7 Signs of a Successful Rhinoplasty

A Rhinoplasty operation, also called a “nose job” in common parlance, is a surgical procedure that reshapes or resizes the nose for health or cosmetic reasons.

 

The aim of the cosmetic surgeon who performs the operation is always to create the most attractive and natural result that complements the rest of a patient’s facial features.

 

Sometimes rhinoplasty is undertaken to help improve a patient’s breathing by minimizing nasal airway obstruction. In all cases, achieving the best possible functional and aesthetic result is the hallmark of a successful rhinoplasty.

 

Rhinoplasty surgery can create dramatic improvements to:

 

-Nose size and proportion in relation to facial harmony

-Nose width at the bridge, or a profile with visible bumps on the bridge

-The size, shape, and position of the nostrils

-A nasal tip that is bulbous, drooping, upturned, or hooked

-Nasal asymmetry

 

Both the open and closed rhinoplasty techniques are performed by making incisions (either across the columella or hidden inside the nose) to allow the surgeon to gently raise the skin that covers the nasal bones and cartilage, allowing access to alter the structure of the nose.

 

The skin is then carefully draped back over the newly enhanced nasal framework to give the nose its new and improved appearance.

 

Here are the 7 signs of a successful rhinoplasty:

 

  1. Symmetry

 

For centuries facial symmetry “has been linked to the perception of facial beauty, resistance to disease, and quality genetics.”

 

The goal of achieving greater facial symmetry is a very common one for patients seeking facial cosmetic surgery, particularly so for those seeking rhinoplasty.

 

Achieving greater bilateral symmetry of the face, or maintaining the symmetry of an already symmetrical nose while correcting another aspect of its shape or size is essential in rhinoplasty.

 

  1. Breathing

 

When it comes to the nose, form and function are intimately intertwined.

 

A1999 article from WebMD’s archives mentions how a few of the 130,000 patients to undergo rhinoplasty annually, at the time, would experience difficulty with nasal breathing after their procedure.

 

The reason for this was that a cosmetic surgeon at the time would occasionally remove too much cartilage during a rhinoplasty, causing the sides of the nose to collapse during inhalation.

 

Modern rhinoplasties avoid this complication through more delicate sculpting and an emphasis on creating a stronger overall nasal structure.

 

A successful rhinoplasty will improve or maintain a patient’s ability to breathe easily and comfortably.

 

  1. No Scars

 

A successful rhinoplasty should improve, not worsen, the appearance of the nose. In facial cosmetic surgery the results are intended to be aesthetic, so any visible scarring is considered an unsuccessful result.

 

An inexperienced or indelicate plastic surgeon is more likely to improve the nose’s shape without the concern of conspicuous, visible scarring.

 

The first and most important step for preventing unwanted complications and poor results like visible nasal scarring is choosing a plastic surgeon who is board certified, highly recommended, and very experienced in the rhinoplasty procedure specifically.

 

  1. No Need for Revision

 

Many times after a rhinoplasty the nose looks great, but after some operations many patients report having a collapsed nose, pinched nose, or a “skeletonized” – artificial-looking nose.

 

Unfortunately this problem is not rare. In fact it is estimated that between 5 – 15% of patients who undergo “nose jobs” will need revision rhinoplasty surgery. Some patients require only minor adjustments, while others need more significant revisions.

 

A successful rhinoplasty is one that’s done right the first time by an expert cosmetic facial surgeon with years or decades of experience, performing rhinoplasties that consistently achieve the very best results.

 

  1. Natural Look

 

The newly enhanced nose must look natural after a successful rhinoplasty. Unnatural results are obvious and unaesthetic.

 

The profile cannot be scooped too much. The nose should not be too upturned. The tip cannot appear pinched. The nostrils must not look too large. The front of the nose should not look pencil-like, something that occurs when the tip has been narrowed as much as the bridge.

 

An unnaturally enhanced nose calls attention to itself. A well-done nose looks great and inconspicuously complements the rest of the face.

 

  1. Facial Harmony

 

The eyes may be the windows to the soul, but nothing interferes with facial harmony like a disproportionate nose.

 

Flaws in such a prominent facial feature draw unwanted attention and can really hurt self confidence. Fortunately, just a slight alteration can balance the face and restore confidence.

 

A successful rhinoplasty surgeon comprehends the necessity of understanding both the nose and the patient’s overall facial structure in achieving natural-looking results and reducing the chance of needing revision rhinoplasty at a later date.

 

  1. Patient Satisfaction

 

What should an attractive nose look like? There really is not a single answer to this question.

 

Jeffrey R. Marcus, MD, a pediatric plastic surgeon at Duke University Health Center says it well:

 

“In the past, many plastic surgeons adhered to personal or popularized aesthetic ideals and allowed them to guide rhinoplasty procedures somewhat universally on their patients. Sometimes, this led to common appearance features among post-surgical patients. This is a trend that has fortunately been left to rest.”

