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Scarless Nose

What Is Rhinoplasty?

Rhinoplasty is a surgical facial procedure performed to change the shape of the nose. It could be done for cosmetic reasons or for medical purposes, typically to improve the nose’s function by opening blocked nasal passages to correct existing breathing problems. In most cases, it is performed with both cosmetic and functional purposes in mind.

Also known as a nose job or nasal reshaping, rhinoplasty enhances a patient’s nasal contour through the use of plastic surgery. The surgery involves reforming the nasal bone and/or nasal cartilage to create a natural contour that enhances overall facial harmony.

Beverly Hills Rhinoplasty Center performs two types of Scarless Rhinoplasty: Closed Scarless Rhinoplasty and Scarless Functional Rhinoplasty. Dr. Deepak Dugar uses a custom approach for each patient, taking into account their specific reasons for the procedure while emphasizing both the nose’s structural support and preservation of nasal breathing.

In this section, we’ll give you a detailed look at rhinoplasty by providing information on the different types of rhinoplasty, how to prepare for the procedure, the different health benefits it provides, and more.

Should you undergo rhinoplasty?

The idea of facial harmony is often the top motivating factor behind a vast majority of cosmetic rhinoplasties. It’s the concept of having well-balanced features that are all proportional to one another.

Many who opt to undergo rhinoplasty are motivated to do so because they feel their noses are disrupting the overall balance of other facial features, working against facial harmony rather than contributing to it. As one of the face’s most prominent features, the nose plays a key role in creating a balanced facial harmony. In addition to cosmetic reasons, rhinoplasty is also performed to correct breathing problems, and some get it to repair their nose after suffering an injury.

A few examples of changes that are possible through rhinoplasty include:

  • Refining the size of large bulbous tip
  • Adjusting a crooked nose bridge
  • Fixing a crease in the nasal tip
  • Smoothening of a prominent bump on the bridge
  • Reducing the length of an excessively protruding nasal tip
  • Narrowing wide nasal bones

Some non-cosmetic issues that can be solved by rhinoplasty include:

  • Chronic migraines
  • Allergies
  • Breathing problems and snoring

In case you’re planning to get rhinoplasty for cosmetic reasons, it is recommended to wait until your nasal bone is fully developed. For females, this is around 15 years of age. For males, the nasal bone can still continue to grow past the age of 15. If you need to undergo rhinoplasty due to a breathing impairment however, the procedure can be performed at a younger age.

An experienced and skilled cosmetic surgeon such as Dr. Dugar will be able to explain what’s possible through rhinoplasty to help you achieve a nose that looks natural and balanced with your unique facial features.

Types of rhinoplasty

The different types of rhinoplasty surgeries depend on the individual and the technique chosen by the surgeon for the occasion. Although many common factors are shared by different classifications, it is generally the patient’s anatomy and desired outcome that dictates the recommended approach.

Here’s an in-depth look at the different types of rhinoplasty procedures:

Closed Rhinoplasty

Closed rhinoplasty is a less invasive approach that does not require a significant opening, with all necessary incisions done inside the nostrils. Also known as “endonasal rhinoplasty,” the procedure involves lifting soft tissues of the nose slightly upward to give the surgeon access to the different features of the nose framework, including the septum, nasal cartilage, and bone, all through using discreet nasal incisions.

The closed rhinoplasty approach is widely used by patients requiring nasal bridge adjustments or modifications to the shape or size of the nose. In addition to the lower risk of external scarring, another big advantage of closed rhinoplasty is that it requires less time to perform, along with a reduced recovery period compared to an open rhinoplasty. It also promotes enhanced circulation of the skin covering the nasal tip.

Closed rhinoplasty is one of the best types of procedures for patients looking to achieve facial harmony, as key adjustments to the size, shape, or angle of the nose are all possible through this safe, less invasive approach. The procedure is also effective in correcting breathing problems resulting from any existing irregularities inside the nose.

Closed Scarless Rhinoplasty is the solution of choice used at the Beverly Hills Rhinoplasty Center. Head to this page for the Center’s philosophy behind this specialized procedure.

Closed Rhinoplasty

Open rhinoplasty is often performed on patients who require extensive nose reshaping or reduction.

During the procedure, the surgeon makes a few incisions in the columella, or the skin located beneath the nose, right between the nostrils. Once the incisions are made, the skin is lifted up to give the surgeon access to the nasal cartilage for reshaping.

After performing the adjustments, incisions on the columella are sutured, and the nose is secured in place with a splint and some tape. The splint will be needed to ensure the nose stays in place throughout the duration of the healing process.

