Tag Archives: Rhinoplasty

Rhinoplasty is an exciting option for enhancing both the appearance and function of your nose. As a rhinoplasty specialist in Boca Raton, Dr. Nathan Nachlas understands that small changes in your nose’s appearance can have a big impact on your self-image. Add to that the important role the nose plays in breathing, and it’s clear that your nose surgery should be performed only by a highly experienced nose specialist. Dr. Nachlas has performed over 3,000 nose surgeries, all the while maintaining a remarkable patient satisfaction rate (read patient testimonials here).

Rhinoplasty Surgery: Do I Want Closed or Open?

At Dr. Nachlas’ office in Boca Raton, rhinoplasty can:

  • make the nose smaller, larger, narrower, or wider
  • change the angle or shape of the tip of the nose
  • remove a bump in nose
  • fix a crooked nose
  • correct any number of cosmetic concerns

Functional concerns, such as blockages or deformities which may affect breathing, drainage, and sense of smell, and may cause discomfort, can also be corrected by combining rhinoplasty and sinus surgery. Each rhinoplasty is unique, and Dr. Nachlas discusses in this blog different rhinoplasty procedures to help you determine which approach will result in the most natural looking, proportional nose for your face.

Open vs Closed Rhinoplasty

When patients visit Dr. Nachlas’s practice in Boca Raton for rhinoplasty, many already know which changes they would like made. Some changes can be made through a closed rhinoplasty, which is performed via incisions in the nostrils. Other nose surgeries require the open approach, which involves an incision under the tip of the nose. Dr. Nachlas will assess your nasal septum and turbinates, as well as evaluate your sinuses if needed. Dr. Nachlas will recommend the appropriate surgery to help you get the best aesthetic and functional rhinoplasty results.

With great experience in both closed rhinoplasty and open rhinoplasty, Dr. Nachlas will help you choose which approach best fits your goals and needs.

Open Rhinoplasty Approach

As an experienced nose surgeon, Dr. Nathan Nachlas understands that even minor modifications to the nose can have a noticeable influence on the overall appearance of the face. Changing the width or length of your nose, narrowing the nostrils, or eliminating a prominent bump can bring your nose into harmony with other facial features and enhance your natural beauty significantly. As a nose specialist, Dr. Nachlas will evaluate all structures of your nose prior to recommending nose surgery. These structures include the bones and cartilage of the outside of the nose, as well as the septum, sinuses and turbinates inside the nose. Having nose surgery in Boca Raton with Dr. Nachlas will help you look and feel your best.

Open rhinoplasty requires an incision across the columella (the vertical strip of tissue separating the nostrils). This approach offers Dr. Nachlas the best access to the interior structures of the nose, as opposed to closed rhinoplasty, which is better suited for more limited procedures. The scar that results from open rhinoplasty is small and well concealed on the underside of the base of the nose. Over time, this scar typically fades to become nearly invisible.

Typically, general anesthesia is required for an open rhinoplasty procedure, but Dr. Nachlas will discuss anesthesia options for your particular surgery. The surgical time for an open rhinoplasty typically ranges from 1 to 4 hours, depending on the extent of the changes required.

Closed Rhinoplasty Approach

Closed rhinoplasty is nose surgery that is performed using incisions inside the nostrils, as opposed to open rhinoplasty which is done through a small incision along the underside of the tip of the nose. This approach to nose surgery has several advantages, including incisions that are totally hidden within the nose, shorter surgical time, and a generally quicker and more comfortable recovery.

Options for reshaping the nose include removing a hump, altering the tip of the nose, narrowing the bridge or nostrils, or any combination that results in the right nose for your face. Not all nasal surgeries can be performed using the closed technique, and Dr. Nachlas will discuss with you whether this is an option for your procedure.

Closed rhinoplasty is usually performed under general anesthesia, though in some cases local anesthesia can be used. Dr. Nachlas can achieve excellent results through this scarless approach.

Rhinoplasty Recovery and Results | Revision Rhinoplasty

Rhinoplasty Blog | Rhinoplasty Before and After | Images of the Nose

Before-and-after results from a Dr. Nachlas rhinoplasty patient.

Recovery varies for rhinoplasty patients, depending on age, skin consistency, the extent of the surgery, and whether this is a primary rhinoplasty or a revision rhinoplasty procedure. The nose will be splinted to help it heal properly in its new shape, and may be packed with gauze in some cases. Most patients will experience some mild swelling, bruising, and nasal stuffiness for the first few days after surgery, but find they can return to work in about a week. Nose surgery usually requires about a week of recovery time off of work. The nose will be splinted after surgery to help it retain its new shape while it heals. Mild bruising, swelling and stuffiness are common after rhinoplasty, but cold compresses and medication should provide relief from these discomforts. Although you can resume light activities after approximately a week, changes in the shape of the nose will take place over several months.