 

A qualified, expert cosmetic surgeon will work with their rhinoplasty patient to create an individualized goal, plan, and result to achieve the unique goals of each individual patient.

 

 

About Dr. William J. Binder

 

Dr. William J. Binder is a facial plastic surgery specialist with over three decades of experience with facial plastic surgery.

 

For almost three decades, his individualized approach to rhinoplasty has led him to pioneer the new “structure” techniques of rhinoplasty, yielding more consistent results and rendering the pre-existing look of an unnatural nose-job obsolete.

 

If you want your rhinoplasty performed by one of the world’s leading facial plastic surgeons, contact Dr. Binder’s office today to schedule an initial consultation.

Common Nose Shapes a Rhinoplasty Can Address

Many people who are unhappy with their nose shape, whether this is due to damage to the nose, a previously botched rhinoplasty, or the nose’s natural shape, would like to have rhinoplasty surgery performed to correct their nose, but think that surgery won’t be able to help them. The reality is that rhinoplasty is an individualized procedure that can help with all kinds of displeasing nose shapes. Let’s examine some common nose shapes and the common nose surgeries that can alter them.

Oversized Nose

This is cause for one of the most common nose surgeries. Some people are self-conscious because they feel that their nose is overly large or long in comparison to the rest of their face. This can make the face seem out of proportion and draw attention away from other, favorite or particularly attractive facial features, such as beautiful eyes or a warm and pleasant smile. Because decreasing the size of the nose requires modifications to the entire nose to achieve pleasant and attractive results, this kind of rhinoplasty can be rather complex. However, the final results are worth it, as they give the face a beautiful, proportional appearance that shows of all your best features, rather than just your nose.

Bulbous Tip

A bulbous nasal tip is another common nose shape, especially among men, that many people have corrected with nose reshaping surgery. A bulbous tip may droop, protrude, or simply appear out of proportion with the rest of the nose, as well as the face overall. A bulbous nasal tip can be corrected with the use of broad nasal tip, or tip refinement, rhinoplasty. Because the nasal tip is out of proportion with the rest of the nose, broad nasal tip surgery generally only requires modification to the tip of the nose, causing healing to be quicker and easier with this type of surgery than with other, more comprehensive rhinoplasties.

Bumped Nose

People can have bumps on their nose naturally, but they are also commonly the result of previous trauma and damage to the nose. Bumps can vary in size from barely noticeable to very eye catching. Some people want to keep traces of their bump to retain character or ethnic or family features, while others want their bump reduced entirely, leaving a smooth and straight nose. Either way, you can achieve beautiful results, but it’s important to communicate your preferences to your surgeon to make sure that you get the results you want.

Remember that it can take up to a year for swelling to completely reduce after a rhinoplasty procedure, so don’t be immediately concerned if your nose still appears to have a bump or a larger bump than you’d like, as this may simply be lingering swelling. If you’re still not happy with your results after a year then contact your plastic surgeon.

Crooked or Asymmetrical Nose

As with a bumped nose, a crooked or asymmetrical nose may be due to genetics or to damage experienced by the nose. This generally requires a comprehensive rhinoplasty to give the entire nose a straight and proportional appearance. In some cases, a nose that becomes crooked after trauma may also have internal problems as well, requiring a medical rhinoplasty, or septoplasty, but doing so can help improve your breathing and save you medical problems later that could result if left untreated. Performing septoplasty at the same time as cosmetic nasal surgery can also help you save money, as insurance will often pay for parts of the procedure that are medically necessary.

Pointy Nose

An overly pointy nose is generally due to excess or projecting cartilage at the tip of the nose. Fortunately, this is usually very easily resolved by reducing the amount of cartilage at the nasal tip, and perhaps some reshaping to help create a softer, more rounded appearance. In turn, reshaping the nose this way can give the face overall a softer and more balanced appearance.

Like with nasal surgery for a bulbous nasal tip, resolving too pointy of a nose typically requires rhinoplasty that is less invasive than in many other cases, so healing may be quicker and easier for patients who receive this type of surgery. However, in some cases your plastic surgeon may suggest modification of the bridge or nostrils as well to ensure that your nose retains symmetry and proper proportions after your surgery.

Wide or Flat Bridge

Some people feel that the bridge of their nose is displeasing, broad or flat. The variety of rhinoplasty most commonly used to correct this type of nose is augmentation rhinoplasty. Augmentation rhinoplasty can correct a wide or flat bridge by narrowing and adding volume to the bridge, perhaps through the use of implants, or by adjusting the size and shape of the tip of the nose to make the nose more proportional and well-shaped as a whole. For more dramatic case, both may be required.

Choose the Right Surgeon for Your Rhinoplasty

Dr. William J. Binder is one of the world’s leading rhinoplasty experts. To learn about the most uncommon and common nose surgeries, contact Dr. Binder’s office today.