Open rhinoplasty is an ideal option for individuals who have structural or genetic deformities, injuries that require grafting, or subpar results from a previous rhinoplasty.

Secondary or Revision Rhinoplasty

Secondary or revision rhinoplasties are corrective procedures that are performed primarily to modify the form and/or function of the nose following a previous rhinoplasty. The procedure serves to repair any cosmetic or functional issues that were not properly treated by the initial operation. Some patients also opt to undergo a corrective procedure to reduce or “tone down” the appearance of a previous rhinoplasty that appears excessive or overdone.

A secondary rhinoplasty becomes necessary when it is required to address persisting imbalances resulting from an earlier reconstruction procedure. In many cases, the problems which eventually lead to the need for this second operation are due to unexpected healing complications that occur during the recovery period. That said, secondary rhinoplasties are generally more complex compared to the initial procedure.

A secondary rhinoplasty can be performed either through the “open” or “closed” rhinoplasty approaches, depending on the patient’s needs. Cases that require major structural alterations often need the open approach, while the closed approach can be used for minor corrections.

Non-Surgical (Liquid) or Filler Rhinoplasty

Non-surgical rhinoplasty is an alternative to traditional rhinoplasty, often used to address specific issues such as a drooping nasal tip or dorsal hump. The procedure involves injecting fillers into the nose in order to reshape and refine its appearance.

Under the expert hands of Dr. Dugar, a non-surgical liquid rhinoplasty procedure at the Beverly Hills Rhinoplasty Center only takes ten minutes to complete, compared to the lengthy one-to-four hours needed for the traditional reshaping approach. Patients get immediate results, and only need to go through a minimal recovery period.

Dr. Dugar uses safe reversible hyaluronic acid-based fillers such as Juvederm to contour the nose, concealing irregularities or masking subtle bumps for patients who may be unable or unwilling to undergo plastic surgery. The results last anywhere from one to three years.

For more information about Liquid Non-Surgical Rhinoplasty offered at Beverly Hills Rhinoplasty Center, visit this page.

Tips for Rhinoplasty Preparation and Recovery

Taking a few simple steps to stay healthy in the weeks prior to and following a rhinoplasty surgery will help enable a good recovery. Here are a few tips for you to keep in mind as you prepare for the procedure which will allow you to get a head start on your recovery period.

What to do

  • Maintain a balanced diet and nutrition regimen – Improve digestion by increasing your intake of high-fiber food. This will support your body by lowering the risk of constipation that may occur after post-operative anesthetics and medications. Intake of iron supplements and vitamin C will also promote healing.

  • Hydrate – Aim to drink twice as much water as you normally do on a daily basis. Increasing your water intake will improve your body’s function and enhance its ability to heal scars, which is key when recovering from surgery.

  • Wash your face twice a day – Use mild soap, a gentle cleanser, and exfoliate at least every other day to get rid of dead skin. Light moisturizer is also recommended. While this might be something you’ve already been doing regularly, a week or two before a rhinoplasty surgery is the right time to take it extra seriously. Keep in mind that you’ll have a cast over your nose for a week or more, so you may not be able to wash your face like you usually do during that time. Having clean, clear skin will make you feel more comfortable as you go through the recovery period.

  • Maintain a healthy sleep schedule – Try to get at least eight hours of sleep before the procedure, and take short naps during the day if you can as well. This will encourage your body and mind to acclimate to resting during the day, as you will need to keep activity levels to a minimum after surgery.

  • Request at least one to two weeks off from your job – The healing period following the procedure depends on various factors, including the amount of reconstruction done and the specific surgical method used. Although the downtime from every procedure varies, taking at least one to two weeks off from work following rhinoplasty is recommended. You may return to work after the sutures and the cast are removed.

  • Arrange for transportation and care – You should feel relaxed and stress-free on the day of your surgery, so make sure logistics are ironed out. You may already be aware that you’ll be unable to drive after the procedure, so be sure to request assistance from someone willing to help, such as your significant other, sibling, or friend. Having this person stay with you for at least the first day of recovery is required, so you’ll have someone to help you prepare your meals, take medication, and address other needs.

What to avoid

  • Alcohol – Alcohol can dehydrate you, lower your body’s immune system, and impair your recovery following the surgery.

  • Cigarettes – Refrain from smoking cigarettes the week prior to your procedure and during recovery, as tobacco and nicotine consumption will compromise your body’s ability to heal.

  • Cosmetic products – Do not use any cosmetic products on your face or hair during the day of the procedure. Remember to wash your face thoroughly to eliminate bacteria and debris.