See before-and-after photos of Dr. Nachlas’s nose surgery patients. To learn more about improving the appearance and function of your nose through rhinoplasty, click here. Schedule a rhinoplasty consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request an appointment.

 

Request a Consultation

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rhinoplasty-surgery-for-your-teen-boy-nose-side

Rhinoplasty surgery can give your teen more than good looks–it can give your teen renewed self-confidence.

Rhinoplasty surgery for your teen gives your teen more than good looks — it gives your teen self-confidence. According to the American Association of Facial Plastic and Reconstructive Surgery (AAFPRS), most young people who have nose surgery do it because they have been bullied about their appearance. If your teen has difficulty breathing, ??the surgery? can be combined with ??sinus? surgery or with ?septoplasty? to correct physical problems in your teen’s nose.

See before-and-after photos of Dr. Nachlas’s nose surgery patients. To learn more about improving the appearance and function of your teen’s nose through rhinoplasty, click here.

Schedule a rhinoplasty consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request a consultation.

 

 

Request a Consultation

RELATED:

rhinoplasty-surgery-for-teens-woman-nose

It’s important to choose the right time in your teen’s life for rhinoplasty.

Scheduling rhinoplasty surgery for your teen? Minimize the impact on your teen’s life by scheduling the rhinoplasty surgery during a period of transition in his or her life. The best time is the summer between high school and college, since your teen is off from school and is about to start a new life in a place where few, if any, people know him or her.

If college is still a long way off, the summer can still be a great time for rhinoplasty surgery, provided your teen isn’t the outdoors type. A number of summertime activities, including swimming, lying out on the beach and playing sports, will be off-limits after the rhinoplasty surgery. For that reason, winter break is also an ideal time for your teen’s surgery. Your teen will have a chance to recover somewhat before he or she goes back to school. He or she will likely need to sit out gym class for some time, though.

See before-and-after photos of Dr. Nachlas’s nose surgery patients. To learn more about improving the appearance and function of your teen’s nose through rhinoplasty, click here.

Schedule a rhinoplasty consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request a consultation.

Request a Consultation

RELATED:

rhinoplasty-surgery-for-teens-smiling-girl

Although your teen may want nose surgery now, the nose might not be ready.

If your teen approaches you about rhinoplasty surgery, know that age matters. Dr. Nachlas recommends waiting until your teen’s nose has fully grown before having any nasal surgery. If your teenager has the surgery and the nose continues to grow, the results of the surgery can be negatively affected. Most teens are finished growing by age 16, although boys might continue to grow until age 18.

See before-and-after photos of Dr. Nachlas’s nose surgery patients. To learn more about improving the appearance and function of your teen’s nose through rhinoplasty, click here.

Schedule a rhinoplasty consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request a consultation.

Request a Consultation

RELATED:

Rhinoplasty and TeensRhinoplasty has long been one of the more popular plastic surgery procedures, and it continues to be popular. There was a 10 percent increase in the number of rhinoplasties performed between 2012 and 2013, according to the American Academy of Facial Plastic and Reconstructive Surgery. The surgery is popular with both men and women and with people in a wide range of ages, from teenagers to older adults.

Teenagers might be thinking about rhinoplasty for a number of reasons, from a general unhappiness with the way their nose looks to trouble with the functioning of their nose. If your teenager is asking you to let him or her have the surgery performed, there are a few things you’ll want to consider first. Rhinoplasty has its advantages, but it is a major surgery and should be carefully thought over.

Age Is Important

People might say that age is just a number, but when a person is a teenager, age is more than just that. Surgeons usually recommend waiting until a teen’s nose has fully grown before having any type of nasal surgery. If a teenager has rhinoplasty, and the nose continues to grow, the results of the surgery can be negatively affected. Luckily, most teens don’t have to wait long to reach the appropriate age for the surgery.

Many teenagers are finished growing by around age 16, although boys might continue to grow until they are 17 or 18. It is possible for the nose to have finished growing earlier, in some cases. A surgeon can evaluate your teen and let you know if it’s best to wait or if he or she is physically ready for surgery now.

Emotional Maturity Is Also Important

Your teenager’s physical maturity is just part of the equation when it comes to deciding if he or she is ready for rhinoplasty. Emotional maturity also plays a big role. Talk to your teenager about his or her reasons for wanting the surgery and find out what he or she hopes to get out of it. You can also discuss your teen’s reasons and expectations with a facial plastic surgeon. The surgeon can assess your teenager, explain what will happen during the surgery and what changes can or can’t be made to the nose.

