Deciding on Rhinoplasy Surgery


Rhinoplasty is one of the most common plastic surgical procedures. Half a million people interested in improving their nasal contour seek consultation with a facial plastic surgeon each year. Rhinoplasty may be performed in order to increase the patient’s ability to breathe, to improve the nose by reducing and reshaping it or to straighten an injured nose. Rhinoplasty is one of the most technically demanding plastic surgery procedures and hence experience and specialization is mandatory to assure a successful aesthetic and functional outcome.

The nose is a person’s most defining facial characteristic and a slight alteration in the contour of the nose may greatly improve overall appearance. Many patients are unhappy with the nose with which they were born and others simply want to improve their appearance. For others, a traumatic injury may have distorted their nose and for some the goal may be improved breathing. Perhaps nothing has a greater impact on how a person looks than the size and shape of their nose. Following nasal contouring the nose has an improved aesthetic appearance as it blends into the face.

In performing rhinoplasty, Dr. Clevens creates a more harmonious and balanced facial appearance while maintaining or improving breathing and sinus function. It is critical to achieve a more pleasing nasal contour as well as to improve nasal and sinus conditions. Most of the incisions for reshaping the nose are made internally and scars are not visible. The tip of the nose may be refined by adding or excising cartilage and with sutures that reposition the tip cartilage. A droopy nasal tip can be raised by adding support to the tip.

The hump of the bridge can be contoured by gently removing excess cartilage and bone. The wide nose is narrowed by carving and repositioning of the nasal bones. Nostrils that are too wide are corrected by removing small wedges of skin from base nasal base and bringing them closer together. The operation typically takes about 2 hours to perform under deep twilight sedation or general anesthesia. To ensure patient safety and comfort, Dr. Clevens performs rhinoplasty in a fully accredited (JCAHO or AAAHC) ambulatory surgical setting. Many patients return to work within one week of their procedure and results are permanent.

An important part of the aesthetic evaluation of face and nose includes the shape and prominence of the chin. Patients who seek surgery to contour their nose may be surprised to learn that the appearance and shape of your chin plays an important role in the overall balance of facial appearance. A “weak” or short chin may make the nose appear more prominent.

At The Clevens Center for Facial Cosmetic Surgery, Dr. Clevens offers computerized preview imaging. This state of the art digital technology helps patients to visualize their improved facial and nasal appearance with septorhinoplasty surgery.

Ross A. Clevens, MD, FACS

published in FloridaMD, December 2010

Article by
Melbourne Facial Plastic Surgeon