  • Certain supplements and medications – Avoid taking supplements and medications such as aspirin, vitamin E supplements, NSAIDs, or herbal medications like ginseng, as these may interfere with anesthesia. Consult Dr. Dugar to inquire about the types of medications and supplements you should avoid before the procedure, or download the guide attached below.

  • Prolonged sun exposure – Prolonged exposure to UV light can damage your skin and can complicate the recovery process, so try to stay indoors or within shaded areas as much as possible after the procedure.

  • Strenuous activity – Light walking and other very low-impact exercises are recommended after rhinoplasty surgery. Vigorous exercises such as running, jumping or weightlifting however, should be avoided for at least six weeks for proper recovery.

For a complete list of pre and postoperative instructions, download this comprehensive guide.

Health Benefits of Rhinoplasty

While achieving facial harmony and enhanced aesthetic appeal are primary motivators for most people, there are certain health benefits offered by rhinoplasty that may surprise you. In addition to the emotional benefits such as getting a boost in confidence and self-esteem, there are general health rewards too, such as:

  • Therapeutic benefits – The nose is a key part of our respiratory system, working together with the mouth for oxygen intake and the release of carbon dioxide. Our health can suffer if there are structural or mechanical issues that prevent the sufficient passage of air. Genetics and injuries can also cause restricted airways. All of these issues can be resolved through rhinoplasty.

  • Reduced sinus pressure – Sinus problems are often caused by blocked or congested cavities between facial bones, particularly surrounding the nose, the upper cheeks, and the forehead. This leads to pressure build-up in the sinuses, often felt as a heavy, debilitating type of pain, resulting in migraines in many cases. There’s risk of bacteria getting trapped within these spaces too, which often leads to infection. Through rhinoplasty, changes can be performed on the nasal septum in order to alleviate sinus problems. If sinus issues are really your issue, please consult a sinus specialist.

  • Better sleep quality – Blocked or restricted airflow is a problem in its own right, and is usually a complicating factor that leads to other health conditions. Snoring is a telltale symptom of major sleep disorders such as obstructive sleep apnea (OSA), which can be aggravated by restricted airflow. Rhinoplasty is an ideal solution for patients who have difficulty passing air through their noses, improving their chances of getting more restful sleep.

  • Improved exercise – Exercising regularly is one of the best ways to stay healthy, but it can be more difficult and less enjoyable for those who have difficulty breathing. Rhinoplasty can solve any preexisting breathing issues caused by obstructed nasal airways, which makes the respiratory system more efficient, thus improving the quality of exercise.

  • Reduced frequency of upper respiratory infections – A clogged nose disrupts a person’s breathing pattern, which can adversely affect the structure of the jaw due to frequent breathing through the mouth. Through rhinoplasty, adjustments made to the inner part of the nose will promote a healthier, more stable breathing pattern, effectively reducing the occurrence of upper respiratory tract infections.

Rhinoplasty Before and After

Results from rhinoplasty surgeries are permanent, although it can typically take one to three years for the nasal contour to completely refine after a procedure. Proper care and maintaining a healthy lifestyle is the best way to take care of the results of your new appearance.

To view more featured results from the Beverly Hills Rhinoplasty Center, visit this page.

The Cost

As with other types of cosmetic surgeries, the total cost of a rhinoplasty procedure depends on the region, the physician, and other variables such as whether it’s an open or closed procedure or if it’s a primary or revision surgery. In general, the cost ranges from approximately $6,000 to $15,000. Schedule a consultation today for more information.

Closed Scarless Nose ™ Rhinoplasty by Dr. Deepak Dugar

Doctor Deepak Dugar is one of the only Board Certified Rhinoplasty Surgeons in the US who has dedicated his entire surgical practice to closed scarless rhinoplasty, and is recognized with the Top 10 Plastic Surgeon Award by the National Academy of Plastic Surgeons. He is a respected authority within the industry, with his research published in various internationally acclaimed peer-reviewed journals. Dr. Dugar also lectures at national medical conferences throughout the country, and is a key member of the advisory board for different medical device and technology companies in the US.

By devoting his entire career to the mastery of rhinoplasty surgery, he has been able to deliver exceptional results to countless patients and A-list clientele, which include celebrities, models, athletes, and other high-profile personalities.

Interested in getting Scarless Nose™ Rhinoplasty? Book a consultation with Dr. Dugar today by visiting this page. For more information, you can also get in touch with us by calling 310.276.1703 or by sending an email to [email protected]


Author

Dr. Deepak Dugar

Director of Beverly Hills Rhinoplasty Center - Home of the Scarless Nose™ (Closed Rhinoplasty) Director of Scarless Med Spa