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Rhinoplasty

As the focal point of your face, the nose plays an important role in creating balance and beauty. While there are many non-surgical options to correct aspects of your facial appearance you may be dissatisfied with, there are few non-surgical options available to correct the appearance of your nose. A crooked or misshapen nose can dramatically detract from the beauty of your face. Similarly, a disproportionately sized nose can affect the natural balance of your face. Rhinoplasty is designed to reshape the nose to restore attractive proportions and better facial balance.

Candidates

Candidates for rhinoplasty are in overall good health and have realistic expectations about their results. Rhinoplasty should only be performed on patients whose facial features have finished maturing. This typically applies to girls over the age of 16 and boys over the age of 17.

However, the exact age for young adult candidates may vary. People seeking rhinoplasty may identify with one or more of the following nasal issues:

  • Poorly sized nose
  • Angled nose
  • Wide nasal bridge
  • Large nasal hump
  • Bulbous nasal tip
  • Drooping nasal tip
  • Breathing abnormalities
  • Lack of nasal tip projection
  • Flattened nasal bridge

Rhinoplasty Procedure

Rhinoplasty is an outpatient procedure performed under general anesthesia. During surgery, the outer tissue layer of the nose is separated from the supporting cartilage structure. Depending on the correction needed, cartilage is either removed, added, or reshaped to help Dr. Kao create a nose that better fits your facial appearance. Cartilage is often taken from the septum to shape and mold the new contours of the nose. However, if there is not enough cartilage available from the septum, ear cartilage may be used. Once Dr. Kao has sculpted your new nose, the tissue layer is redraped, and your incisions are closed. Nasal packing and splints are applied to help support your new nasal structure.

Techniques

  • Open Technique: An open technique utilizes an incision at the outer base of the nose between the nostrils. This technique may result in minor visible scarring but provides better visibility for Dr. Kao to adjust the underlying structures.
  • Closed Technique: A closed technique places all incisions inside the nasal cavity. This technique prevents any visible scarring and leaves the patient’s nose looking untouched, which is why it is Dr. Kao’s preferred technique.
  • Septoplasty: A septoplasty is performed on patients with a deviated septum. A deviated septum is a structural abnormality of the cartilage that separates your nasal passages. Deviated septums are common causes of breathing abnormalities.

Dr. Kao prefers to perform a closed technique rhinoplasty whenever possible. This is a more difficult and time-consuming technique since Dr. Kao is working through a small incision the size of a keyhole. Dr. Kao’s primary goal is to ensure that the patient’s nose looks natural and untouched by ensuring there is no visible scar. The majority of Dr. Kao’s rhinoplasty procedures are performed using the closed technique. Only on occasion will the open technique be utilized, such as when an extensive nasal tip reconstruction is needed.

Overall Nasal Appearance

Dr. Kao focuses primarily on creating a balanced and proportional nose. While many surgeons focus mainly on the bridge and length of the nose, Dr. Kao also looks at other nasal features to ensure a natural appearance. He looks at the shape of the nostrils and how it relates to the nasal tip to correct notched or flared nostrils. Dr. Kao also utilizes techniques to maintain or create nostrils that are proportionate to the rest of the nose and face. He also works to improve the functional part of breathing. His meticulous attention to detail allows him to create a better balance between the size and shape of your nose and your other facial features.

Recovery

You will experience bruising, swelling, and redness following your surgery. Some patients experience minor discomfort associated with swelling and the nasal packing. It may take some time adjusting to this nasal obstruction that is necessary for recovery. Oral medication will be prescribed to control any associated pain.

All of Dr. Kao’s patients have the option to stay at an aftercare facility. Serenity is a post-surgical care facility situated just across the street from Dr. Kao’s surgical facility and located in a federally and state-licensed healthcare center.  

For several days following your procedure, you will need to rest with your head elevated to minimize swelling. You shouldn’t engage in any physical activities during this time. Your surgical packing will be removed after four to seven days. Nasal splints, if placed, will be removed after seven days. Dr. Kao likes to tape the nose with skin-colored paper tape for a week or two after the removal of the splint depending on the amount of tip swelling.

Most patients can return to work within two weeks of their procedure. You can resume strenuous physical activities, including your normal exercise routine, after three to four weeks but only after clearance with Dr. Kao. By this time, most major swelling should have subsided. Minor swelling may last up to a year and may slightly affect the overall appearance of your nose.

You shouldn’t expose your nose to direct sunlight for several months following your procedure. This is to ensure the best healing possible. Due to weak nasal structures if nasal bones were moved, you may not be able to wear glasses for several weeks following your procedure without special support.

Results

The results of rhinoplasty are long lasting. To maintain a beautiful facial appearance, many patients choose to have routine non-surgical treatments that correct the signs of sun damage, wrinkles, and poor skin tone.

If you wish to enhance your natural beauty by improving your facial balance with rhinoplasty, schedule your consultation today. Dr. Kao is a board-certified plastic surgeon who specializes in cosmetic and reconstructive surgery. He and his helpful, friendly staff are available to answer any questions or concerns you may have. Contact our office at 310-315-9211 or fill out our online contact form for additional information.

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