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.

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.

How to Fix a Crooked Nose: Rhinoplasty

Woman-Holds-Her-NoseA crooked nose can cause considerable insecurity. Fortunately, rhinoplasty can renew confidence in your facial appearance. If a crooked nose is something you desire to correct, here are a few things to consider before making your final decision on rhinoplasty surgery:

Potential Difficulties

A rhinoplasty procedure designed to correct a crooked nose is actually very complex for a number of reasons. First, the deviated cartilage and bone which cause the appearance of crookedness tend to drift back to their undesired positions, even after surgery. Second, plastic surgeons often struggle when operating on patients with asymmetrical faces, which make it difficult to locate the midline plane where the nose should be repositioned.

The Procedure

In short, the goal of this procedure is to straighten the nasal structure through repositioning the septum and nasal bones. Septal deviation must be addressed, or else the nose will be continually pushed out of position. If the caudal septum is off center, it will have to be rebuilt it in the midline; then, the surgeon will address deviations in the nasal bones.

Deviated Nasal Bones

If trauma has forced the nasal bones out of position, the bones must be treated immediately. Otherwise, the bones will heal in their crooked position. Resetting the bones will take about six weeks. After this, the bone fractures can be addressed. By making osteotomies—or bone cuts— with a chisel, the crooked bones may be reset to their proper positions.

Other Causes of a Crooked Nose

Internal and external valve collapse are other common causes of a crooked nose. Patients who have noticed a pinch in their nose that creates asymmetric shadowing likely have this condition. These conditions will create the appearance of a crooked nose, even if the rest of the nose is properly aligned. This is treated with a spreader graft, which will expand the internal nasal valves that have collapsed.

For more information about crooked nose rhinoplasty and other cosmetic procedures, schedule a consultation with Dr. Binder today.

Broad Nasal Tip Rhinoplasty: What You Need to Know

Portrait-Of-A-Beautiful-Young-61158956-727x409A larger nose—a broad nasal tip, specifically—is a common source of insecurity. With your surgeon’s approval, nasal tip rhinoplasty would be an excellent step towards achieving a more refined facial structure. This procedure focuses specifically on the nasal tip, which is the most protrusive part of the face. While it may sound like a minor adjustment, a more refined nasal tip works wonders for transforming your facial appearance.

The Results

A tip refinement procedure will be catered to the needs of the patient and the recommendations of the surgeon. The procedure can either make the nasal tip appear more pronounced, or reduce the tip considerably. It all depends on your facial structure. Consult a trusted plastic surgeon to discuss your personal options.

The Procedure

The procedure typically lasts from one to two hours, or longer if extensive alterations are required. After sedation, the plastic surgeon will examine the internal nasal structure using a 3D, high definition camera. Cartilage under the nose is then exposed so that structural alterations can be made.

The remaining steps are then determined by your personal preferences. Fat tissue may be removed or repositioned, creating more definition. Implants may be placed to fortify cartilage and reorient the nasal tip. Grafts may also be used to improve tip projection. When the surgeon has finished, the incisions will sealed with dissolvable sutures.

Recovery

Fortunately, the mucus lining heals quickly, reducing the risk of scarring. Moreover, since every incision is made internally, any scarring that does occur will not be visible.

Following the postoperative regimen prescribed by your surgeon is crucial to achieving the results you desire. Avoid contact sports or other forms of strenuous exercise, which may stress the nose and cause inflammation. Nasal canals should be kept clean to prevent infection. Purchase a nasal kit that will irrigate your nose and sinuses. If you experience pain or discomfort, your doctor can recommend pain-relievers that are safe to use. Contact your doctor immediately if you experience symptoms such as excessive bleeding or intense pain.

Risks

Rhinoplasties carry the same risks as any surgical procedure. Infection may occur, but antibiotics and regular cleansing of the nasal passages reduce the risk dramatically. In rare cases, patients have experienced adverse reactions to anesthesia. Make certain that you are medically cleared for the procedure before deciding on surgery.

If a broad tip rhinoplasty sounds right for you, schedule a consultation with Dr. Binder today to discuss your personal desires and options.

The Steps You Need To Take Before Your Neck Lift Surgery

Beauty-closeup-profile-portraiA neck lift is a major operation that will require extensive cooperation from you, the patient. This might mean making certain lifestyle changes that will help ensure a smooth operation and optimal recovery. Make sure to listen to your surgeon’s instructions carefully, and follow these steps for additional guidance:

Medication

During your consultation, your surgeon will tell you which medications to avoid before your surgery. Certain medications, and even vitamins, will thin your blood and increase the risk of bleeding. Be sure to ask your surgeon about any concerns you might have about the medications or supplements you are taking.

Smoking

Smokers must be prepared to cease smoking for two weeks before the surgery and two weeks after. This means a complete break from cigarettes. Smoking even once during this period can complicate recovery.

Diet

Patients must monitor their diet as well. Make an honest and thorough assessment of your diet, as proper nutrition is necessary for the healing process. Patients accustomed to a low-calorie diet will need to be especially aware about eating properly.