How to Choose a Rhinoplasty Surgeon

rhinoplasty

Preparing for a rhinoplasty, just like any surgery can be nerve-wracking, but feeling confident that you’ve chosen the right plastic surgeon can help put you at ease. With so many rhinoplasty surgeons out there, however, the options can be overwhelming. That’s why it’s helpful to be able to narrow down the sea of cosmetic surgeons to find the rhinoplasty surgeon that’s right for you. Here is everything you should investigate regarding your plastic surgeon when preparing for a rhinoplasty.

Examine Their Qualifications

Not all plastic surgeons are alike, but there are ways to tell the good from the bad and the best from the good. Look for a plastic surgeon with many years of experience and is certified by at least one plastic surgery board. If they’ve sat on the board or held a leadership position, that’s even better. Try to find a surgeon who teaches other surgeons or has held fellowships in facial plastic surgery and has had their work published in peer-reviewed journals. Choosing a specialist in facial plastic surgery is ideal.

Look at Their Work

A highly skilled and qualified surgeon isn’t enough, however. You also want to make sure that the appearances that the rhinoplasty surgeon is creating are consistent with your aesthetic goals and desires. A plastic surgeon may be excellent at their job, but simply not create the aesthetic you want, so patients should review the end results of rhinoplasties performed by any potential rhinoplasty surgeon. These types of images are usually easily accessible through the surgeon’s website, and more before and after images will typically be shown at a consultation with the surgeon. Use before and after images to determine whether the surgeon has experience with noses like yours and how he or she modifies them.

Don’t Try to Cut Costs

Plastic surgery can be costly, particularly since it is rarely covered by insurance, so it can be tempting to try to go for the cheapest possible option for your surgery, but cosmetic surgery is one of those things where you get what you pay for, and bad results can cost you more in the long term. You only want to have to have rhinoplasty surgery once, but a bad rhinoplasty can lead to not only unattractive results, but also severe medical problems, either of which can lead to the necessity for revision rhinoplasty.

Though money might have been saved on the initial rhinoplasty procedure, the additional cost of a revision rhinoplasty makes the total cost far more than what it would have been to pay for a more expensive and qualified surgeon in the first place.

To avoid bad results and costly problems, always to be sure to look at any potential rhinoplasty surgeon’s reputation, qualifications, and results in addition to the cost. If you have specific goals in mind and find an excellent surgeon in another city, you may even want to pay a little more to travel to ensure that you get the right surgeon to get exactly the results you want. Doing the necessary preparations will only ensure that preparing for a rhinoplasty is a one-time ordeal.

Schedule a Consultation

You wouldn’t hire someone for a job without an interview, so why would you hire a cosmetic surgeon without talking to them first? Once you’ve narrowed down possible cosmetic surgeons, you can schedule a consultation with each one. During this consultation, your potential rhinoplasty surgeon should discuss the cost of the procedure, your general health, possible risks, and whether or not your desires are realistic. If not, you may want to cross that surgeon of the list. Your rhinoplasty surgeon should be informative about what happens before, during, and after your procedure and able to provide clear instructions for your recovery and follow up.

Finally, you should also feel comfortable talking with your surgeon, as you need to be able to easily communicate with each other and you need to feel confident asking any questions you have.

A Leader in Rhinoplasty Surgery

Dr. William J. Binder is one of the world’s leading facial plastic surgery experts. He is based out of Los Angeles, but due to his expertise and decades of experience patients from around the country and even the world come to receive treatment from him. Dr. Binder is extensively published and is board certified by both the American Board of Otolaryngology and Head and Neck Surgery and the the American Board of Facial Plastic and Reconstructive Surgery. While his passion is in working with his patients, he also spends much of his time traveling to provide lectures and training to other plastic surgeons. If you have questions about facial reconstruction and want a consultation with the very best, contact Dr. Binder’s office today.

2 beautiful women

Top 6 Nose Job Myths

A rhinoplasty, or more commonly known as a “nose job” is a type of surgery done on the nose to changes or improve its shape and function. It is not only done for aesthetic purposes, but also because people get their noses done to correct their breathing problems or disfigurement caused by defects at birth or trauma, respectively.

If you are planning on getting a nose job, then it is crucial that you do your research first. This is critical because you need to spate the myths from facts that surround this extremely popular cosmetic procedure. The following are the top six nose job myths.

Myth #1: Any plastic surgeon can perform a nose job

Rhinoplasty is a critical procedure, but a lot of patients think that any plastic surgeon can perform a nose job surgery. The nose is considered one of the most complicated parts of the body because of its intricate anatomy. Thus, a nose job should not be done by just any plastic surgeon. Only board-certified facial plastic surgeons that have performed many rhinoplasty procedures are certified to perform this process. So, when you look for a plastic surgeon that can perform rhinoplasty on you, make sure that you ask about his or her board certification for facial plastic surgery as well as the number of nose jobs they have performed.

