Rhinoplasty and revision rhinoplasty are a focus of Masri Clinic for Laser and Cosmetic Surgery. We perform cosmetic rhinoplasty and reconstructive nasal airway surgery and, in some cases, a hybrid of these procedures which seeks to improve both the appearance of the nose and your ability to breathe. A rhinoplasty surgery is commonly known as a “nose job.”
Rhinoplasty is the most complicated plastic surgery procedure. Rhinoplasty surgery modifies the size and shape of the nose while maintaining or improving a patient’s ability to breathe. An individual nose must fit the patient’s facial features, height and personality. The physicians of the Masri Clinic for Laser and Cosmetic Surgery consider all of these factors to create your successful rhinoplasty procedure. Nasal anatomy and the healing process for each individual patient is different.
A rhinoplasty procedure may include raising or refining the nose tip, removing dips or bumps in the bridge of your nose, narrowing the nasal bridge, and modifying the size or position of nostrils that are excessively wide or upturned. Patients with breathing problems caused by structural issues with the nose, such as a deviated septum, benefit from a rhinoplasty procedure.
Dr. Haitham Masri, MD will be performing this procedure at the Masri Clinic for Laser and Cosmetic Surgery, which has locations in Dearborn and Birmingham, Michigan. The Masri Clinic has been serving patients for over 25 years. The hallmark of the Masri Clinic is a meticulous attention to detail supported by experience and refined skills with advanced technology.
Masri Clinic Rhinoplasty Procedure
A closed, or endonasal procedure, places all incisions within the nostrils to avoid visible scarring. Bone and cartilage are then shaved and shaped to achieve your desired look. The closed approach offers limited visibility and narrow surgical openings.
The open approach also uses incisions inside the nostrils, along with another small incision at the base of the nose which allows for improved access and greater accuracy. However, the open approach may potentially leave a 4-5 millimeter scar at the base of the nose after your ‘nose job’. This approach is used for correcting significant defects and traumatic injuries while continuing to provide the opportunity for aesthetic work.
Options for augmenting your nose include adding cartilage. Autologous cartilage grafts taken from the nasal septum integrate best but grafts from ear or rib cartilage may be used. Silicone as an option includes a higher risk of reacting poorly with existing tissues or of infection. Fillers or fat grafts are also an option to add volume in some areas.
Masri Clinic Rhinoplasty Recovery
A nasal splint will shield your nose from accidental bumps for the first week during healing. Surgical packing inside your nose will remain for several days to support the tissue while it heals in the new position. Swelling and bruising around your eyes will subside in three or four days during your rhinoplasty recovery. Your nose will retain a small amount of swelling for up to a year. This swelling is minor enough and generally not noticeable. The final result of your rhinoplasty is not fully apparent until about a year after surgery.
After your rhinoplasty, you should be careful to avoid strenuous exercise for three to six weeks because elevated blood pressure associated with exercise will increase your swelling and bruising. You should be able to resume normal social activities within three weeks without swelling and bruising.
Masri Clinic Rhinoplasty Consultation
Dr. Haitham Masri will take into account the overall size and shape of your face including your lips and chin. The internal structures of your nose that impact your breathing are examined as well. Internal abnormalities can be removed to optimize breathing. Dr. Masri will discuss realistic changes with the aesthetic goal of creating the right nose for your face. Computer imaging helps you to visualize potential modifications. For best results, the Masri Clinic suggests a cessation of tobacco use several weeks before and after the rhinoplasty in order to minimize risks of complications.
Medical conditions, previous medical treatments and drug allergies will be documented together with a review of your current medications, herbal supplements, vitamins, alcohol, tobacco and drug use together with previous surgeries before your nose surgery is scheduled.
Your face will be examined, measured and photographed. A discussion of your aesthetic vision and your likely outcomes with nose surgery will answer any and all questions you may have. Risks or potential complications will be identified. Potential procedures which will help meet your aesthetic goal will be discussed.
Does rhinoplasty leave scars?
With most patients, rhinoplasty scars are located inside your nostrils and are not visible. The open rhinoplasty approach creates a possibility of a small scar at the base of your nose. This scar normally heals well and is located in an unobtrusive spot; consequently the small scar is unnoticeable. Rhinoplasty before and after images will demonstrate what you can anticipate in terms of scarring after your nose job procedure.
I’ve had a bad rhinoplasty in the past. How long do I need to wait to correct it?
A revision rhinoplasty surgery will improve your results. Tissue must settle before undergoing a rhinoplasty revision. Operating before the swelling settles makes it harder to evaluate your condition and accurately improve your rhinoplasty. Additionally, the risk of bleeding, scarring and other complications will be enhanced. Normally, it is suggested that you wait twelve months before your rhinoplasty revision depending on how well you’re healing.
My nasal skin is thin. Will this interfere with a good result?
It’s more challenging to work with thinner skin. Thin skin does not hide small imperfections as well as thick skin. However, good results can still be achieved with a meticulous hand and patience.
What is the best age for rhinoplasty?
Nasal growth is typically complete by age 15 or 16. Late adolescence and early adulthood are considered the promising ages for optimal rhinoplasty results. Surgery is also possible for younger patients with structural defects and for older patients willing to accept a potentially longer recovery time.
What is the purpose of using grafts?
Grafts are often used on the nose tip where the existing cartilage must typically be reinforced in order to avoid drooping and ensure an elegant result. Grafts are not necessary when the goal is simply to narrow the bridge of the nose or reduce bumps.
What are potential rhinoplasty risks and complications?
Rhinoplasty surgery carries some of the same risk as all surgeries, including bleeding and infection. While always a potential problem, both are minimized through the good surgical practices and Dr. Masri’s extensive training as a board-certified surgeon in Otolaryngology.
Specific rhinoplasty risks include a change in nose sensitivity. While hypersensitivity is a possibility, generally most patients experience numbness in their nose for months after surgery. This typically resolves itself within the year as the nerves regrow in their new position. Another potential complication is nasal blockage. Typically, this blockage is a result of swelling and disappears in a few weeks as inflammation subsides from your nose job procedure. If stuffy nose symptoms continue, a minor follow-up procedure may be necessary to remove excess tissue from inside the nose. The most serious potential risk is skin which breaks down from bandaging or from the grafting materials, becoming exposed through the thin nasal skin. This is rare, but if it occurs be sure to bring it to the Masri Clinic’s attention immediately.
About Masri Clinic for Laser and Cosmetic Surgery in Michigan
Masri Clinic for Laser and Cosmetic Surgery is comprised of three physicians board certified in facial plastic surgery, general plastic surgery, and esthetic medicine. The clinic has extensive rhinoplasty and rhinoplasty revision experience.
Haitham Masri, MD is board certified in facial plastic and reconstructive surgery, otolaryngology and in sleep medicine. He is a Facial Plastic and ENT surgeon, which enables him to perform highly complicated face procedure and nose surgery with outstanding results.
The Masri Clinic’s staff includes a broad range of allied professional support including an allergy nurse, certified audiologist, medical assistant, and three board certified physicians. Masri Clinic’s Dearborn office is upon until 7 p.m. on Wednesdays and its Birmingham Clinic office is open until 7 p.m. on Thursdays.