Rhinoplasty / Surgery of the Nose
As one of the most popular procedures in plastic surgery, rhinoplasty is designed to increase or decrease the size of the nose and various components of the nose. Rhinoplasty is also one of the most technically demanding procedures. Dr. Michele Koo focuses on proportional and aesthetic balance to the face when evaluating a patient for nose surgery. Dr. Koo believes in emphasizing the importance of the harmony of the nose with the chin and the remainder of the face.
Dr. Koo meets with each patient individually to discuss the desired outcome as well as discuss realistic expectations given a patient’s unique nasal structure. Rhinoplasty can be done to correct:
- Nose size in relation to other facial features
- Nose width at the bridge
- Nose profile
- Nasal tip, bulbous, drooping or upturned
- Nostrils that are large, wide or upturned
- Nasal asymmetry and deviation (Septoplasty)
Nose surgery can be done with a “closed” approach where all of the incisions are internal, or with an “open” approach that also includes a small incision across the columnella (the skin at the base of the nose between the nostrils). While the preferred method is the closed approach since it leaves no external visible scarring, the open approach can often allow for better access to the nasal structures delivering better results.
Dr. Michele Koo uses one of the two techniques and makes the necessary incisions to access the inner structures of the nose. Once the incision is made, she gently lifts the skin to reveal the underlying bone and cartilage. Dr. Koo gently reshapes and contours to the desired contour and then re-drapes the skin over the nose. In some cases, cartilage will be grafted from other areas of the body. Most commonly, cartilage is grafted from the septum (the partition in the middle of the nose) and is used to augment the size of the nose.
If the nostrils need to be corrected, incisions are made at the base of the nostril along the natural fold of the nose to manipulate the size. This allows Dr. Koo to change the nostril size and shape while still minimizing any visible scarring.
Results from nose surgery can be difficult to see immediately following the procedure due to swelling and bruising, but as inflammation subsides, the results will become more apparent. Most patients will wear a splint for 5-7 days following the procedure. Swelling will generally subside after 2-4 weeks, and most patients can return to light activity after 3-5 days. Patients can resume strenuous activity after 4-6 weeks.