Myth #2: Rhinoplasty is a very simple procedure

Just because the nose is a tiny bump on your face does not mean that the procedure is simple. The main reason why rhinoplasty is a very complicated procedure is because even a millimeter of change done in one area of the nose can lead to a very dramatic change in terms of function, ease of breathing and overall look of the entire nose. For instance, reducing the nose bridge requires the plastic surgeon to make small cuts in the bone inside the nose to balance the look of the nose. The anatomy of the nose alone makes this procedure very complicated.

Myth #3: It is an expensive procedure

Contrary to popular belief, there are many ways you can save money on this procedure. First, many insurance companies can cover some of the cost of rhinoplasty under special conditions. For instance, patients who have deviated septa due to trauma can have their insurance companies approve the funding of their rhinoplasty. On the other hand, if the purpose is purely for aesthetics, you can still get financial interventions by inquiring from your doctor. Some doctors provide such financial options for people who want to get rhinoplasty.

Myth #4: You can get any nose that you want

As mentioned earlier, the anatomy of the nose is very complicated and each patient represents a lot of uniqueness. Having said this, you cannot get any nose that you want. Ethical plastic surgeons will always design a new nose for you that will not only look good on your overall appearance, but will also improve its function. If you still insist on getting the nose that you want, then you might end up having breathing problems in the end. So, make sure that you always communicate clearly with your surgeon. That way, he or she can make recommendations to balance your desires and health.

Myth #5: Rhinoplasty is painful

The reality is, rhinoplasty is not a painful procedure. During the procedure, the patient is placed under general anesthesia. So they will never feel any pain during the entire operation. Once awake, doctors will give them pain medications to reduce the discomfort. Although not entirely painful, there are some discomforts such as swelling around the eyes, bruising, and congestion but they naturally relieve themselves after a week.

Myth #6: Only women get nose jobs

Although most of the patients who get nose jobs are women, there is an increasing number of men who are also getting this procedure. Male patients get rhinoplasty to improve the cosmetic and functional performance of their noses. So, if you are a man and you want to get rhinoplasty but is hesitating because it is a popular procedure among women, think again!

Rhinoplasty in Los Angeles with Doctor Binder

If you feel like you may be a candidate for rhinoplasty in Los Angeles, or you’ve been recommended to have one by another medical professional, contact Doctor Binder to schedule an appointment and consultation to discuss your options and any questions you may have in greater detail.

Recovering from Rhinoplasty in Los Angeles

rhinoplasty recovery

If you’re preparing for rhinoplasty, or have just had one done, chances are you’ve given some thought to the recovery process. As is the case with most plastic surgeries, the recovery time after a rhinoplasty is extensive, but not as arduous as many people may think. To help you prepare for your surgery, or decide whether or not undergoing rhinoplasty in Los Angeles is for you, take a look at our recovery road-map.

Immediately After Your Rhinoplasty: Recovery

Following your rhinoplasty, you’ll be taken to a recovery room where you will be gently brought out from under anesthesia. You should have a friend, trusted coworker or neighbor, spouse, or other family member with you to help you get home, and through the first few hours following your surgery. You may feel a bit groggy for the first night, which is completely normal, and probably for the best. Ideally, you’ll want to have already filled your prescription for post-op pain medication before you come in for surgery.

You’ll also want to have a few packs of frozen peas at home in the freezer, as they make excellent form-fitting ice packs. This will help tremendously with both any pain you may experience, and the swelling you’ll have for the first week.

2-3 Days After Your Rhinoplasty: Discomfort

The first morning after your rhinoplasty will come with slight discomfort, but it still shouldn’t be too bad. You’ll have some swelling, nasal drip or dryness, and you’ll be breathing through your mouth for a while. You’ll want to sleep in an elevated position, either with two to three thick pillows under your neck and back, in a recliner, or with a special wedge-shaped pillow. This will promote drainage, encourage healing, and keep swelling to the absolute minimum.

Speaking of, go ahead and prepare yourself for some swelling, especially in the first few days or so. This is completely normal and expected, and is nothing to worry about. As time goes on, the swelling will go down, and probably won’t be noticeable by anyone other than you after a few weeks. Remember, we are all incredibly aware of the dimensions of our own facial features, so any change is going to be magnified a hundred times from our perspective, even if it’s not noticeable to anyone else. To combat swelling, you may also want to tape your nose. The gentle pressure from the tape will help to distribute the fluids that will build up, and help minimize the length of time you have to deal with swelling. Your doctor will go over the proper way to tape your nose before your surgery.

Also during this time, you’ll be allowed to return to light (and we mean incredibly light) activity. Avoid bending over, blowing your nose, or lifting anything over five pounds, and you should be fine. Any packing or other internal supports in your nose will be removed by your doctor on day two.

4-14 Days After Your Rhinoplasty: Recovery and Follow-Up

At the end of the first week following your surgery, you’ll come in and have your splint removed. Following this you’ll begin to see your nose assuming its final shape. Typically, at the end of this first week you’ll be allowed to return to work or school, but you’ll still need to severely limit your activity and not pick up anything heavy. Depending on your specific situation and the details of your surgery, your surgeon may recommend waiting until at least fourteen days have passed before you return to work or school.

