The ideal nose varies from face to face depending on the size and shape of the nose, ethnic background, genetics, age and other variables. A well-proportioned nose that is harmonious with your other facial features can have a tremendous impact on your overall facial appearance, the way that you view yourself and others view you.
Rhinoplasty is one of the most common plastic surgery procedures and often considered the most difficult. Nose refinement can be performed on any part of the nose to reshape it, reduce it, augment it, remove a hump, refine the tip, narrow the nostrils or change the angle between the nose and the upper lip. It is performed to correct functional deformities that can affect breathing such as a deviated septum. It can also correct injury and birth defects. Insurance may cover rhinoplasty if it is done for medical or reconstructive reasons.
During your cosmetic consultation Dr. Sabry will examine your nose and your overall facial structure. He will listen to your concerns, review your expectations, and explain the best options for achieving your goals and the probable outcome of your rhinoplasty.
Rhinoplasty is an outpatient procedure that is usually performed under general anesthesia. Dr. Sabry uses the “open” approach wherein scars are placed inside the nostrils and hidden on the underside of the base. The skin is lifted, cartilage is sculpted to augment or reduce or to re-define the tip. Occasionally, a tip graft may be required for optimal shaping. Osteotomy (bony fracture) is done to create a more harmonious/ balanced nose. The skin is re-draped and stitched closed. A splint will be placed on the outside if bone work is done and inside the nose to provide support if the septum is corrected.
Most patients feel like themselves within two days and return to work in about a week or two. Contact lenses can be worn immediately but glasses will have to be taped to your forehead or propped on your cheeks for up to seven weeks. Complications are rare, and when they occur, minor.
Revision (secondary) rhinoplasty is a very specialized area in the field of Plastic Surgery that requires advanced skills and experience. It is more difficult than primary rhinoplasty. Dr. Sabry has a specialized knowledge of the underlying complications in a poorly executed nose job and the expertise to correct it.
Revision rhinoplasty may require a nose to be reduced in size, or reshaped at the tip or along the bridge. Other common problems requiring additional adjustment are tips that drop, nostrils which are too wide, over correction or under correction.
Since the problems are different for each patient, revision rhinoplasty surgery needs to be customized to each individual’s unique experience and potential. The maneuvers necessary may be as simple as removing some more cartilage or bone, or reshaping the cartilage of the nose. Dr. Sabry prefers to use your body’s natural cartilage to restructure a nose that has had too much cartilage removed or requires additional support.
A majority of revision rhinoplasty procedures are performed using the open rhinoplasty technique. However, there are some that Dr. Sabry will do using the closed technique – remove. The decision will be made based on the individual’s anatomy and specific problems. He is an expert at striking a perfect balance to the face, and strengthening the weakened underlying structure of the nose to improve appearance and functionality.