Rhinoplasty St. Louis - Nose Reshaping Missouri
Patients may choose to undergo nasal surgery due to breathing issues or cosmetic concerns or both. Previous injuries may result in significant deviation of the septum where breathing becomes difficult. Alternatively, there may be a hump on the nose or a large nasal tip which does not “fit” the rest of the face.
Nasal surgeries involve removing humps from noses, shortening the length of the nose, narrowing the nose, refining the tip, elevating the tip and improving breathing by manipulating the septum or turbinates. Removing significant humps, narrowing the nose or shortening the length of the nose substantially generally require that the nasal bones be fractured and reset.
In certain cases, your insurance company may pay for surgery to improve your breathing or re-shape your nose, particularly if you have been involved in some type of trauma and have a deviated septum. Dr. Cabbabe has many patients who choose to combine reconstructive and cosmetic surgery of the nose in the same operation.
Dr. Cabbabe incorporates his experience with reconstructive and cosmetic surgery of the face to give patients the best results possible to meet their desires. He is also an expert in minimally invasive cosmetic surgery of the face and has published on these topics. His patients have a natural, refreshed look after surgery.
During your consultation, Dr. Cabbabe will carefully examine your entire face including the brow, upper and lower eyelids, face and neck. He will make recommendations in order to help you achieve your desired result while maintaining facial harmony. Based on your desires and needs, he will recommend rhinoplasty via an open or closed approach.
During this procedure, the nose is accessed through an incision that is concealed near the base of the nose where it meets the upper lip. Patients that require nasal surgery to improve breathing or significantly change the shape of the nose will usually require an open rhinoplasty.
During a closed rhinoplasty, the nose framework is accessed through incisions inside the nose. The advantage is that no scars are placed on the outside of the nose. Dr. Cabbabe prefers this approach for minor or moderate refinements of the nose.
Preparing for Surgery
Dr. Cabbabe will ask that you refrain from taking any aspirin, Plavix, Coumadin or any other type of blood thinner. He will also ensure that your blood pressure has been properly controlled if you have high blood pressure.
The procedure is usually done under local anesthesia with sedation or general anesthesia. The procedure can last 1-2 hours depending on the extent of the surgery. Cartilage may need to be manipulated or removed from inside the nose then may be utilized as a “stent” or “graft”. The nasal bones may need to be broken, or fractured, to narrow the nose or straighten the nose.
Recovering from Surgery
Most patients are able to go home the same day. Pain medication and antibiotics will be prescribed. Bruising and swelling may be present for one to two weeks. Dr. Cabbabe will ask that you keep ice on the surgical site to decrease this. He will also ask you to keep your head elevated to decrease swelling. Packing may be placed inside the nose overnight or a splint may be placed inside or on top of the nose for a week. Sutures are removed about 7 days after surgery if an open rhinoplasty is done. There may be some numbness of the nose which improves with time.
Possible complications include bleeding after surgery or hematoma, asymmetry, irregular contours and nerve injuries. These could possibly require additional surgery.