Week Three and Four After Your Rhinoplasty: Return to Exercise

After day twenty or so, you’ll be cleared by your surgeon to resume light to moderate activity, though you should still refrain from strenuous activity, contact sports, or sports that involve fast-moving objects that could impact your nose, unless you invest in a protective face mask. If you’re looking to return to something like tennis, racquetball, or a light contact sport like basketball or soccer, your surgeon can recommend a facemask.

Following this period, up to one full year after your recovery, you’ll be slowly regaining sensation in your nose, your sense of smell, and you’ll watch your swelling go down to reveal a more refined nose.

Rhinoplasty in Los Angeles with Doctor Binder

If you feel like you may be a candidate for rhinoplasty in Los Angeles, or you’ve been recommended to have one by another medical professional, contact Doctor Binder to schedule an appointment and consultation to discuss the procedure in more detail.

model-with-symmetrical-nose

The Essentials of Revision Rhinoplasty

The nose is one of the more intricate and delicate parts of the body. It’s responsible for filtering, warming, and humidifying air before it gets to your lungs, not to mention our unique sense of smell. Part of what makes our nose so special is the fact that it is such a prominent component to our physical appearance.

It’s both the center of our face and crucial to our facial profile. Aesthetically, it contributes to the balance and proportions of our face that make us look the way we do. However, this doesn’t necessarily mean everyone is happy with theirs.

Rhinoplasty

A rhinoplasty procedure helps to create a more symmetrical and well-balanced appearance by altering the shape and proportions of your nose. Part of what makes nose surgery so unique is its ability to both offer cosmetic solutions to those who desire an improved appearance, as well offering a solution to structural defects in the nose that can cause physical problems and difficulty breathing.

It’s this balance of cosmetic and function that makes the rhinoplasty procedure one of the most popular in the United States today. A successful rhinoplasty can help individuals who wish to alter the shape or position of their nostrils, reduce an enlarged nasal tip, get rid of unsightly bumps, or alter the width of their bridge.

Many patients wish to have the size of their nose reduced, in which case the appropriate amount of bone or cartilage is surgically removed, with the remainder being sculpted for symmetry. For physical problems, such as a deviated septum, a rhinoplasty can effectively straighten the nasal septum (the partition between the nostrils that separates the air chambers), allowing for drastically improved efficiency and ease of breathing.

While this all sounds well and good, unfortunately not all rhinoplasties are completed with satisfying results. Your nose may look differently than you were told it would or your surgery could’ve simply been ill-performed. Regrettably, surgeons with insufficient training and experience can produce undesirable outcomes that leave patients unhappy with their new appearance. Luckily, with advancements in cosmetic medicine, there is a solution to this.

Revision Rhinoplasty

The goal of a revision rhinoplasty is to repair and restore the original result an individual first desired when choosing to undergo corrective nose surgery. It’s not uncommon for patients to be unsatisfied with a “pinched” looking nose or one that is ultra-thin and artificial looking. Sometimes they only need slight adjustments, other times they require more significant alterations.

Either way, a revision rhinoplasty was created for this very reason. No surgeon can guarantee 100% satisfactory results every single time. This procedure allows patients to achieve this level of satisfaction by its uncanny ability to provide the finest of adjustments post-nose surgery.

During these surgeries, the structural integrity of your nose is reinforced and corrected, either for cosmetic purposes or to further improve the passage of air into the nose and lungs. Revision rhinoplasty has been on the rise over the last decade with about 10% of recipients who receive a regular rhinoplasty coming back for a revision.

With the state of medicine being where it is today, you should be able to receive the results you desire with great accuracy and excellent quality. This procedure aims to restore the structure of your nose, maintain its natural look, and correct any functional errors you may have. Done correctly, a revision rhinoplasty can reap the immeasurable benefits of enriched self-confidence and an improved physical appearance.

How to Get Started

Dr. Binder’s office in Beverly Hills is often considered the best option for correcting the most difficult problems in revision rhinoplasty. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to   schedule a consultation for your revision rhinoplasty surgery in our Beverly Hills office.

open-or-closed-rhinoplasty

Open vs. Closed Rhinoplasty

Rhinoplasty, sometimes called a “nose job” or “nose reshaping” by patients, is a surgical procedure that reshapes or resizes the nose for health or cosmetic reasons. It is the third most common plastic surgery procedure in the United States.

 

According to data collected by the American Society of Plastic Surgeons (ASPS) there were 217,979 rhinoplasty surgeries performed in 2015, accounting for about 13 percent of the year’s plastic surgery procedures.

 

Both revision rhinoplasty surgery and the initial rhinoplasty procedure can be used to resolve health problems, such as correcting impaired breathing caused by the structure of the nose. Rhinoplasty is also used to resolve aesthetic problems by enhancing the harmony of the face’s lines and balancing the proportions of the nose.

