Before & Afters
*Each patient is unique and individual results may vary.
RHINOPLASTY IN AUSTIN, TX
The surgeons at The Buckingham Center for Facial Plastic Surgery offer nose-reshaping solutions (i.e., rhinoplasty procedures) for patients in Austin & Sunset Valley, TX. Our surgeons have years of training and experience in performing the popular rhinoplasty procedure in Austin, TX. A rhinoplasty is a plastic surgery procedure designed to alter the size and shape of the nose. Rhinoplasty enhances the appearance of the nose and allows it tocompliment an individual’s other facial features. An overly large or dominant nose can be reduced to bring more attention to captivating eyes or an attractive smile. Even slight surgical alterations to the structure of the nose can provide dramatic improvements by harmonizing the facial features and improving a male or female profile.
Our surgeons have extensive experience in performing the primary rhinoplasty, as well asthe secondary rhinoplasty. Each patient receives a unique treatment plan that is custom-designed to refine and adjust his or her nose. Some patients who visit The Buckingham Center require a cosmetic tip refinement or a dorsal adjustment, while others need significant straightening and a complete reconstruction. With a rhinoplasty, our surgeons can improve the appearance and function of the nose. During the initial consultation, the surgeon recommends the treatment plan that will serve the patient best.
Our surgeons and expert injectors augment the nose using injectable fillers. The methods our surgeons and injectors use smooth surface deformities and align the profile, producing aesthetically pleasing results. A surgical rhinoplasty, on the other hand, alters the interior nasal structure and modifies the end of the nose. The surgeon accomplishes these changes by shortening, lifting, lengthening or thinning the structure of the nose or its tissue. The surgeon reduces or increases sections of the nose. This is accomplished by adding or excising nasal bone or cartilage. With a custom-designed rhinoplasty, our surgeons create the cosmetic and functional improvements that a patient requests.
Whenever possible, our surgeons use conservative measures to provide a patient with the results he or she desires. The surgeon tailors each surgical plan to meet the needs of a specific patient. Most often, rather than excising cartilage, our surgeons prefer to shape and preserve the patient’s nasal cartilage. This technique provides an exceptional cosmetic result while maintaining or even strengthening the nasal support, which, for the majority of patients, leads to a life-long improvement in function and appearance. Customizing each rhinoplasty is critical to achieving a successful surgical outcome. Personalizing treatment is crucial because it allows the surgeon to improve the patient’s natural beauty and nasal function without creating a distraction.
WHAT TO EXPECT DURING THE NOSE-Reshaping PROCEDURE
The rhinoplasty surgery usually requires two to three hours and is completed with general anesthesia. The surgeon creates incisions that allow for the alteration and reconstruction of the nasal bone and cartilage. Whenever possible, the surgeon completes the procedure with internal incisions (endonasal). However, in many cases, an external incision (open approach) is required. This incision is located on the area of skin separating the nostrils on the underside of the nose. Through this incision, the surgeon reshapes the cartilage and bone to meet the unique needs of the patient. Following this reshaping process, the surgeon replaces the skin over the reconstructed nasal structure and uses stitches to close the incision.
A moldable foam and aluminum splint are then positioned over the nose. These provide protection and support during the healing process, and while the nose takes on its new form. Skin and soft tissue will assume the shape of the modified, underlying nasal structure as it heals. You will be provided with additional post-surgical care instructions during your pre-operative preparation for after the surgery is completed.
RHINOPLASTY SURGICAL RECOVERY
Rhinoplasty sutures and splint are often removed one week after the surgery. Patients commonly return to work within one to two weeks, depending on the level of activity required and the type of job. Light activity may be resumed one week after the surgery, but patients must avoid strenuous activities for three weeks and any activity that could bump the nose for six weeks. Post-surgical swelling and bruising can be expected, but this will gradually improve over the first two weeks.
Your face may appear puffy, you may have a light headache, and your nose may bruise and feel uncomfortable and achy for the first week or two. Swelling and minor bruising of the nose and the eyes are common. These symptoms will fade over the first week, and the results of the rhinoplasty should be evident in two to three weeks. Minor swelling may be experienced for up to one year after the surgery, but is generally unnoticeable.
You can expect to achievenatural-looking resultsthat compliment your beauty rather than distract from your other features.
A rhinoplasty can be used to alter or improve the following:
- Saddle nose
- Oversized nose
- Crooked tip
- Crooked nasal base
- Drooping tip
- Bulbous tip
- Nasal Fractures
You will meet your surgeon during a private patient-doctor consultation. This is the perfect time to share your goals and expectations with the doctor. The surgeon reviews your health history, examines you, shares before and after photos with you and provides you with a professional recommendation. The surgeon’s recommendation is custom-designed specifically for you. During the consultation, 3-D Vectra digital imaging software will give you pictures of the expected improvements. A facial analysis will determine which treatment will achieve the most pleasing results, and your surgeon will answer each of your questions, as well as personally address any specific concerns that you may have.
