Chester Rhinoplasty doctors

Matthew Bridges, MD Matthew Bridges, MD
Richmond Facial Plastic Surgeon
14051 St. Francis Blvd Suite 2211, Midlothian
46 answers

Recent Answers

How to Thicken Skin After Rhinoplasty to Avoid Revision? (photo)

So apparently I have thin skin and it is showing imperfections on the tip of my nose. Is there a way to thicken the skin on the nose, I really would like to avoid having a revision if possible.

A: Thin skin rhinoplasty

When I do rhinoplasty on patients with thin skin I always consider placing something over the cartilages to keep any edges from potentially showing.  This assumes everything is as smooth as possible already.  This usually involves crushed cartilage, but may also include temporalis fascia, or even acellular dermis (Alloderm).  Problems with thin skin tend to show up many months after surgery, so preventative measures should always be considered.  Admittedly, it is hard to tell much about your nose from the photo. 
 

Matthew Bridges, MD
Richmond Facial Plastic Surgeon
Is My Deviated Septum Serious Enough to Fix During Rhinoplasty?

I had 3 consults for a primary rhinoplasty. The last surgeon found i have a deviated septum. I really dont have breathing issues. Should i get this fixed? Also should i only go with the surgeon who found this deviation? I like the last 2 i saw. I was leaning towards the second surgeon but he asked me if i had breathing issues at my consult and i said no. By the way, i am just going to have tip work done. No bridge work is nessacary. Both surgeons agreed with that. Help please. Thank You!

A: Do I need a septoplasty?

That's a bit tough without examining your nose.  However, I would have a hard time leaving a significantly deviated septum alone during rhinoplasty, but I'm biased as an ENT/Facial Plastic Surgeon.  In my hands, I almost always harvest cartilage from the septum for grafting and in doing so would correct any septal deviation.  One thing to consider is that just because you don't have breathing problems now doesn't mean you won't after surgery.  I see this all the time in revision cases where no septoplasty or other maneuvers were done to prevent new onset breathing issues.  The reason is that some cosmetic maneuvers done to shape the tip or take down bumps on the bridge can cause slight narrowing of the airway that might make an underlying septal deviation symptomatic, even if it want not prior to surgery.  Good luck.

Matthew Bridges, MD
Richmond Facial Plastic Surgeon
Have Had Two Consultations, Which Surgeon Do I Choose for my Rhinoplasty Proceedure?

i just had two consults from two different surgeons this month. I am so confused because i got two totally different opinion's. The first surgeon said i was wide in my bridge and needed a full rhino. the second surgeon said i was narrow in my bridge and he would just file that tiny bump i have. i really dont have a bump at all. i just want more definition in the tip of my nose. both said they can do that. the second surgeon talked about grafting and seemed to do more tip work. Who should i do?

A: Have Had Two Consultations, Which Surgeon Do I Choose for my Rhinoplasty Proceedure?

Did either surgeon provide computer imaging to communicate what they had in mind for the goal of the surgery?  I find this helps quite a bit to match my aesthetic analysis with that of the patient.  At the end of the day, you should go with the surgeon that understands what you don't like about your nose and has a reasonable plan to accomplish the changes. 

Matthew Bridges, MD
Richmond Facial Plastic Surgeon
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