It’s also a good idea to make sure your teenager understands what will happen during the recovery period. While the idea of taking a week off from school and of being relatively inactive for several weeks after that might be appealing to many teens, if yours is an athlete or can’t sit still for long, the recovery period can be a challenge.

Assessing your teen’s reasons for wanting nasal surgery can be a bit difficult. Your teenager might have unrealistic expectations and believe that getting the surgery will make him or her popular or completely change his or her appearance. A heartfelt chat can really help you and your teen get on the same page.

Scheduling the Surgery

Once you’ve both decided to go forward with the rhinoplasty, the next step is figuring out an ideal time to schedule it. Often, it’s a good idea to schedule the surgery during a period of transition in your teen’s life. For example, that summer between high school and college can be perfect, since your teen is off from school and is about to start a new life at a place where few, if any, people know him or her.

If college is still a long way off, the summer can still be a great time for rhinoplasty, provided your teen isn’t the outdoors type. A number of summertime activities, including swimming, lying out on the beach and playing sports, will be off-limits after the surgery. For that reason, winter break can also be an ideal time for the surgery. Your teen will have a chance to recover somewhat before he or she goes back to school. He or she will most likely need to sit out gym class for some time, though.

Understanding the Benefits

Rhinoplasty can provide a number of benefits for teens that go beyond the aesthetic. According to the AAFPRS, the majority of young people who have rhinoplasty or another plastic surgery do so because they have been picked on or bullied about their appearance. Additionally, rhinoplasty can be combined with sinus surgery or with septoplasty to correct physical problems in the nose that make it difficult to breathe.

Whatever your teen’s reasons for wanting the surgery, being supportive is important. Discussing the surgery with your teenager and with a board certified facial plastic surgeon who specializes in nasal surgery, such as Dr. Nathan Nachlas, can help you better understand the procedure and why your teen wants it.

To schedule a consultation for you and your teen call Sandy Friedman, director of patient relations for Dr. Nachlas at (561) 939-0909 or you can request an appointment online at drnachlas.com/contact-us.

 

Recovering Comfortably After Cosmetic SurgeryRecovery and downtime are part of the facial plastic surgery journey. Your new nose or younger-looking face won’t be instantly visible. Your body needs time to heal. Usually, the initial recovery period lasts about a week or two. After that, your surgeon will most likely give you permission to head back to work or to resume certain activities.

Taking up to two weeks off to rest and recuperate might not seem like much fun. But, with some careful planning, you can make your recovery period a comfortable and possibly even enjoyable one.

Stock Up on Soft, Bland Foods

Chewing might be a challenge after you have a rhinoplasty or other facial surgery. You don’t want to move your jaw too much or you risk disturbing the sutures or affecting the results of the procedure. Get your kitchen and pantry ready for your recovery time by stocking up on easy to swallow, soft foods beforehand. Canned or boxed soups are great to have, because they are filling and easy to prepare.

Your surgeon might recommend sticking with liquids for the first few hours after your surgery. After that, light meals are recommended. If you feel very hungry after your procedure, it’s usually okay to eat, but check with your surgeon before you have a big, full meal.

Pick Out a Good Chair

Although you’ll be able to walk around within the first few days after your procedure, having a great chair to relax in can help make the recovery a bit more comfortable. Since keeping your head elevated after a facelift or other facial surgery is recommended, to keep swelling and bruising down, picking out a chair that reclines slightly while keeping the head propped up is usually optimal: something like a La-Z-Boy or other recliner so that you have a comfortable seat to settle into.

Stock Up on Pillows

Pillows can be your best friend during your recovery period. Usually, surgeons recommend sleeping with your head elevated, lying on your back. A few pillows can give you just the right amount of lift to keep bruising to a minimum. If you’re not used to sleeping on your back, putting a few pillows along each side of you can help keep you from rolling over to your side or stomach in your sleep. It can also be comforting to hold a pillow as you sit and relax. You can really  never have too many pillows.

Take It Easy

A big part of the recovery process after a facelift is relaxing and taking it easy. Admittedly, that can be difficult to do, especially if you are usually an active person. Instead of thinking about the things you can’t do while you recuperate, think of the things you’ll finally get around to doing. The first few days after surgery are a great time to listen to your favorite music, catch up on your favorite shows or see films you missed. If you’ve had eyelid surgery, now’s a great time to catch up with audiobooks or to listen to popular podcasts.

Don’t Forget the Ice

Ice packs or cold compresses can help reduce swelling and bruising. They also feel a bit soothing. You can make up a few ice packs before your procedure to have ready afterwards, using ice cubes and plastic bags. A less messy option is to soak a washcloth in cold water, wring it out and freeze it for about 15 minutes. The cloth will be cold enough to do the trick, but won’t leak all over the place when the ice starts melting. You can also buy first aid ice packs, which become cold without the need for freezing them.