THE IDEAL RHINOPLASTY CANDIDATE
The ideal rhinoplasty candidate is in good health, has no significant medical problems and has realistic expectations for the surgery. Men and women who want to improve the appearance of their nose or breathing issues that are caused by structural issues may be an ideal candidate for rhinoplasty.
Buckingham Center for Plastic Surgery has made rhinoplasty and other cosmetic procedures as affordable as possible. The cosmetic surgery is elective and is not covered by medical insurance. However, it is possible that structural obstructive issues might partially be covered by medical insurance and can be performed simultaneously with the aesthetic procedure.
RHINOPLASTY PROCEDURE (NOSE) NEAR ME
This is one of the many common phrases that patients interested in rhinoplasty, or nose shaping, surgery use when looking for a surgeon. One of the most Rhinoplasty common mistakes is to choose the closest surgeon around, unfortunately, the nearest surgeon may not be the best person for the job. Rhinoplasty is a highly specialized surgery, and patients should be cautioned to seek a surgeon who specializes in nose surgery. These specialists are board certified by either the American Board of Facial Plastic and Reconstructive Surgery or the American Board of Plastic Surgery. Regardless of board certification, seek someone who performs the procedure regularly. If the surgeon performing the aesthetic portion of the surgery needs a different surgeon to perform the septoplasty or breathing portion of the procedure, this is not a good sign. The internal aspect of the nose is intimately related to the outside appearance, and the surgeon needs to be very comfortable dealing with both the function and form of the nose.
Common Rhinoplasty Procedure Questions
WHERE IS THE RHINOPLASTY SURGERY PERFORMED?
Our surgeons perform rhinoplasty procedures at an outpatient surgical center in Austin, Texas.
WHAT KIND OF ANESTHESIA IS USED FOR RHINOPLASTY?
Rhinoplasty is performed under general anesthesia.
HOW IS THE RHINOPLASTY PROCEDURE PERFORMED?
The surgeon begins the rhinoplasty procedure by separating the skin on the nose from the underlying supportive network of cartilage and bone. The cartilage and bone are sculpted to match the patient’s desires, and the skin is then replaced. Stitches are used to close the incisions. Whenever possible, the procedure is performed with internal incisions (endonasal) and only small external incisions (open approach). Your surgeon will thoroughly discuss these options with you during your consultation.
HOW LONG DOES THE RHINOPLASTY PROCEDURE TAKE?
A rhinoplasty procedure usually requires two to three hours, but this varies slightly depending on each individual case.
WHERE ARE THE RHINOPLASTY INCISIONS MADE?
Two incision options are available for the rhinoplasty procedure. A closed or endonasal rhinoplasty uses incisions on the interior of the nose only. For an open rhinoplasty, an additional small incision is made on the underside of the nose between the nostrils. Our surgeons are highly skilled and knowledgeable when it comes to performing nose-reshaping procedures. This experience allows them to adapt rhinoplasty techniques to match the needs of the patient, including minimal refinement and more extensive surgical work. Our surgeons also perform revision rhinoplasty.
IS RHINOPLASTY PAINFUL?
After the procedure, you may experience some discomfort, particularly in your nose and head. To minimize post-operative pain, our surgeons use the most delicate techniques possible. In addition, pain medication can be prescribed as needed to alleviate discomfort.
WILL I HAVE SCARS AFTER A RHINOPLASTY PROCEDURE?
The incisions created during a rhinoplasty do cause fine scars to develop. However, these scars are well hidden. During the closed procedure, the incisions are created inside the nose and any postsurgical scarring is externally invisible. In the open rhinoplasty, a very fine scar may be seen but is well concealed on the underside of the nose. This incision will fade with time and usually requires no concealment.
WHAT IS RHINOPLASTY RECOVERY LIKE?
After your nasal surgery, your nose will be covered with a moldable foam and aluminum splint. A small intranasal non-stick dressing is removed at home on the first post-operative day. The splint and sutures are removed from the nose in about one week. Your face may be slightly puffy, you may have a dull headache and your nose will feel uncomfortable and achy. Minor bleeding may be experienced, along with swelling and bruising on the nose and under the eyes. These symptoms gradually fade within one week, and your nose should look good in two to three weeks, with continued improvement after that. Unnoticeable swelling may be experienced for the first year.
WHEN CAN I RETURN TO WORK AFTER RHINOPLASTY?
The surgeons at The Buckingham Center typically recommend that patients resume regular activities, including work, after one to two weeks. This depends on the type of labor and activity that is required of you. You must protect your nose for several weeks after the surgery while it heals.
HOW SOON CAN I EXERCISE AFTER MY RHINOPLASTY SURGERY?
You may resume light activity within the first two weeks after your rhinoplasty surgery. After your stitches are removed, the surgeon will provide you with specific instructions. Strenuous exercise is commonly approved after three weeks. Any activity that could result in trauma to your nose must be strictly avoided for up to six weeks.
WHAT IS A DEVIATED SEPTUM?