 

Rhinoplasty can create dramatic improvements to:

 

-Nose size and proportion in relation to facial harmony

-Nose width at the bridge, or a profile with visible bumps on the bridge

-The size, shape, and position of the nostrils

-A nasal tip that is bulbous, drooping, upturned, or hooked

-Nasal asymmetry

 

There are two major rhinoplasty techniques, open rhinoplasty and closed rhinoplasty.

 

About Open Rhinoplasty

 

Open rhinoplasty is performed after an incision is made in the columella (the delicate tissue that separates the nostrils). This allows the surgeon greater access to the tissue throughout the nose. Because it allows increased visibility of the nasal tissue during the operation, an open rhinoplasty is easier for the surgeon to perform. Another advantage is an open rhinoplasty can also allow for more dramatic revision of the shape and proportion of the nose.

 

The open technique does sometimes lead to more noticeable scarring than the closed rhinoplasty technique. Recovery after rhinoplasty using the open technique can also be more unpredictable and prone to complications than closed rhinoplasty recovery. On the other hand, open rhinoplasty can actually be less traumatic to the nose because the technique gives the surgeon more room to work and requires less modification to other internal nasal structures.

 

About Closed Rhinoplasty

 

Closed rhinoplasty involves performing the surgery entirely inside the nose without interfering with the columella. An internal procedure prevents visible scars from showing. The closed rhinoplasty technique does require a facial surgeon with more experience and precision than its counterpart, the open rhinoplasty.

 

Although the closed rhinoplasty technique does result in minimal scarring, which is inside the nose and therefore not visible, it is also limited in the scope of the revisions it can make to the nose. Closed rhinoplasty recovery time can be easier and more predictable than recovery following rhinoplasty performed with the open technique, but it can also be more traumatic if a surgeon is indelicate or tries to make revisions that are too significant.

 

Is Open or Closed Rhinoplasty Best for Me?

 

Each rhinoplasty candidate is unique, so it is impossible to generalize and make a categorical statement about which rhinoplasty technique is better for all or even most patients.

 

Closed rhinoplasty is typically preferred because of the easier recovery process and the minimal, hidden scars, but there are numerous situations in which an open technique may be better for the patient.

 

Because it allows for more significant nasal revisions, rhinoplasty candidates seeking a dramatic change, or who need dramatic reconstruction, may prefer an open rhinoplasty.

 

A skilled plastic surgeon will still be able to minimize scar tissue and the appearance of scars following an open rhinoplasty.

 

A patient who is only seeking a slight revision, or revisions that are concentrated on the bridge of the nose, and no or only minor revisions desired for the tip of the nose, may be recommended to undergo the more subtle changes of a closed rhinoplasty operation.

 

Choosing the Right Plastic Surgeon for Your Rhinoplasty

 

You are a potentially good candidate for rhinoplasty if your facial growth is complete, if you are in good overall health, if you are a non-smoker, and if you have a positive, realistic outlook and goals for what you expect in the improvement of your appearance.

 

Your facial surgeon can help you determine which technique is best for your rhinoplasty procedure during your initial consultation.

 

It’s important to clearly communicate your expectations for the results of your rhinoplasty surgery and share your complete health history, including dental history, with your plastic surgeon, so that they can choose the best technique for your health and goals.

 

It is therefore essential that you choose the right plastic surgeon for your rhinoplasty procedure in particular so that you can be confident in your results.

 

A plastic surgeon who is skilled and experienced, especially in rhinoplasty, is the difference between glamorous plastic surgery results and a tragic plastic surgery horror story.

 

If possible, patients should seek out a plastic surgeon who specializes in facial plastic surgeries like rhinoplasty.

 

Dr. William J. Binder

 

Dr. William J. Binder is a facial plastic surgery specialist with over three decades of experience with facial plastic surgery.

 

He is double board certified and has 10 U.S. and global patents on medical and surgical devices and pharmaceuticals and is extensively published across various medical journals.

 

If you want your rhinoplasty, whether open or closed, performed by one of the world’s leading facial plastic surgeons, contact Dr. Binder’s office today to schedule your consultation.

woman-resolved-breathing-issues

How Rhinoplasty Can Help Alleviate Breathing Issues

Rhinoplasty is often thought of as a purely cosmetic procedure, but this surgical procedure can also provide medical benefits for some people. To be fair, rhinoplasty is usually performed for cosmetic reasons and is the third most popular cosmetic surgery after breast augmentation and liposuction respectively, with over 217,979 cosmetic rhinoplasties performed in 2015 and 217,124 performed in 2014.

Corrective rhinoplasty is usually performed to correct a deviated septum, decrease the size of turbinates, or remove nasal polyps, though it can also be performed on patients who had a previous rhinoplasty surgery that interfered with their breathing.

What is a Deviated Septum?

The nasal septum is simply the wall between the two air passages (nostrils) in the nose. When the septum is deviated (to one side or the other, rather than straight), it can block one of the air passages, which obstructs breathing.

