Richmond Rhinoplasty doctors
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Matthew Bridges, MD
Richmond Facial Plastic Surgeon
14051 St. Francis Blvd Suite 2211, Midlothian |
46 answers | |
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Louise Ferland, MD
Richmond Plastic Surgeon
4050 Innslake Dr Ste 310, Richmond |
20 answers | |
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Gordon Lewis, MD
Richmond Plastic Surgeon
1451 Johnston-Willis Drive , Richmond |
5 answers | |
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Travis L. Shaw, MD
Richmond Facial Plastic Surgeon
8700 Stony Point Parkway Suite 110, Richmond |
5 answers | |
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Michael Godin, MD
Richmond Facial Plastic Surgeon
410 Libbie Ave, Richmond |
2 answers |
Recent Answers
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.
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.
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!
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.
Hello, 10 weeks post Rhinoplasty (Open surgery w/packing) and still having problems breathing through my nose. My nose sometimes whistles. My doctor said it is allergies but I have never had allergies and don't have any other symptoms. My nose still feels very tender so I am leaning towards swelling or perhaps my nose was injured during the surgery. Working out is very difficult and breathing through my mouth is unattractive. Should I see another doctor or give it more time to heal? Thank you.
Faith-You must be feeling frustrated to not be breathing through your nose after 10 weeks. If you have never had allergies prior to surgery, it is unlikely that you have developed them since. The whistling could be a sign of restricted airflow, or a hole that may have developed in your septum- the cartilage in the middle of your nose that divides it into two nostrils. If you have not had an ENT evaluation, I would recommend finding one in your area that specializes in rhinoplasty. Most ENT's also have equipment that can look with a small camera inside of the nose to ensure you do not have a blockage causing your breathing difficulty. I hope you find a solution to your problem soon. Best, Dr S
