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Rhinoplasty (Nasal Contouring)
Rhinoplasty, otherwise known as nose surgery, is a procedure performed to rebalance and/or reshape the nose. This procedure entails altering the nasal structure most commonly by removing a 'hump', narrowing of the nostrils, repositioning the tip, or expanding the tip. There a number of other options for contouring the nose. Sometimes Dr. Weikel will suggest enhancement of the chin to provide more facial balance. Augmenting the chin, even just slightly, can give more balance and a better result to nasal surgery.

When considering nose surgery it is important to clearly identify one's expectations with your surgeon. As the central facial feature, understanding rhinoplasty and patient/surgeon expectations is extremely important. Like any other cosmetic procedure, rhinoplasty can improve one's appearance dramatically, offering a greater sense of self-confidence and self esteem. This procedure can also alleviate breathing difficulties, a common symptom known as a deviated septum. Rhinoplasty is performed on patients of all ages, most commonly beginning at the age of fifteen, when the facial structure is fully developed.

General Technique
When performing the rhinoplasty procedure, Dr. Weikel will make a small incision within the nostrils. When working within the nostrils, minimal, less obvious scarring can be achieved. Depending upon desired results he may reduce the hump and or reshape the tip cartilage. Since there are no outside skin incisions there are no real surgical bandages or dressings. Sometimes a "splint" is applied to hold in place the new contour or shape of the nose. This is removed in 7-10 days.

Post Operative
Immediately after surgery there is minimal pain, which is controlled with pain medication. To reduce bruising and swelling the head must be kept elevated for several days, cold compresses may be applied as well. The splint and packing is removed within the first week. Within the first three weeks extraneous exercise such as aerobics, running, swimming, etc. should be avoided. The bruising will dissipate within the first week to two weeks, subtle swelling may still be present but only to you, not to the average person. This too will subside within a few weeks. Many patients return to work after one week, concealing any bruising or swelling with makeup. If possible two weeks is ideal as the majority of symptoms associated are completely unnoticeable or significantly reduced. Although bruising and swelling will significantly subside within a few weeks, the true result will not be present until many months.


Septoplasty
The nasal septum is the part of the nose that divides nasal cavities. The septum should be relatively straight and is positioned directly in the center of the nose. The most common symptom from a badly deviated (crooked) septum is difficulty breathing through the nose. A crooked septum can also interfere with the drainage of the sinuses, resulting in sinus infections. Though few people actually have a perfectly straight septum, a crooked septum is usually unnoticeable and doesn't affect breathing.

General Technique
A septoplasty is a surgical procedure in which the nasal septum is straightened. Assuming no cosmetic work is being done, the operation is almost always done through the nose, without any external incisions. Badly deviated portions of the septum may be removed entirely, or they may be removed, readjusted, and repositioned in the nose.

Postoperatively
During the first twenty-four hours after surgery, your face will feel puffy, your nose may ache, and you may have a mild headache. Plan on staying in bed with your head elevated for the first twenty-four hours. In many cases, nasal packing is placed for one to several days. Bruising of the skin is very rare when a septoplasty is performed alone.

Related Options:
Chin Augmentation
Cheek Augmentation
Neck Liposuction
Fat Injections


Nonsurgical Options:
Collagen
Botox Cosmetic®
Skin Care


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