Clothing

Loose, comfortable clothing which can be removed without overhead pulling should be worn on the day of the surgery. For most women, a button-down blouse will likely be the best option. Proper clothing is for your own comfort following the surgery.

Recovery

Most patients can expect at least a week-long recovery period. Plan your time-off in advance with this in mind. Recovery periods vary from person to person, so make sure that you are clear on how long your doctor expects your recovery to take.

Home Recovery Area

Patients undergoing a platysmaplasty, cervicoplasty, or certain other procedures will need to have a home recovery area prepared prior to surgery.

For your personal home recovery area, have the following readily available:

-Ice packs
-Gauze and towels
-A thermometer
-A supply of comfortable, loose clothing (preferably button-down shirts or blouses that do not require overhead pulling)
-Petroleum jelly and antibacterial ointment for incision sites
-A phone always within arm’s reach
-A supply of pillows, which can be used to keep your head in a comfortable position
Someone who can attend to you for at least 24 hours following the surgery

If you envision a neck lift in your near future, schedule a consultation with Dr. Binder today to review your personal needs and detailed instructions to follow before and after your surgery.

A More Youthful You: Cheek Implants & Cheek Augmentation Options

igh-key-monochrome-portrait-oGlowing cheeks are among the essential indicators of youth, vitality, and facial radiance.
The unfortunate truth is that cheeks lose their luster over time, becoming flat, saggy, and hollow. While some are gifted with naturally high cheekbones, others turn to a variety of cheek augmentation procedures to mitigate the effects of aging. Of these options, cheek implants are perhaps the most well-known. However, there are other options available to you as well.

Here is a look at the variety of cheek augmentation procedures available, as well as the factors to consider before undergoing surgery.

Methods of Cheek Augmentation

There are three different methods of cheek augmentation, each with their own unique benefits: fat grafting, cheek implants, and fillers.

Fat Grafting

The most popular option for cheek augmentation, fat grafting involves removing fat from the hips and transferring it to the cheeks. This procedure is a long-term solution for full, plump cheeks. The only downside is that fat grafting requires an additional procedure, similar to liposuction, in order to transfer the fat.

Since the fat comes from your own body, the fat is guaranteed to be accepted by your body without any complications. Most of the fat will be retained by your body permanently, rejuvenating the skin and producing a natural, youthful look.

Cheek Implants

Cheek implants are another solution for long-lasting full cheeks. This procedure is best suited for people who desire more volume, as opposed to the subtle boost that fat grafting provides. Implants add definition to areas where the bone structure has become less prominent, while slowing the apparent effects of bone aging.

However, keep in mind that cheek implants tend to look less natural than the effects of fat grafting.

Fillers and Injectables

There is a wide variety of fillers and injectables available, with each producing their own unique effects. However, these fillers do not always last a long time, making them a great solution for people who only desire temporary results. Educate yourself thoroughly on the specific details of the filler you select.

Am I a Good Candidate?

Cheek augmentation will be most effective for people with the following conditions:

-Flat, deflated-looking cheeks
-Cheeks lacking definition
-Hollow cheeks or temples
-Under-eye bags, lines, or wrinkles on the cheeks

Additional Factors to Consider

Patients undergoing fat grafting will be sedated as the fat is transferred directly to the cheeks. There will be swelling for 10 days following the operation.
Implants can make a striking difference as early 20 to 30 years of age.
Fillers may cause bruising or swelling, and require up to 10 days of recovery time. Most fillers will last from six months to a year.

If fuller, radiant cheeks are something you desire, schedule a consultation with Dr. Binder today to determine which procedure is best suited to your personal beauty goals.

Classic vs. Endoscopic Brow Lift: Which is Right For You?

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Classic vs. Endoscopic Brow Lifts: Which One Is Right For You?

If you have sagging or heavy brows, a brow lift would work wonders for you. A brow lift procedure comes in two types: the endoscopic lift, and the classic (coronal) lift. Although the endoscopic lift is a favorite for a number of reasons, the coronal lift has its unique advantages as well.

The Endoscopic Lift

The endoscopic lift is named after the procedure’s essential tool: the endoscope. This minimally invasive technique holds a number of advantages over the coronal lift, which was once the industry standard.

In any brow lift, the objective is to lift the skin surrounding the brow after it has begun to sag from muscle constriction around the eyes. With the endoscopic brow lift, small incisions about an inch-long are made in the scalp above the hairline. Then an endoscope (with a camera and light) is used to assist the surgeon in making the incisions, which will separate the skin from the muscles and adjust it to create the appearance of a lift. The forehead is then secured with metal posts, which are removed ten days later.

The procedure is quick, lasting about an hour and a half. Patients can expect to resume normal activities in ten days, and to recover completely in about three weeks. Overall, the procedure produces similar results to the classic lift, with less scarring.

The Classic Lift

The classic lift earned its title from its history of being the industry standard of brow lift surgeries. It involves a much longer incision, extending from ear to ear. This incision may also be made mid-scalp, following the skull to appear less conspicuous. This procedure removes a strip of skin, allowing the surgeon to lift and smooth the remaining skin.