A deviated nasal septum means that the central cartilage and bone inside your nose is moved or shifted to one side or the other. This can happen naturally (congenitally) or as a result of trauma. The symptoms of a significantly deviated nasal septum are usually nasal obstruction, irritation, pain and bleeding. If the septum is severely deviated, then these symptoms can be miserable. If minor, then nothing may need to be done. The correction for a deviated nasal septum is called a septoplasty and may be performed as an isolated procedure or if necessary with other functional procedures such as turbinate reduction. When a patient desires aesthetic changes to the nose, a septoplasty may be combined with a cosmetic rhinoplasty.
WOULD YOU DO ANYTHING NON-SURGICAL TO REMOVE THE HUMP ON MY NOSE?
In general, a nasal hump would be treated using a surgical hump reduction during rhinoplasty. In certain individuals, there is a depression above and below the hump that can be filled with Restylane, which would be considered a nonsurgical rhinoplasty. The advantage of the surgical option is that the results are permanent. The disadvantages are that it is a surgical procedure with the associated risks and recovery. The advantages of filler are that it is relatively easy and has low risk, however the disadvantages that it needs to be repeated and only some cases our eligible.
WHAT SORT OF MATERIALS ARE USED WHEN THE BRIDGE OF THE NOSE NEEDS TO BE BUILT UP DURING RHINOPLASTY?
Augmentation of the nasal dorsum can be performed with either cartilage or alloplastic materials. Our preference is to use the patient’s own cartilage from either the nasal septum, ear or rib. As an alternative, donor cartilage, which has been irradiated to remove the antigenic cells, may also be used. We prefer cartilage as it is a natural product that has very little to no risk of rejection or infection. On rare occasions, we will utilize alloplastic materials such as Gortex.
CAN RHINOPLASTY BE USED TO FIX FLARED NOSTRILS?
Rhinoplasty can be used to fix flared nostrils if they are primarily flared at rest. If an individual’s nostrils only flare while smiling, then surgery is usually not recommended. The procedure is called an alar base reduction, and it involves removing a small piece of the ala through either an internal or an external incision.
WHY IT SEEMS THAT SO FEW DOCTORS HAVE EXPERIENCE IN AFRICAN AMERICAN AND ETHNIC RHINOPLASTY.
Due to the ethnic make-up in Austin, very few doctors are going to have photos of African Americans before and after their ethnic rhinoplasty procedures. However, at The Buckingham Center, our surgeons do have experience performing rhinoplasty procedures to address issues directly related to ethnicity. To see examples of ethnic rhinoplasty procedures we have performed, please view the before and after photos in our gallery.
I HAVE A HOLE IN MY SEPTUM. CAN THIS BE FIXED WITH RHINOPLASTY?
This is called a septal perforation, and it can be repaired, but the procedure is not usually referred to as a rhinoplasty, but rather a septal perforation repair. Depending on the size of the perforation, it may be performed through either an endonasal approach or an open approach that is very similar to an open rhinoplasty.
THE TIP OF MY NOSE CURVES TO THE LEFT. IS THIS SOMETHING THAT CAN BE FIXED WITH A NOSE JOB, AND IS IT A COMPLICATED PROCEDURE?
Crooked noses can be fixed with rhinoplasty. Depending on the specific problem, it can be a very reliable operation with a high success rate, or it can be very complicated and difficult to make straight. Even with the best technique, healing will sometimes affect the outcome and the nose will remain somewhat deviated. A consultation will provide additional information as to how difficult your particular case may be.
IS RHINOPLASTY SAFE FOR TEENAGERS?
Many teens are so unhappy with their appearance that they decide the only way to feel better about themselves is with plastic surgery, such as rhinoplasty. This can be a distressing revelation as a parent, but it’s important to approach the situation calmly. Rhinoplasty in teenagers is not unusual, but it’s not right for every teenager. If your family is interested in moving forward or simply wants more information from an expert, the first step is to discuss your teen’s case with an ethical and knowledgeable plastic surgeon. A reputable surgeon will be able to advise you and your teen, providing you the information you need to help you make the right decision for your family. A skilled facial plastic surgeon should be able to assess the overall facial growth and tell you whether more growth and development is expected before the nose reaches full maturity.
Schedule Your Rhinoplasty Consultation in Austin Today
With a rhinoplasty procedure, our surgeons can balance your facial features to enhance your natural beauty. To schedule your initial consultation, please call The Buckingham Center for Facial Plastic Surgery at 512-401-2500.
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- Chemical Peel
- Chin / Cheek Augmentation
- Chin Liposuction
- Earlobe Reduction
- Ear Surgery (Otoplasty)
- Eyelid Surgery (Blepharoplasty)
- Limited Incision Facelift
- Mini Lift
- Facial Asymmetry
- Facial Fat Transfer
- Facial Trauma
- Forehead Lift (Endoscopic)
- Lip Augmentation
- Lip Lift
- Nasal Obstruction
- Neck Lift
- Revision Rhinoplasty
- Scar Repair
- Skin Cancer