymmetries, malpositions, disproportions and decreased function that are seen. We can see collapse of the side walls and/or nostrils producing a “pinched look” or asymmetry between the two sides. The bridge can be too low or too high, and the tip can be overly rotated or not rotated enough. There can be too much “nostril show” from aggressive cartilage resection causing upward migration of the nostril rims. Or too much nostril show from failure to raise the columella (area between the nostrils). Also, irregularities or distortions in the nasal tip can occur which can present technical challenges to the revision surgeon. There can be deflections or angulations of the tip or the entire nose. As mentioned above, nostril asymmetries are particularly common with one nostril appearing higher or wider than its companion. Finally, there can be a worsening of breathing , especially if a reductive rhinoplasty was performed. Making a nose smaller has to be accompanied, many times, by measures to assure that the airflow is not compromised. This means correcting any septal deviations and/or turbinate enlargement, as well as maintaining adequate openings through the nostrils and the areas above called the internal valves. I’ve included photos of a nose showing most of these deformities with the subsequent post-operative results, after I corrected them.
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