What are Overgrown Turbinates?

The tissues that line the nasal passage are called turbinates. Most people experience some sort of blockage from swollen turbinates at some point in their lives due to ailments like allergies and respiratory infections, but some people experience long-term overgrowth that causes chronic breathing issues.

What are Nasal Polyps?

Nasal polyps are small benign and painless growths that occur on the inside of the nasal passages in response to chronic inflammation, usually as a result of respiratory issues like allergies, asthma, or chronic infection. While one or two polyps generally do not cause problems, large polyps or groups of many polyps can obstruct breathing.

About Rhinoplasty Surgery

Each rhinoplasty is different, because each patient’s obstruction and goals are different. Depending on the cause and location of the breathing obstruction, a rhinoplasty may revise the bony top portion of the nose, the cartilaginous bottom part, or both; as well as the skin on the outside of the nose. Incisions may be made inside the air passages or at the base of the nose, in the septum. Either way, incisions are barely or not at all visible. Rhinoplasty may be performed using general anesthesia or local anesthesia alongside a sedative. Your surgeon should be able to determine which option is right for you, taking into account your surgery and your health history. Be sure to disclose any prior negative reactions to anesthetics during your consultation.

Corrective rhinoplasty can be performed alongside cosmetic rhinoplasty, though insurance typically only covers costs related to corrective techniques. Your surgeon’s staff should be able to work with your insurance provider to determine how much your insurance will cover and how much you’ll be responsible for paying.

Choosing the Right Plastic Surgeon for Your Rhinoplasty

Choosing the right plastic surgeon is imperative to ensure that your rhinoplasty sufficiently corrects your breathing problems, leaves an aesthetically pleasing appearance, and does not require revision rhinoplasty later on.

An experienced facial and reconstructive plastic surgery specialist, like Dr. William J. Binder, is able to give patients far better results than their more generalized peers. Dr. Binder, whose office is conveniently located in the Los Angeles area, stands apart from other facial and reconstructive plastic surgery specialists, however. Dr. Binder is one of the world’s leading plastic surgeons. He regularly travels around both the United States and the world to train and educate other plastic surgeons, has 10 U.S. and global patents on medical and surgical devices and pharmaceuticals, and has had his research and findings extensively published in various academic journals.

Dr. Binder’s skills have been recognized by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology and Head and Neck Surgery, both of which have granted Dr. Binder with board certifications. If these endorsements from other leaders in his field aren’t enough, Dr. Binder also has glowing reviews from his patients due to his passion for both helping patients achieve their goals and educating them about the process.

Don’t wait to act if you want your rhinoplasty, or any other cosmetic surgery procedure, performed by one of the best. Dr. Binder is taking consultations now, so contact his office today to schedule your appointment and begin to breathe easy.

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Is Hardened Skin after a Rhinoplasty Normal?

Most people know to expect soreness and swelling after their rhinoplasty surgery, but one particular after-effect often takes patients by surprise. A few weeks after surgery, many patients are shocked to discover that the skin on their nose, especially around the tip of the nose, feels hard or firm. While not all patients experience this phenomenon, it is a relatively common, but rarely permanent, side effect of rhinoplasty surgery.

What Causes Hardened Skin after Rhinoplasty?

There are two major reasons for the skin on the nose to feel hard after rhinoplasty, but neither has to do with the skin itself. The hardness does not actually reflect a change in the skin, but rather the tissue underneath.

Edema (swelling caused by liquid under the skin) is the most common cause of hardness in the months directly following surgery. Built up scar tissue, however, does not fade so quickly, causing long term, even permanent, feelings of hardness. These two things generally cause a greater feeling of hardness for patients who already had thick skin on their nose.

How Long after Surgery Does Hardened Skin Last?

While the sensation of hard-feeling skin can be off-putting for patients, this hard skin is typically neither visible nor permanent. The nose, especially the tip, will remain hard for several months after surgery, after which the tissue will begin to soften as the remaining swelling fades. It will, however, not reach full softness until about a year after surgery.

It is recommended that patients wait one to two years after their rhinoplasty before seeking treatment for their hardened tissue or a revision rhinoplasty because tissue may soften, results can change during this time period, and surgical techniques are more difficult when the surgeon has to work around hard scar tissue.

Treating Persistent Hardened Skin

If you still experience hardened skin two or more years after your rhinoplasty, there are several treatment options. The two most common are steroid injections and revision rhinoplasty. The medication in steroid injections is very successful in breaking down scar tissue and is not particularly invasive.

Revision rhinoplasty, on the other hand, requires the surgical removal of built up scar tissue. This allows for more extensive changes than steroid injections and allows the surgeon to address any cosmetic issues the patient has after their surgery; but if not conducted in a delicate manner, revision rhinoplasty can lead to even more build up of scar tissue.

