Kansas City Rhinoplasty doctors
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Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
607 S. Lindbregh, Saint Louis |
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31 answers |
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Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
930 Carondelet Drive Building C, Suite 102, Kansas City |
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14 answers |
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Eric Swanson MD
Leawood Plastic Surgeon
11413 Ash, Leawood |
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5 answers |
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David Finkle, MD
Omaha Plastic Surgeon
4911 South 118 Street, Omaha |
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William H. Huffaker, MD
Saint Louis Plastic Surgeon
17300 N Outer Forty Road Suite 300, Chesterfield |
Recent Answers
This is the look I'm trying to get after doing my nose. Two plastic surgens told me all I need is tip plasty and two other plastic surgens told me I have to do a rhinoplasty to get that look. Please let me know what you think and thank you in advance.
If you feel that the dorsum (bony part) of your nose is fine, and you simply want the tip refined and elevated, it is possible to do this with a tip rhinoplasty alone (no breaking of the nasal bones). However, most of the time I do a full rhinoplasty so the nose looks balanced - not too large in the upper part relative to a reduced tip. So my hunch is, if I saw you in person, we would consider a full rhinoplasty to get the most harmonious result top to bottom.
I talk about this more on my website.
Is Twilight sedation a better choice than general for Rhinoplasty?
Rhinoplasty may be performed under general anesthesia with relative ease for the surgeon and anesthesia provider. Sedation is also an excellent choice for rhinoplasty, but I'd much more demanding for both the surgical and anesthesia teams.
In my opinion, an experienced surgeon/anesthetist team can provide an excellent result and experience with sedation or general. Due to less bleeding and easier recovery, my personal preference is sedation.
I have heard of "tip rhinoplasty" but don't know what it is. How is this different from other rhinoplasties?
The "tip" of the nose generally refers to the lower third or so of the nose. A "tip rhinoplasty" implies that only the tip needs improvement, and that the bridge and width of the nose may be left as-is - basically performing less than a "complete" rhinoplasty. This is similar to repainting the front half of a car if the back half looks pretty good already.
In my practice, tip rhinoplasty is rare - the difference between refining the tip alone or the tip plus upper two thirds of the nose is negligible. Further, even if the bridge and upper two thirds of the nose seem OK before the tip rhinoplasty, they are sometimes less than ideal once the tip is optimized. In our car analogy, it would be like having a perfect coat of paint on the front half, and the "pretty good" back half now starts looking out of place.
I agree with the other posters - the tip of the nose is where the art lies! Rhinoplasty is one of my favorite operations for that reason alone.
