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Primary Rhinoplasty
Primary Rhinoplasty is defined as rhinoplasty performed for the first
time. Primary
rhinoplasty is the best time to get the procedure correct as
subsequent procedures are much more difficult.
Dr. Miller usually achieves a refined, natural nose that rarely
needs improvement.
During a primary rhinoplasty, the skin is easily lifted off of the
cartilage structures through hidden incisions.
Then the cartilage is sculpted, the bump is removed, and the
nose can be straightened.
Finally, the skin is redraped and the incisions are carefully
closed.
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Rhinoplasty for Men versus Women
It is
extremely important that the rhinoplasty surgeon understand the
differences between a female nose and a male nose, and that these
procedures be performed differently. The bridge of a female is a little softer and the tip is set
slightly higher than in a man.
From the side view, the tip extends a little bit past the rest of
the nose. A man’s nose has several features that are particular to a
masculine appearance.
The bridge is stronger and the tip is set slightly lower than in a
woman.
From the side view, the tip is straight in line with the rest
of the nose. Observing
these differences is crucial because feminizing a male nose would
look completely unnatural, and a woman is also upset when her nose
has a masculine appearance.
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Revision (re-do) Rhinoplasty
(First surgery done elsewhere)
Dr. Miller performs many revision rhinoplasty procedures on patients
that were initially operated on by other surgeons.
During this procedure, the skin is lifted, but it is usually much
more difficult than primary rhinoplasty because of scar tissue.
Usually, the cartilage has been overresected and Dr. Miller will build
the nose back up again using the patients own internal cartilage as
support.
This will result in a natural appearing nose without an “operated
on” look. Usually, the
patient’s breathing will be much improved as well.
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Open vs. Closed Rhinoplasty
These two procedures are performed in the same manner except a small
incision is made between the nostrils to lift up the nasal skin in
the open rhinoplasty.
This technique allows excellent vision of the nasal cartilages and
allows precise maneuvers to be carried out.
The incision is carried out with meticulous care and disappears
in time. Closed
rhinoplasty is carried out when mostly bony work has to be done.
Dr. Miller performs rhinoplasty both ways and will determine
which way is best for you.
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Rhinoplasty
for Asian and African-American
Patients
Just as rhinoplasty for men and women require different approaches,
rhinoplasty for different ethnic groups require alternate methods as
well. Often times, an
Asian or African-American patient will have a flat nasal bridge.
The bridge can be built up to create a more balanced nose,
taking the emphasis off of the tip.
The tip or the nostrils are often wide in the ethnic patient
and Dr. Miller can sculpt or thin these areas to improve the shape.
Dr. Miller can dramatically improve the shape of the ethnic
nose while keeping the patient’s general ethnic appearance intact.
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Rhinoplasty with Sinus Surgery or Septoplasty
Many patients may have breathing difficulties or chronic sinus
conditions that are no longer responding to medical treatment.
A rhinoplasty can easily be done at the same time to improve
the outer appearance of the nose.
Dr. Miller specializes in surgery of both the inside and
outside of the nose, and performs this combination regularly.
Also, insurance may cover the surgery done inside the nose.
This will allow you to look better and breathe easier all in
one procedure.
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Patient Testimonial |
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After surgery, one can expect
some mild congestion but minimal pain.
Patients often do not need strong painkillers.
At six days, the splint and stitches are removed.
No uncomfortable packing is needed.
Most patients return to work in one week, and avoidance of
strenuous activity for two weeks is advised.
Please view the additional pictures below and contact Dr. Miller’s
office for your free consultation. |
