PRIMARY
Rhinoplasty Nose Surgery is one of my favorite things to do, also one of the most challenging. I perform an “open rhinoplasty” which enables me to be more precise. A small incision is created underneath the nose, the rest of the incisions are hidden inside. – Dr. Reagan
| Procedure: | Reshape nose by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. May also relieve some breathing problems. (May be covered by insurance.) |
| Length: | 1 to 2 hours or more. |
| Anesthesia: | Local with sedation, or general. |
| In/Outpatient: | Usually outpatient. |
| Side Effects: | Temporary swelling, bruising around eyes, nose and headaches. Some bleeding and stiffness. |
| Risks: | Infection. Small burst blood vessels resulting in tiny, permanent red spots. Incomplete improvement, requiring additional surgery. |
| Recovery: | Back to work: 1 to 2 weeks. More strenuous activities: 2 to 3 weeks. Avoid hitting nose or sunburn: 8 weeks. Final appearance: 1 year or more. |
| Duration of Results: | Permanent. |
REVISION
“All of these patients have had a primary rhinoplasty by another surgeon. It is often more difficult to perform revision rhinoplasty because of scar tissue and the uncertainty of the remaining anatomy. Common reasons why patients seek out a revision include the nose being still too big (length or projection) or too collapsed with resultant difficulty breathing. Other reasons include residual fullness above the tip (supratip deformity), irregular dorsum, or persistently wide nasal bones (incomplete osteotomies). All revisions will be performed using the open technique. Sometimes it is necessary to use cartilage grafts from the septum, ear, or rib. - Dr. Brian Reagan
