Rhinoplasty |
We are trained in both endonasal as well as external rhinoplasic approach. Keep in mind that the deformity is what dictates whether the procedure needs to be open or closed. We will assure you that if it is performed externally the scar is very small, it’s placed at the base of the columella, it roughly is only about 2 to 3 millimeters in length, and it heals extremely well. Keep in mind this will be discussed with the patient prior to the surgery if the patient has any concerns about this.
Doctors William E. Silver, M.D., F.A.C.S. and Louis M. DeJoseph, M.D.
Most of the time, yes. However, to make that assumption or that evaluation, the patient must be seen in the office so that a careful examination is made and a full open discussion to the patient of what their expectations are and clinically what material in the nose is still left in order to rebuild or correct that particular deformity. We take the patient through our computer imaging, we go through the careful physical examination, and most importantly, the patient has the opportunity to share with us their ultimate goals.
Obviously in every operation there is some discomfort but, for the most part, rhinoplastic surgery is not a painful procedure. It may be a little uncomfortable because the nose is stopped up for several days and maybe even a few weeks but pain is not usually a major factor in going through a rhinoplastic procedure. The procedure is performed on one day and the dressing stays on for about 5 days and then the patient returns to the office and the dressing is removed. This is a painless part of the procedure.
We are often asked this question. Do you have to break my nose during Rhinoplasty surgery? Now we really don’t use the term “break the nose” or is you hear the quote “that the nose is broken”, it’s not like you’ve had an accident and the nose is crushed and then manipulated back together. There are very special instruments that are used to literally separate the bones and then place them in a very specific position. As a matter of fact, we designed an instrument that actually cuts through the bone in the most atraumatic way so that the amount of swelling is dramatically decreased and the exactness of where the cut is made is very specific. So to answer to that question, is very often that the nose bones have to be brought together and they are separated but they are not crushed. You can read more about this topic and view numerous before and after photos on our website www.PICosmteticSurgery.com
Doctors William E. Silver, M.D., F.A.C.S. and Louis M. DeJoseph, M.D.