A minority of coronal lift patients may experience alopecia: circular bald patches which usually resolve after a few months. There is also the small chance of swelling, which has been nearly eliminated.

There is also substantial postoperative pain, and even numbness around the incision. This soon leads to itchiness, which may last for six months.

How They Compare

Some surgeons doubt that the endoscopic method will produce long-lasting results. This is due to the fact that the skin is merely shifted upwards and not removed, leaving a chance that the skin may resettle over time. The endoscopic lift also shifts the hairline upwards, thus making the classic lift a better option for people with thin tissue or a receding hairline.

When deciding which brow lift procedure is right for you, schedule a consultation with Dr. Binder today with any surgical questions or concerns.

Nose Reconstruction: Traditional Versus Non-Surgical Rhinoplasty

Eyes-Woman-Closed-Eyebrow-EyesWhen you are not happy with how your nose looks, it can greatly affect your self-esteem and the way you look at your life. Even your best features can sometimes be clouded by an unsightly nose. Fortunately, there are options for those who are looking to make a change and who might want to consider rhinoplasty. There is also the option for those who would like to try a rhinoplasty without surgery, if the thought of a procedure sounds unappealing.

Traditional Surgery

Surgery has been an option for many years, and patients tend to choose it when they want intense alterations made to their noses. Most plastic surgeons recommend that you take the time to consider the repercussions of surgery and whether or not they will be changes you want for the long term. While surgery can tend to yield great results and many often tend to be happy with how they look after the procedures, the effects can be difficult to fix if it is not what the patient is thinking.

Surgery can also end up costing the patient more in the long run. You will want to discuss how much the procedure will cost with your plastic surgeon before you decided to agree to it. Sometimes, insurance will also cover the cost if the plastic surgery is needed because of an accident or injury. Recovery time is also much longer when surgery is performed.

Non-Surgical Rhinoplasty

Non-surgical rhinoplasty is often the insertion of dermal fillers. It often takes as little as fifteen minutes and only a little bit of anesthesia in order to make changes. However, any major alterations can be difficult to fix only be doing non-surgical rhinoplasty. It also cannot diminish the size of a large nose, a common operation that has to be fixed with surgery—but it can add to the contouring, making it appear smaller overall.

Results tend to vary and often last only a total of a few months. Most report that their new look usually remains for 6-18 months, so if you are thinking about a more permanent solution, surgery might be a better option. Most patients can go back to work the same day of the operation, and it is often much less expensive than investing in a surgical procedure.

Verdict?

When deciding between the traditional method of plastic surgery or non-surgical rhinoplasty, you should think about what are the exact results you want and to make sure to talk to a professional who can decide which option is right for you.

What to Consider Before Having A Rhinoplasty

healthcare-medical-and-plastiA Rhinoplasty, or nose job, is the oldest and most common plastic surgery procedure around, it is also one of the most difficult. So before deciding on whether this procedure is right for you, it is important to know what to expect after the surgery. Here’re a few things to consider before getting a rhinoplasty.

Take Time Off Work

You will need to take at least 7-10 days off before returning to work after your rhinoplasty. You can cut down your healing time if you stop taking fish oil, non-steroid anti-inflammatories, or aspirin, two weeks prior to your procedure.

Be Prepared for the After-Effects

While getting a Rhinoplasty is not as painful as other plastic surgery procedures, there is some pain related to the procedure as well as, swelling, bruising and slight bleeding, especially right after the procedure. Make sure you have cold compresses and ice gels to help manage the swelling, and bruising, around your nose and eyes. The swelling and bruising are at their worst in the first 3 to 5 days and should completely be gone, within ten days. However, the residual swelling, particularly at the tip of the nose, can last up to 12 – 15 months. This residual swelling may cause your nose to seem asymmetrical, until you hit the 12-15 month mark. It is normal within the first few days to experience some slight nasal bleeding and tiredness. It is also important to keep you wounds clean and manage your recovery with your doctor.

Avoid Exercise

You should avoid exercising for 2 to 5 weeks after your procedure. Elevating your heart rate can cause more swelling, bruising and even bleeding.

The Healing Process

Because it takes about 12 to 15 months for the residual swelling to dissipate, you will not truly see your final results until that time. You must be be patient and monitor your progress with your surgeon. Your internal splints will not be removed until the first post-op visit, seven days, after your rhinoplasty.

Manage Your Expectations

There is no such thing as a perfect nose and is not possible to just “add” any nose to your face. Noses are very specific, and there is a limitation to how yours can be shaped. The best way to manage your expectations is to be in constant communication with your surgeon, prior to the procedure, providing them with as many pictures or descriptions of your ideal nose, as possible. This way you can get an idea what you can expect to look like after your procedure.

Hopefully the information provided will help you decide whether this procedure is right for you. If you have further questions or if you would like to discuss the procedure, feel free to contact us at your earliest convenience. Our expert staff will be happy to address any concerns you may have. To schedule a consultation visit doctorbinder.com today.