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23
May
RHINOPLASTY OVERVIEW – PART 3

In the previous chapters of this blog (click to read part 1click to read part 2) we told you about cosmetic and functional rhinoplasty, describing the reasons for some procedures and the procedures themselves. In this last part we will describe a few more conditions and the rhinoplasty procedures that are used to correct them.

Nasal Tip Rhinoplasty

Tip rhinoplasty procedures are performed with the aim of altering the nasal tip. Some patients may complain that their nasal tip is bulbous, too wide, too narrow, or boxy. Tip rhinoplasty can be used to add definition to a weak nasal tip or refine a nasal tip that is too prominent. The nasal tip can be also set too high/low or twisted upward or downward in which case rhinoplasty can be used to adjust the angle or height of the tip.

Depending on the specific individual concern of the patient, the tip rhinoplasty surgery can be anywhere between a simple, quick procedure meant to achieve a subtle alteration in the appearance of the nose, or a very complex process that will take hours. In this type of surgery any of a variety of techniques can be used, some of which are sculpting, suture application, and use of grafts. In cases when grafts are used, they can often be made from the patient’s own cartilage. This is harvested from the nasal septum, ear or even the ribs. It takes some people aback, but the truth is that it is the most natural way to go about it, and the best way to ensure optimal healing.

Correction Surgery for Alar Retraction and Hanging Columella

Alar retraction is a condition when a specific portion of the nose near the tip (known as the ala) is strongly turned upward. The result is excessive nostril show and some possible obstruction of breathing. This may be congenital or caused by damage during previous surgery. One way or another, it can be corrected using cartilage repositioning, composite grafting, or alar rim grafts.

The columella is the thin portion of skin at the base of the nose that separates the nostrils and connects to the upper lip. Sometimes, when too much of the columella is visible because of it protruding downward (a condition that is known as a hanging columella). A hanging columella will also result in more of the nostril showing, it is different from alar retraction and is therefore treated differently.

A hanging columella is also accompanied by a droopy tip, a short upper lip, a long lateral cruse, and some other deformations. It is a condition that may be congenital or it may be a result of poorly performed rhinoplasty.

Correcting this condition may require excision of excess septum tissue that may be the source of the protrusion. If it is caused by grafts left over from previous surgery, then revision rhinoplasty can be performed in order to extricate or reshape the grafts.

Following this and many other surgical procedures, and as a means to secure recovery, a splint will be placed on the nose. The splint and dressings that were applied then will normally be removed after six to seven days after surgery. If nasal packing had to be used after surgery, it will be removed on the next morning unless the surgeon has reason to decide otherwise. Some discomfort, bruising and swelling is normal after any procedure and should be expected. Those symptoms can be helped with over the counter pain medication. Bruising is also common around the eye and nose area and may persist for a period of approximately ten days. Swelling will take a bit longer to dissipate, sometimes lingering for a month or more. Patients are often able to return to work after one week but hard physical exercise is strictly advised against for a period of six months or more, depending on the progress of the recovery.

Finesse Rhinoplasty

Some rhinoplasty procedures may not involve or require any major changes. Many patients don’t have major problems with their appearance and are merely seeking subtle changes to the shape of their nose. This is when finesse rhinoplasty is exactly what you need.

Finesse rhinoplasty only involves the very minimum of very specific alterations which are introduced to “fine tune” the appearance of the nose while conserving all other features of the nose and face.

This can be a particularly attractive solution for models, actors and public personas, who do not want to disappear for long recovery periods or have a very noticeable or obvious change that wills spark rumors and gossip. Finesse rhinoplasty is normally only performed using local anesthesia in closed rhinoplasty technique.

Remember, while the changes that the finesse rhinoplasty introduces may be very subtle, this procedure still does require a very skilled and meticulous surgeon, especially for ethnic patients. We hope you enjoyed this – stay tuned, or send us an email with any question that you have or want us to cover in the next blog releases.

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  • I am so thankful to have come across Dr. Oleh Slupchynskyj of The Aesthetic Institute of New York & New Jersey. "Dr. S." (as I like to call him for obvious reasons, haha) is a Double Board Certified Facial Plastic Surgeon, and it turns out he has an entire website dedicated to his work with African American patients: www.africanamericanrhinoplasty.com. I was immediately impressed with the wealth of information that he has on his site, including information about his practice, his stellar credentials, his surgical inventions (i.e., the SLUPimpla...

  • I was terrified of having surgery but after two consultations with Dr. S., my anxiety was alleviated, and this was my biggest hurdle. I was able to see what my results would be after surgery through "computer imaging". He spent as much time with me as needed and said I could come back as many times as I wanted before making a decision. That was refreshing. I asked to speak with at least 3 other patients of Dr. S. and did. They shared my initial fear and they helped me by explaining their experiences from a patient's point of view! Dr. S. specia...

  • The doctor is very approachable and personable and I felt that he is really listening to me. He made every effort to be easily accessible via email or phone. He also followed me every step of the process, not only during the surgery but also during the recovery period.

  • Double Board Certified with specialized training and loads of experience in Nose Surgery. I was able to see and discuss my results beforehand thru computer imaging so I felt very comfortable with what my result would be. Having consulted with other Drs. who did not have same training, imaging and were twice the surgical cost, I made my decision.

  • Dr. S. is excellent. From the first visit to the follow-ups I always felt comfortable. Look great and feel great, have recommended him others. Really great bedside manner and I was not the best patient. Thanks Dr. S. I really appreciate your patience!!

  • I had a Rhinoplasty done by Dr. S. and he did exactly what I wanted, which was a custom bridge implant.

  • As a 74 year old African American woman, I was apprehensive regarding the SLUPlift™ Surgery. In the past, when I discussed plastic surgery with family and friends they spoke negatively about the surgery. Eventually I decided it was something I wanted to do for myself. I found Dr. Slupchynskyj while surfing the Internet and reviewing several of his before and after photos. After meeting the Dr. he assured me that I would be OK — and he was correct. After the surgery I did not have to take any pain medication and I was out shopping within 4 d...
  • Worth It
    I am a 27 year old, African-American female from the Midwest and I just recently had a Rhinoplasty procedure performed on February 9, 2012. I had known for a long time that I wanted to have the procedure done to correct a bump in the bridge of my nose, reduce the width of my nose, as well as to refine my down-turned nasal tip. This was an operation that I was not going to trust to just anybody, so I spent countless hours researching and looking for a surgeon who had significant experience working with African-American patients. Because I liv...
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