Midland Rhinoplasty doctors
|
Mark A. Jabor, MD
El Paso Plastic Surgeon
5664 N. Mesa, El Paso |
3 answers | |
|
Sylvan Bartlett, MD
Midland Plastic Surgeon
1330 East 8th Street Suite 400, Odessa |
||
|
|
Terry D. Tubb, M.D.
Texas Plastic Surgeon
1304 W Texas Ave, Midland |
Recent Answers
An ENT recommended that I undergo a septoplasty and reduction in both middle turbinates. He told me I could recieve a rhinoplasty at the same time (which I do want) but then mentioned that there may been too much swelling if everything was done all at once. Is it best to do two separate surgeries to avoid excessive swelling? Are there qualified surgeons that could even perform a functional sinus surgery at the same time as the cosmetic portion?
These procedures can safely and aesthetically be combined in one operation. The septoplasty and turbinate reduction refer to the functional aspect of the nose. However, septal cartilage obtained from the septoplasty is very commonly used for the rhinoplasty portion. This cartilage is used for grafts as well as to potentially strengthen the nose. If the nose is crooked it is often necessary to do septoplasty to get the nose as straight as possible as well. Often times insurance will cover the septoplasty and turbinate reduction and the rhinoplasty portion would be a separate charge. The functional sinus surgery is different from the septoplasty and turbinate reduction but depending on the extent may be able to be combined with the others.
Can alar base reduction Rhinoplasty be done with no tip or bridge work, just the nostril? if so, what would be the average price for just alar base reduction?
Yes and alar base reduction can be done alone or as part of a formal rhinoplasty. It is most commonly done in conjunction with the rhinoplasty but can be done at a later time or even as a stand alone procedure. If done as a stand alone procedure it can easily be done in the office under local anesthesia.
This procedure can both narrow the base or the ala and if desired can narrow the nostrils as well. As with any rhinoplasty maneuvers the surgeon should always be aware of the effect this will have overall on the balance and proportion of the nose.
As you can see my nostrils are very big, and my tip is very bulbous, and although you may not see it, my nose is a little crooked (pictures reverse). Also, you can see that my nose overprojects far from my face due to the bulbous tip.
What procedures would you suggest? I know alar base reduction would be one of them. My nose is already pointy though, so I don't know how one can make it less bulbous from the front view. Please help.
Yes the tip of your nose is bulbous and there is a broad alar base. However, I would not get caught up in all the technical jargon of what needs to be done. This is the job of the plastic surgeon. Safe to say, that looking at your picture refinements could be done on your nose to put it into better proportion.
What can't be determined from the picture is how thick the skin of your nose is. Nasal skin thickness is the greatest limiting factor when performing a rhinoplasty. This would have to be determined at the time of a consult. Find a qualified plastic surgeon and chances are you will be very happy.

