Functional Nose Surgery

June 12th, 2012

Most people associate the term nose job with a procedure called rhinoplasty. Rhinoplasty is a cosmetic surgery meant to address cosmetic flaws, irregularities, and meet a patient’s aesthetic preferences. Septoplasty is another large part of nose surgery. Septoplasty is nose surgery that deals with a patient’s functional concerns. Septoplastyis commonly performed to address functional problems like deviated septum, crooked septum, and cleft defects.  It can help patients who suffer from health, breathing and sleeping problems associated with these issues.

What Can A Septoplasty Address?         

The nasal septum is comprised of both cartilage and bone that should run straight down the center of the nose separating the two nostrils equally. This structure is often congenitally malformed, or can be altered by physical injury. Septoplasty is often performed on patients who have only breathing issues, but a deviated septum may also be attended to during a rhinoplasty surgery. Rhinoplasty aims to create balanced and natural visual harmony. Because the septum creates the foundation for the ridge of the nose, it is often straightened or otherwise manipulated during rhinoplasty. This assures that the nose is not only aesthetically pleasing, but functional as well. The surgeon will be certain to create a nose with a straight and functional septum with air passages that are fully functional and free of any internal obstruction.

During both septoplasty and rhinoplasty surgery, the surgeon will first examine the extent to which the septum needs to be adjusted and determine whether an obstruction or blockage exists. A specialist in nose surgery must have excellent communication with the patient in order to properly understand their primary concerns and to explain exactly what will take place during a procedure. In addition, the surgeon will need to explain the results patients should expect.

The Procedure

During the procedure, the doctor will be able to pull back the mucosa lining enough to reposition, trim, or reshape the septum to increase its efficiency. The lining is then carefully replaced to assure that functionality is more than perfectly restored. After the nasal passages are free of obstruction, the nose is able to drain more efficiently. This can reduce sinus pressure and alleviate breathing, health, and sleeping problems. Depending on the extent of the procedure necessary and whether it is combined with rhinoplasty surgery, a septoplasty can often be performed through incisions carefully positioned inside the nostrils. This will leave no visible external scars after the procedure has been completed.

Patients who suffer from any of the above conditions should contact a cosmetic surgeon who specializes in nose procedures for a personal consultation, like Dr. Paul Nassif. During a consultation patients will obtain more specific information on septoplasty, and undergo an assessment to help determine whether they are a good candidate for septoplasty or a similar procedure.

Correction The Results Of A Prior Procedure: Revision Rhinoplasty

June 12th, 2012

Rhinoplasty is one of the most common cosmetic surgical procedures performed in the U.S. Figures show that the number of individuals seeking rhinoplasty and all other forms of plastic surgery rises each year. While the percentage of patients who are unsatisfied with the results of rhinoplasty procedures is very low, the increase in the number of procedures each year comes with a corresponding increase in the number of patients who are seeking revision surgery.

Approximately 5-12% of rhinoplasty patients experience problems and of those a large percent seeks revision rhinoplasty. Revision rhinoplasty is markedly more challenging and time consuming due to the formation of scar tissue and other unexpected results that come from altering natural structures and adding synthetic components like stints or grafts to the nose. Additionally, a number of patients seek rhinoplasty surgeons for a third or even fourth procedure, at which point the internal structures have been altered drastically and scar tissue will be far more difficult to deal with. A number of surgeons prefer to operate on only first time patients and will not perform revision procedures. Revision surgeons encounter far more obstacles than standard rhinoplasty surgeons. Revision rhinoplasty requires a fully trained and highly skilled surgeon who has ample experience and knowledge performingrevision procedures.

Some of the aesthetic problems that revision rhinoplasty specialists commonly encounter include conditions such as pinched tips, pinched nostrils, progressive nasal obstruction, and shortened, crooked, or twisted noses. But revision rhinoplasty specialists also have to deal with functional issues. If a surgeon fails to carefully take into account the underlying structures of the nose, procedures can result in airflow and breathing problems that did not exist before surgery. These are other issues commonly encountered by revision rhinoplasty specialists that can further lead to health and sleeping problems, and should be dealt with promptly.

While there are a large number of rhinoplasty surgeons who will attempt rhinoplasty revision, patients can always obtain better results by finding a dedicated rhinoplasty surgeon. A surgeon who distinctly offers revision services is more likely to understand how to deal with the results of previously unsuccessful proceduresand will be able to provide patients with better results. Interested patients should contact an experienced and dedicated rhinoplasty surgeon for an in person consultation, and to learn what can be done to correct the results of previous rhinoplasty procedures.


