Rhinoplasty: Q&A
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Type of Rhinoplasty for my Crooked Nose?
I am 25-year-old female with a nose I do not like. What type of Rhinoplasty would you perform on my nose? Looking at my nose from a front view, my nose is crooked. At times I have trouble breathing from both nostrils when sleeping on a side. Hump looks different from right or left profile view. I’ve read about open and closed procedures and wonder what you would do? What price range would I be looking at?
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11 Doctor Answers |
Asked by
BabuGirl
in PA US
+1
Closed rhinoplasty is preferred
It appears that there is a bump on the nose and a large bulbous tip. Rhinoplasty can be done through either a closed or an open approach, although I would favor a closed approach. The price range on a rhinoplasty of this type would be approximately $6,000 including the operating room, anesthesia, and the surgeon’s fee. Any additional work on the internal portion of the nose for breathing such as the septoplasty and turbinate surgery would be additional, and is usually billed to the...
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Deviated Nose Correction Options
There are 2 issues at play here: Function and Appearance.
First, your functional issue sounds like a combination of septal deviation and inferior turbinate hypertrophy/enlargement. Your septum likely deviates to the left up top and to the right lower down. Turbinates have erectile tissue in them that swells easily. Allergy, hormonal cycles, environmental irritants can create swelling. Lying flat also causes them to swell. This is sometimes called 'recumbancy rhinitis.'
When you sleep at...
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Rhinoplasty procedures and approach
I reviewed your picture. The issues you described can be handled using either the "open" or "closed" approach. It only depends on your preference and the surgeon's preference.
I personally prefer the "closed" approach because it avoids any scar, even a well healed and inconspicuous one.
The most important factors you should consider are whether or not your surgeon is well qualified (i.e. Board Certified), if you feel comfortable and like your surgeon and if...
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Type of Rhinoplasty for my crooked nose?
Hi,
Thanks for including a picture of your nose. Your problem is not unique. You have many good options. Look at my other rhinoplasty responses so you can be prepared for your doctor visit.
The REAL keys are your expectations and the ability of the doctor. This requires communication and honesty on both ends. You should see more than one doctor.
You are on the right track by getting information - the next step is building trust with the Doctor that will do your procedure....
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Rhinoplasty Approach for Crooked Nose
Hi Babu girl,
It seems from what you say that the hump and crookedness of your nose bother you. You need to consult with a qualified rhinoplasty surgeon and let her/him know exactly what bothers you and what result you would be pleased with.
Open or closed is an approach to your rhinoplasty. I would likely approach your nose through a closed technique with the possibility of converting to an open if necessary.
Your dorsal hump would be taken down, the upper 1/3 of your nose narrowed, and...
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Rhinoplasty issues
Rhinoplasty can be performed using an open technique or a closed technique. Each surgeon is different. I think that the majority of surgeons would prefer to do it open. It makes more sense to visualize the structures directly and make adjustments under direct vision. I reserve a closed rhinoplasty for only very minor changes. It is like working on a car engine with the hood down and your hands under the hood without ever seeing the parts.
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You have several issues to address
You present with several problems, both functional and aesthetic that can be addressed by either approach. This would be finalized after a complete examination. You have fairly thick skin, a somewhat bulbous tip, dorsal profile irregularity, some deviation and a wide nasal base. In addition, you may have some internal nasal septal deviation, turbinate hypertrophy and may have some internal nasal valve weakness or dysfunction (previous trauma?) It looks like there may be some inherent...
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See a rhinoplasty specialist.
It makes little difference which type is done, open or closed. The important thing is you choosing an experienced rhinoplasty specialist who will weigh the advantages/disadvantages of both and choose the right one for you.
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Open versus closed rhinoplasty for hump bump nose job
The choice of incision depends on the preference and experiences of your surgeon. Generally the open may allow more precision but it is typically associated with prolonged swelling and healing.
Costs for this surgery will vary tremendously and to some degree some of this may be partially covered by your insurance given your breathing difficulties.
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Roughly - a closed rhinoplasty with a septal correction
Obviously, I need to see your nose - inside and out - to tell you exactly what has to be done, but this looks like a fairly straight forward nose for me where I correct the septum(inside) and the external deformity. I have been doing this over 30 years and do them closed ( no external incisions).
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Type of Rhinoplasty for crooked nose
Dear BG,
Regarding : "I’ve read about open and closed procedures and wonder what you would do? ". I personally would suggest an open approach because of its greater precision and versatility BUT I must emphasize that some of the GREATEST nose surgeons use either open or closed techniques and that your result do not depend so much on the technique as they do on what your surgeon can do with that technique.
Your complaint has both a FUNCTIONAL (breathing issues) and COSMETIC...
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