San Mateo Rhinoplasty doctors

Thank you for your question and photo.  

Judging from the one side view photo it would appear that you have a small hump on your nose.  It is difficult to give you a good answer with just one photo that does not reveal the rest of your face.  It is very important to have a nose that fits the rest of your face.  You could ether have the small hump removed or  you could have the hump "hidden" by filling the area above the hump either temporarily using fillers or permanently with a cartilage graft. Please see ether a board certified plastic surgeon or a facial plastic surgeon to discuss your options. 

Best of luck,

Donald M. Brown M.D. F.A.C.S.

Board certified American board of Plastic Surgery

Board certified American board of Otolargyngology.

Thank you very much for your question.  There is much confusion in the public on this subject .  I feel

l that I am in a very good position to answer this question as I am both a board certified otolaryngologist-head and neck surgeon (ENT) and a board certified  plastic surgeon.

Let me explain the differences between a plastic surgeon and a facial plastic surgeon.  

In order to become a plastic surgeon one must complete at least 3 to 5 years of general surgery OR be board certified in another surgical speciality such as opthalmology, otolaryngology (ENT), orthopedic surgery etc.. Having completed this surgical  training there is an additional 2-3 years of study of plastic surgery and then examinations to become a board certified plastic surgeon. 

Facial plastic surgeon are board certified otolaryngologists who spend 1 year of facial plastic surgery training and then have examinations to become board certified facial plastic surgeons.

Both plastic surgeons and facial plastic surgeons are well trained in rhinoplasty surgery.

Now as for your question I would ask your ENT surgeon if he  has experience performing rhinoplasties and ask to see examples of his work.  If you feel comfortable with the surgeon and like his results then by all means proceed with the combined septal and rhinoplasty surgery. 

Thank you for your question.  Yes, alarplasty and rhinoplasty  can certainly be performed under local anesthesia. The only reason that we give any sedative medication  or general anesthesia is to help with any fears or apprehension concerning the operation.