For this reason, it is important that the patient choose a skilled doctor with ample experience in detailed rhinoplasty surgery. Patients should always look at their prospective surgeons’ patient reviews and before and after photos to ensure that their surgical experience will leave them with the results they want.

Preventing Hardened Skin

Unfortunately, there is little the patient can do themselves to prevent hardened skin after their rhinoplasty surgery. However, the right plastic surgeon can minimize hardness by minimizing swelling and scar tissue, so it is important that the patient takes the time and effort to carefully select an experienced plastic surgeon. This is also true, perhaps even more so, for patients seeking a revision rhinoplasty, as hard scar tissue complicates the surgical process.

Dr. William J. Binder

Dr. William J. Binder is one such surgeon whose office is conveniently located in Beverly Hills. Not only is Dr. Binder skilled and experienced, he’s a facial and reconstructive plastic surgery specialist, and one of the world’s leading plastic surgeons; he has multiple patents, extensive published works, and board certifications from both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology and Head and Neck Surgery.

Whether you want your hardened skin treated, or are planning an initial rhinoplasty procedure and hope to avoid hardened skin altogether, Dr. Binder is heads above the rest. Contact his office today to schedule your consultation.

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Preparing for Your Rhinoplasty Surgery

You’ve finally done it. You’ve decided to get rhinoplasty surgery. Yet, you’re a little apprehensive because you aren’t sure what precautions you need to take before your surgery, and you have no idea what you need to account for when it comes to post-operative care.

Here’s what you need to know when it comes to taking care of yourself before and after rhinoplasty surgery.

Preparing for Rhinoplasty

Before scheduling your rhinoplasty surgery, it is important that you meet with your doctor to discuss important factors that determine whether the surgery is likely to work well for you. This consultation can normally include:

  • Your medical history—your doctor will ask questions about your medical history, such as your history of nasal obstruction, surgeries, medications that you take, and if you have a bleeding disorder (i.e. hemophilia)
  • A physical exam—your doctor will conduct a full medical exam, including any necessary laboratory tests. They will also examine your skin and the inside and outside of your nose. This physical exam will help your doctor determine what changes need to be made and how your physical features may affect your results. The exam is also crucial for determining the impact of rhinoplasty on your breathing.
  • Photographs—pictures of your nose (from several different angles) may be taken in order for your doctor to manipulate those photos in order to show you the kind of results that are possible. Your doctor will also use these photos for before-and-after assessments, to reference during surgery, and for long-term reviews.
  • A discussion of your expectations—your doctor will explain what rhinoplasty can and can’t do for you and what your results might be. It is important that you are open with your doctor about your desires and goals for surgery. That way, both of you will be on the same page.

The Countdown to Your Rhinoplasty

In the weeks prior to your surgery, you should begin taking precautions to make sure that your operation runs smoothly and that you’re prepared for your post-operative care. Here is a check list of things that you should do before your operation:

  • Don’t take aspirin or anti-inflammatory medications
  • Quit smoking two weeks before your surgery
  • Obtain a copy of your doctor’s protocol
  • Make arrangements for someone to drive you to and from your surgery
  • Fill prescriptions (especially pain medications and antibiotics) before surgery
  • Consider a pill case with a time chart for medications
  • Purchase a thermometer, antibacterial soap, dressings, and gauze
  • Set up your recovery area at home
  • Black out windows so you can rest during the day
  • Prepare icepacks
  • Purchase moisturizers, scar reducing creams, and petroleum jelly for incisions (if open surgery)
  • Purchase eye drops (eyes can be dry after any surgery)
  • Consider a handheld shower head and bathroom chair
  • On the day of surgery, wear loose clothing
  • Follow your doctor’s directions carefully regarding medications, eating, and drinking

After Rhinoplasty Care

Since rhinoplasty is one of the most complicated forms of facial plastic surgery, it is extremely important that you follow your doctor’s post-operative instructions conscientiously. These instructions will also help minimize pain and discomfort during your recovery. Your doctor’s instructions can include:

  • Stay hydrated
  • Use cold compresses to reduce swelling
  • Rest as often as possible
  • Avoid strenuous activities and exercise

The first 24 hours after rhinoplasty surgery is often the most difficult part of the recovery period. During this time, you may experience some normal side effects, such as:

  • Headaches
  • Swelling
  • Bruising
  • Nosebleeds

It is important to note that, while nosebleeds are common (especially in the first 48 hours after surgery), you shouldn’t blow your nose as this can adversely affect the rhinoplasty results.

You should be able to return to work and a more normalized routine one week after receiving rhinoplasty. However, you will still have to be careful to avoid strenuous activities, waiting until two weeks after your surgery to participate in sports or return to weight lifting. You shouldn’t participate in any activity that may result in a blow to the nose for approximately eight weeks.

Consult with Dr. Binder

Before booking rhinoplasty surgery, you should consult with a qualified doctor. Book a consultation with Dr. Binder today. With years of experience in his field, he has the knowledge and know-how to help you make the right decision when it comes to your rhinoplasty needs.

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