Rhinoplasty

Rhinoplasty is one of the most common plastic surgery procedures performed in the U.S. and indeed the world.   Its main goal is to correct deformities and  reshape the nose, while maintaining or improving breathing. It is a surgical procedure in which deformities of the nose are corrected by removing, rearranging or reshaping bone or cartilage. With a properly performed Rhinoplasty, the overall result reveals a nose that harmonious with the face, while maintaining or improving nasal function. Dr. Sofola is sensitive to the intricacies and subtlties of various ethnic features and as a reslut, is able to provide superior results, regardless of the patient’s ethnic background. 

 Most plastic  surgeons consider rhinoplasty  to be the most complex surgery in the head and neck. As such, it is important to select a surgeon who has appropriate training and experience, and is able to internalize your aesthetic and functional concerns. Such a surgeon is typically enthusiastic about his work, and is a great listener. Dr. Sofola possesses all these attributes, and is highly qualified to deliver the results that you desire.  

 

Reasons for Surgery

Reasons include reducing the size of the nose, removal of bumps as well as improving the angle of a nose. Conditions may be natural or due to external trauma to the face. This operation will also help patients who have difficulty breathing. The operation can be performed on all age groups, including teens and the elderly.

Before Surgery

A rhinoplasty consultation with Dr. Sofola will be conducted . This is a comprehensive evaluation that lasts 45 minutes to one hour. Be prepared with questions; bring pictures and records of any previous nasal surgeries if available. Bring family or a friends along if you wish; they help recall what you forget to ask. The consultation begins with discussion of your goals for nasal surgery. A detailed history is then followed by a comprehensive nasal examination. Because Dr. Sofola trained as an otolaryngologist, if he finds other diseases in your nose such as polyps or sinusitis, they can be addressed at the same time. You will learn some anatomy and physiology of your nose…..why your nose works and looks the way it does. He will also  discuss with you the way your nose can look in relation to your other facial features.

Digital photographs will then be taken in a dedicated studio where your pictures are analysed. Digital photographs and computer imaging allow Dr. Sofola to evaluate the appropriate procedure to achieve the desired results. Pre-operative instructions may include the elimination of certain drugs that contain aspirin in order to minimize the possibility of excess bleeding. Antibiotics may be prescribed before surgery to prevent infection. Sometimes a second consultation may be necessary to answer any additional questions that may arise. You will receive direct and in-depth answers to all questions and a discussion of realistic results.

Method of Surgery

Surgery is performed under IV sedation or general anesthesia. In most cases involving a reduction in shape or size of the nose, angle or removal of a hump, the skin of the nose is separated from the underlying skeleton of bone and cartilage. The bone and cartilage are then reshaped and the skin re-draped over the surface. Patients who have a deviated septum may benefit by correction of this problem. The incisions are placed inside the nose, unless the surgeon uses an open approach, in which case the incisions are made across the tissue between the nostrils. In cases where the nostrils flare, the surgeon may make an incision at the junction between the nose and the skin of the upper lip to narrow the flared appearance. It is not unusual to combine rhinoplasty with chin augmentation to improve the profile.

Post-Operative Information

The recovery takes one to two weeks. Most people resume their normal activities within a week or two. Following surgery, a lightweight splint is applied to maintain the new shape of the nose. The splint is removed within a week. Nasal splints may be inserted at the time of surgery to protect the septum. These are removed within a week. There is always some stuffiness of the nose, especially when work has been done on the nasal septum.

Pain is minimal and is controlled with medications. Bruising occurs around the eyes, but begins to fade within a few days. Discoloration usually disappears in two weeks.

Insurance

Your insurance company may pay for all or part of the costs associated with your surgery if it is performed as a result of nasal obstruction. It is recommended that you check with your carrier to determine if there is coverage.