Rhinoplasty (Nose Job)
View Before and After PhotosSurgery of the nose, commonly known as rhinoplasty, is one the most common yet challenging cosmetic procedures. The key to a successful outcome resides in creating a natural and well-proportioned nose without sacrificing an individual’s breathing function. This can only be accomplished through long discussions between the patient and your surgeon. The patient’s desires are of utmost importance in nasal surgery. There are many different types of patients who present for rhinoplasty. Each group presents different challenges to the surgeon and require individualized treatment plans.
Primary Rhinoplasty Individuals who desire improvement in nasal aesthetics without a history of prior nasal operation.
Revision Rhinoplasty Individuals who have had previous rhinoplasty but are unhappy with the aesthetic and/or functional results. Please see section on The Revision Rhinoplasty Consultation.
Rhinoplasty in teenagers and young adults Individuals in this age group are seeking improvement in their appearance in order to enhance their self-image and avoid peer critique.
Ethnic rhinoplasty (Asian, African-American, Middle-Eastern) In the past, all patients regardless of their ethnic origin were treated with the same rhinoplasty techniques resulting in poor results with un-natural aesthetics. The patient’s ethnicity must play a critical role in the rhinoplasty approach as well the ultimate aesthetic objectives. During your consultation, we will go over your overall goals in detail in order to better serve your specific wishes.
Rhinoplasty in aging individuals – As a person gets older, the nose tends to elongate and droop. The skin becomes thicker and less elastic. Many individuals will look younger by simply improving the aesthetics of the nose. Aging rhinoplasty is a valuable adjunct to nasal and facial rejuvenation.
Chin Augmentation The relationship between the nose and chin is an important factor in nasal aesthetics and facial harmony. Most individuals with an undersized chin are not aware that this feature will result in an illusion of a larger nose. In many of these individuals, only minor nasal surgery is required to significantly improve the nasal aesthetics when accompanied with chin augmentation. There are many options for chin augmentation. The most common approach is using a chin implant to obtain the desired results.
Call our Rancho Santa Margarita office at Rancho Santa Margarita Office Phone Number 949-888-0332 with any questions about Nasal Surgery (Rhinoplasty) or to schedule your appointment with Orange County Oral Surgery & Periodontics.
In your rhinoplasty consultation, Dr. Bolourian will spend a significant amount of time discussing your aesthetics and functional concerns of the nose. Your medical and surgical history will be reviewed in detail. A careful nasal and facial exam will be conducted. Your photographs will be evaluated. Special attention will be made to the lips and chin as these areas of the face can have a significant impact on the perception of the nose. The treatment plan is almost always unique to each individual. Several components are evaluated and addressed: Age, ethnicity, skin thickness, nasal profile, frontal aesthetic of the nose, tip and base of the nose, nasal-lip relationship, nasal-chin relationship, history of trauma and the breathing system.
The week prior to the surgery, a final consultation is scheduled in order to review the surgical plan and make sure that all of the patient’s questions are answered. At that point pre- and post-operative instructions will be given to the patient and reviewed. Rhinoplasty is usually an outpatient procedure. The initial recovery time generally lasts between 1-2 weeks. You may have a splint on the nose which will be removed 5 days after surgery. Most patients will not have nasal packing. Following the surgery, the patient will be seen by Dr. Bolourian several times in the first 10 days. You will thereafter be seen by Dr. Bolourian every 2-3 months for 1 year and annually after that. Follow-up is a critical component of rhinoplasty as the nose will continue to improve over first 12 months. Rhinoplasty, unlike all other cosmetic procedures requires a long-term commitment by the surgeon and the patient in order to ensure a successful and satisfactory outcome. This is a prerequisite for Dr. Bolourian from any patient that desires to have nasal surgery.
In conclusion, the outcome of rhinoplasty relies on precise techniques to improve the aesthetics and breathing function of the nose. Preoperative planning is paramount to a successful outcome.
The Revision Rhinoplasty
The ultimate goal of revision rhinoplasty is to create a natural and aesthetically pleasing nose that fits the patient’s face and desires. Patients who present for revision rhinoplasty will require an in-depth evaluation to determine the cause of the unsatisfactory results with their initial rhinoplasty. Many patients will benefit from revision surgery while others will not be candidates. Patients who are not candidates to get improvement with revision rhinoplasty techniques will be notified and will not be offered further surgery.
Revision surgery may be as simple as an in-office touch-up or as complicated as total nasal reconstruction. Revision rhinoplasty requires a more comprehensive evaluation and planning. We will take a systematic approach to the nose in order to achieve a balanced, natural and aesthetically pleasing result. Additionally, we will also focus extensively on the function of the nose to address any dissatisfaction with nasal breathing. Patients should attempt to obtain old surgical and medical records from the previous surgeons. Please feel free to call us with further questions about rhinoplasty at Rancho Santa Margarita Office Phone Number 949-888-0332.