Recovery Starts Before Surgery

Ideally, preparation for your recovery period should begin several weeks before you even have surgery, right around the time of your consultation. Your surgeon will most likely recommend some lifestyle changes to you, if needed, such as quitting smoking. You might be told to cut back on alcoholic beverages, as well.

It’s also a good idea to start eating a healthy diet in advance of your surgery. The better you eat, the better prepared your body will be to handle the recovery period. Fill up on foods that are packed with nutrients, such as vegetables, fruits, whole grains and lean meats. Talk to your surgeon if you have any questions about diet and nutrition before the surgery.

Dr. Nathan Nachlas is a double board certified facial plastic surgeon in Boca Raton, Florida. Dr. Nachlas is committed to helping patients feel healthier and happier after surgery. To find out more about your surgical options and ways to enjoy a comfortable recovery, contact Dr. Nachlas  for a consultation today by calling  (561) 939-0909 or you can request an appointment online at drnachlas.com/contact-us.

 

 

Rhinoplasty Aftercare | Dr. Nachlas | Boca Raton, FLSometimes athletes and fans alike can’t keep their noses out of other’s business. Fans of the Miami Heat may remember when guard Dwayne Wade apologized to basketball superstar Kobe Bryant after unintentionally breaking his nose during a hard foul in an exhibition display of all things – the NBA All-Star Game.

“It’s all I can do,” Wade said in a message to the Los Angeles Lakers forward, who suffered a nasal fracture when evaluated by an ENT (Ear, Nose and Throat Specialist) after the game. “He knows it’s no ill intent of me to do that to him. Talk about me for taking the foul, but I never wanted that kind of outcome.”

Bryant was bloodied, and said he had experienced other symptoms related to the broken nose injury. A neurologist later confirmed that he had also suffered a concussion. Bryant did miss the Lakers next practice, but was back in the lineup wearing protective headgear for a game against the Heat a week later.

Bryant didn’t need extra motivation to return to the court. That’s what 14-time all-star athletes are paid to do – play – especially in a return matchup against Wade and Miami. Others who have suffered serious nose injuries or have undergone any type of retransformation to the nasal area are encouraged to use their heads more wisely

Rest and Relaxation

Patients who have had rhinoplasty surgery – often called a nose job – should understand that their new look requires ample recovery time before returning to routine daily activities. At least 7-10 days of rest and relaxation are required of all patients after surgery.

It is important to know that rhinoplasty is considered major cosmetic surgery and should be treated as such. That means that, unlike Kobe Bryant who was unfazed by a broken nose, rhinoplasty patients are advised to forsake physical activity and allow the adjustments made to their cartilage time to heal.

People have rhinoplasty to change the shape or look of their nose, certainly not their daily routines – but that is exactly what patients must do following surgery. Certainly, driving a vehicle is not recommended for at least 24 hours or until anesthetics and medications can wear off.

Elevated Sleeping Patterns

Patients are also advised to sleep with their heads elevated for several days after the surgery. A reclining chair can offer an easy and convenient solution for resting elevated and comfortably. Although walking is allowed the day after surgery, running, jogging and other aerobic activity are off limits for at least the first week. Most cosmetic surgeons will encourage some light walking to prevent blood from clotting. In time, light aerobics can be added slowly to an exercise regimen.

It’s important for patients to avoid blowing their noses during their recovery. Patients who need to relieve the drainage in their nose should gently sniff backward instead to protect the sensitive structure of the nose. Remember that the stitches and bones are healing and that swelling in the nose will obstruct breathing and make intense exercise more difficult. For these reasons, individuals should refrain from swimming for up to six weeks.

As a rule of thumb, any activity that might pressure the stitches to pop should be avoided. Bending exercises including toe-touches and lifting of no more than 10 pounds should also be prohibited during the first week of recovery.

Sexual activity should be limited as well and partaken with caution. It might even be a good idea to sleep alone the first week following surgery to prevent against accidental movements from a bedside partner.

Easier, Softer Approach

The nasal septum is the most prominent cavity on the face and the most delicate to heal. The last thing anyone should do is tough it out and risk developing a crooked or bent nose that creates long-term breathing problems. An easier, softer way is the best approach for even the most hard-nosed athlete in all of us.

A reshaped nose may not be for everyone, but, for others rhinoplasty can play a significant role in bolstering confidence and self-esteem – especially after injury. If you are tired of your facial dissymmetry, you may want to do something about it. To schedule a consultation call Sandy Friedman, director of patient relations for Dr. Nachlas, at (561) 939-0909. You can also reach us at drnachlas.com/contact-us.

 

Nathan E. Nachlas, MD