Nose Surgery (Rhinoplasty)
Nose surgery, technically called rhinoplasty, can be performed for cosmetic and/or reconstructive reasons. Dr. Burden and Dr. Ennis have had extensive experience with both cosmetic and reconstructive nose surgery. They both have attended numerous symposia and courses on advanced techniques in nose surgery. They often perform surgical revisions at Destin Plastic Surgery in Florida of previous rhinoplasty procedures that the patients have undergone elsewhere.
For more information about nose surgery, request a consultationrequest a consultation online to meet with one of our surgeons or call our office at (850) 654-1194. Located in Destin, Florida, we provide first-class services for patients who visit us from neighboring states and international locations, as well as surrounding cities like Pensacola and Panama City for rhinoplasty and other procedures.
Dr. William Burden
An internationally renowned plastic surgeon who draws patients from near and far.
Dr. L. Scott Ennis
World renowned plastic surgeon recognized by the International Society of Aesthetic Plastic Surgeons (ISAPS)
Cosmetic Nose Surgery
Patients who undergo nose surgery regard the procedure on a personal basis. Usually, an individual will want surgery for the following reasons:
- They feel their nose is out of proportion with their face
- A particular feature gives their nose an unusual appearance
- To correct a deformity from previous injury or surgery
People rarely request a "perfect" nose. They understand that a perfect nose is a rare occurrence not usually seen naturally or after having had surgery. Variations of the appearance of the nose that give the person a unique shape or appearance are considered "elegant discrepancies." Rarely are these features changed by surgery or requested to be changed.
Following rhinoplasty, the nose should have a proportional shape without an "operated on" appearance.
Notice the appearance of the nose in the 3 upper photographs. The nose is disproportionately large and has an undesirably large hump. Note the shape of the nose in the 3 lower photographs. The nose is more proportional to the person's face and has a "normal" appearance with the removal of the hump. The shape of the nose is improved, but not altered to have an unusual appearance.
Reconstructive Nose Surgery
Reconstructive nose surgeries are often performed to restore the shape of the nose that has been altered from an accident or a surgical procedure to remove tissue, such as skin cancer. These procedures can be highly complex, requiring cartilage and skin transplanted from other areas, such as the ear or forehead.
Observe the pictures for reconstructive nose surgery. Notice the traumatic amputation of this individual's nose in the 3 upper pictures. Several procedures were performed to transplant cartilage from the ear and skin from the forehead to reconstruct the nose. Notice in the 3 lower pictures, the restoration of the nasal shape. Although the nose is not "perfect," it has a normal appearance and allows the gentleman to return to normal social activities without being self-conscious about his appearance.
Re-operative or Secondary Rhinoplasty
On occasion, patients who undergo nose surgery will require secondary procedures. After recovering from a rhinoplasty, bone and cartilage may heal differently than expected. This may result in some mild contour irregularities or an undesirable shape. Oftentimes, the shape is not seen until 1 year following the original procedure. Fortunately, this is not a common occurrence and can usually be improved with advanced nasal surgical techniques.
In these before-and-after photographs the patient had had a rhinoplasty performed years ago. As time progressed, her nose took on a pinched appearance at the tip and her nostrils became flared. Notice in the after pictures that the pinched tip has been improved and that the nostrils do not flare or are not as arched as they once were.
A person's nose should match their ethnicity. Each ethnicity has a shape that is unique. In the past, rhinoplasty surgery commonly left everyone with the same size and shape nose. Plastic surgeons have advanced nose surgery techniques to take into account different shapes and sizes to match the person's face.
Just as some ethnicities commonly have large noses with big humps, others have flat noses with a wide base. When these features are beyond the norm, the nose may take on an unattractive or unfavorable appearance.
Dr. Burden and Dr. Ennis prefer to use a person's own cartilage and fascia as grafts to reshape the nose. This allows the dorsum and tip of the nose to be enlarged and reshaped without the need for manmade or plastic materials. The risk of infection and rejection are minimized with grafts taken from your own body.
Recovery after Nose Surgery
In general, patients will require narcotic pain medications for the first 24 to 48 hours. Frequently, many patients will take non-narcotic medications following their surgery.
Depending on the extent of the surgery, nasal packing may be placed in the nose and removed in 3 to 5 days following the surgery. Likewise, a splint may be applied on the nose for our Destin, Florida rhinoplasty patients, which will be worn for 1 to 2 weeks.
Nasal surgery requiring osteotomies (a controlled "fracture of the nose") will result in bruising of the face most notably in the lower eyelids. This may take as long as 2 to 3 weeks to clear. Nasal surgery that does not require osteotomies generally results in little bruising. Nasal swelling will be apparent for 1 to 2 weeks. At this time, approximately 80% of the swelling will have resolved. The remainder of the swelling may take as long as 3 to 6 months.
Dr. William R. Burden, MD, FACS and Dr. L. Scott Ennis, MD, FACS are known for their experience and dedication to staying in the forefront of leading technology in plastic surgery. They perform over a thousand procedures per year including many revisions from other places and specialize in minimally invasive surgery. Drs. Burden and Ennis not only treat many patients from Panama City, Pensacola, Fort Walton Beach, Tallahassee, Dothan, Atlanta, and Birmingham but also from around the world. Many people travel from Europe, South America and Asia to Destin to seek out their services.