What Is Middle Eastern Rhinoplasty?

June 12th, 2012

Middle Eastern rhinoplasty is not a different way of performing a rhinoplasty procedure, it is simply a rhinoplasty procedure that accounts for the common ethnic facial structures prominent in members of patients of Middle Eastern decent. The goal of any rhinoplasty procedure is to provide patients with a natural and balanced nose that is in proportion with the patient’s facial features. Because the proportions and relationships between facial features, as well as skin type and tissue structure differs between ethnic groups, there is no magic formula that can meet the needs of all patients.

Patients of Middle Eastern decent tend to have thick and sebaceous skin on and around the nose and face. The nasal tip often droops or projects further than patients desire. The dorsum (bridge) often has a noticeable hump and the nostrils are often wide set. Overcorrection in patients of any ethnicity can cause the face to fall out of proportion, and patients may no longer be able to identify as strongly with other members of their ethnic background. Any of these features can be alteredbut it is important to alter them only to a certain degree when dealing with a patient of a particular ethnic group.  This will allow them to maintain normal proportions.

A common attribute among many patients of Middle Eastern decent is the presence of thicker skin, which can be more of a challenge for surgeons to work with. Of course, there are exceptions to every rule and the doctor will carefully discuss options and recommendations with all patients before settling on a final course of action. During a consultation, the surgeon will examine a patient’s nose and discuss any potential problems or areas of concern. Among the factors that will affect the results of a surgery are age, ethnicity, skin type, and any nasal deformities or injuries. Abnormalities such as a deviated septum will need to be addressed in order to prevent complications such as breathing problems after patients have recovered. These functional problems can be repaired along with the aesthetic changes that take place.

Dr. Nassif is highly skilled in Middle Eastern rhinoplasty as well as many other ethnic rhinoplasty procedures. To learn more about the possible results you could obtain through a Middle Eastern rhinoplasty procedure, the best choice is to schedule a personal consultation in which the doctor can meet with you in person and give you a personalized idea of what is possible and what is best for you.


What Is A Deviated Septum?

June 12th, 2012

Deviated septum refers to a condition in which the septum (the cartilage that builds the wall between the two nostrils) is congenitally malformed (including instances of cleft defects) or has been altered from injury or illness. A properly formed nasal septum should run straight down the middle of the nose leaving equal space on each side and creating sufficient enough room for efficient air flow through the sinuses. It is often the case that the septum is crooked enough to protrude into one or both of the nasal passages and cause difficulty with air flow and breathing.

A deviated septum can contribute to breathing and sleeping problems, which include snoring and sleep apnea. These conditions are not only irritating, they can be dangerous and even life threatening. If the nasal cavities are unable to properly drain, the passages can become blocked. This can lead to various sinus infections. A deviated septum that can lead to all of these problems may be prevented or treated through a procedure called septoplasty.

What Is A Septoplasty Surgery?

A septoplasty is a surgical procedure in which the bone and cartilage that make up the septum are reshaped, repositioned and realigned to achieve proper function of both nostrils and alleviate all of the symptoms associated with a deviated septum. It is often possible for a septoplasty to be performed without any external incisions, allowing patients to address a deviated septum without any scars or lasting facial trauma.

Septoplasty VS Rhinoplasty

While a septoplasty may reshape the nose slightly, the end goal of the procedure is functional rather then aesthetic. However, rhinoplasty (aesthetic nose surgery) and septoplasty procedures are commonly combined to achieve both functional and aesthetic goals simultaneously. There are facial and nose surgeons, such as Dr. Nassif, who are educated and highly proficient in both rhinoplasty and septoplasty procedures and who can offer patients outstanding results in both areas.

While septoplasty to address deviated septum is one of the staples of nasal surgery, many individuals who suffer from a deviated septum may not even realize the septum is at the root of their problems. While there are also a number of individuals for which a deviated septum causes little or no problems, those who experience a deviated septum resulting in breathing and health concerns may greatly benefit from septoplasty procedures.

Patients who suspect that a deviated septum is at the root of breathing, general health, or sleeping problems should make an appointment to talk to a facial or nose surgical specialist like Dr. Nassif today.


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April 17th, 2012

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