I would prefer closed to open surgery as I have a keloid scar on my shoulder, and would not want to risk another one (especially on my face). My nose bends to my right side of my face and my cartilage is visible from a straight beneath angle. Will I have to ask for a cartilage skin graft to level out the nostrils appearance, as cartilage is visible and it makes my columella look wonky. Will the septoplasty correct the abnormal appearance of my nose? I was told it is a deviated septum, but will septoplasty fix the wonky appearance & stop what appears to be a collapsed structure? Is my columella wonky or is it just giving this appearance due to the un-aligned cartilage bone? Will closed surgery suffice the surgical requirements? (fix my nose)
Answer: Rhinoplasty Rhinoplasty requires exceptional skill on behalf of the surgeon and great communication with the patient about realistic goals and expectations. Common cosmetic concerns include a dorsal hump, wide nose, sunken nose, irregularities, and asymmetries. Functional concerns include difficulty breathing through the nose, which can and should be addressed at the same time as your rhinoplasty.
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Answer: Rhinoplasty Rhinoplasty requires exceptional skill on behalf of the surgeon and great communication with the patient about realistic goals and expectations. Common cosmetic concerns include a dorsal hump, wide nose, sunken nose, irregularities, and asymmetries. Functional concerns include difficulty breathing through the nose, which can and should be addressed at the same time as your rhinoplasty.
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September 3, 2020
Answer: Open versus closed rhinoplasty If your concern is primarily related to the scar, it is important to appreciate that the columella, in the same as the eyelids, does not seem to produce scar hypertrophy let alone keloids.
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September 3, 2020
Answer: Open versus closed rhinoplasty If your concern is primarily related to the scar, it is important to appreciate that the columella, in the same as the eyelids, does not seem to produce scar hypertrophy let alone keloids.
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August 12, 2020
Answer: Closed approach A closed approach can fix your septal deformity. There are various manuevers that can help address the more caudal deviation - this could be considered a closed rhinoplasty. Regardless of how you phrase it, in the correct hands this could be corrected without having to "open the nose" or make an incision through the skin of the columella. I recommend that you seek consultation with a board-certified facial plastic surgeon to discuss these issues. There is differing of opinions among surgeons regarding their preference for closed or open surgery. I have done numerous cases both ways, and currently tend to perform more closed procedures as this leaves patients without the external scar and reduces healing time. Best of luck!
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August 12, 2020
Answer: Closed approach A closed approach can fix your septal deformity. There are various manuevers that can help address the more caudal deviation - this could be considered a closed rhinoplasty. Regardless of how you phrase it, in the correct hands this could be corrected without having to "open the nose" or make an incision through the skin of the columella. I recommend that you seek consultation with a board-certified facial plastic surgeon to discuss these issues. There is differing of opinions among surgeons regarding their preference for closed or open surgery. I have done numerous cases both ways, and currently tend to perform more closed procedures as this leaves patients without the external scar and reduces healing time. Best of luck!
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Answer: Rhinoplasty
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Answer: Rhinoplasty
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August 13, 2020
Answer: Closed Septoplasty Your nose bending to the right appears to be as a result of a deviated septum. This can be seen in the left nostril as it is likely dislocated from its position. A septoplasty, which majority are done closed could correct this. With such a bend in the septum it is likely you will have partial blockage of airflow on one side and this could be improved with a septoplasty. Depending on the quality of your cartilage you may or may not need the cartilage remodelling or additional grafts.
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August 13, 2020
Answer: Closed Septoplasty Your nose bending to the right appears to be as a result of a deviated septum. This can be seen in the left nostril as it is likely dislocated from its position. A septoplasty, which majority are done closed could correct this. With such a bend in the septum it is likely you will have partial blockage of airflow on one side and this could be improved with a septoplasty. Depending on the quality of your cartilage you may or may not need the cartilage remodelling or additional grafts.
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