Rhinoplasty Issues and Treatments
What Can Nose Reshaping Surgery Correct?
This occurs when your nasal bones and/ or septum are not located in the middle of your face. It can happen after trauma or inherited as a family trait. Treatment includes straightening the crooked nasal septum and nasal bones.
Excessive Nasal Tip Projection
Nasal tip projection is the distance your nasal tip protrudes from your face. If your tip projection is too large, your nose will look too big. This is an inherited problem. Treatment includes precisely setting back the cartilage in the nasal tip through an open rhinoplasty approach.
The tip of your nose may be too rounded, too bulbous or too broad; this results when the cartilage in the tip of the nose are overly large and separated farther than they should be. Treatment includes removing the excess cartilage and shaping the remaining tip cartilage with sutures under direct vision using an open rhinoplasty approach.
Nasal Tip Asymmetry
Your nasal tip may look different from one side to the other. This almost is usually congenital but may occur after trauma or prior rhinoplasty. Treatment involves an open rhinoplasty to shape the tip cartilage under direct vision with sutures so they now appear symmetric.
If you think your nose looks good in profile but don’t like the thickness or the excessive width of your nose, you may wish to have that corrected. Treatment involves an open rhinoplasty.
Before & After Surgery to Reshape a Wide Nose*
In the patient shown here, Dr. Parker performed an open rhinoplasty. He then removed excess fat beneath the skin and excess cartilage from the nasal tip, inserting cartilage grafts to give the tip more definition. In addition, he removed a wedge of skin and fat from the sides of the nose (where the nostrils join the cheek) to reduce the width of the nose.
Too Large a Nose
Some noses are just too large in all dimensions and are out of proportion to the face. Very large noses can be reduced to a moderate size—but not to a very small size.
Too Long a Nose
If you have an excessively long nose, you probably inherited it as a family trait. This problem can be corrected using an open rhinoplasty. The excessively long tip cartilage is shortened and lifted with sutures into a more pleasing length and appearance.
A nasal bump can be an inherited trait or develop after an injury. It is caused by overdevelopment of bone and cartilage, if inherited, or by the deposit of scar tissue over this area following trauma. Either way, treatment involves removing the excess bone, cartilage and/ or scar tissue until the profile is smooth.
Patients may be disappointed with their results after an initial rhinoplasty. If it is something that the first surgeon cannot repair, these patients are often referred to Dr. Parker because of his extensive training and experience with rhinoplasties. He will almost always perform an open rhinoplasty because it affords him direct vision to correct abnormalities of the bone and cartilage.