Rhinoplasty at a glance:
Surgery time: 60 – 90 minutes
Anesthesia: Local anesthesia, intravenous sedation or general anesthesia
Setting: Office procedure suite or ambulatory surgery center
Recovery: 5 – 7 days
Rhinoplasty and revision rhinoplasty is the focus of Dr. Weber’s practice. He has performed over 500 rhinoplasty procedures and he continues to perform two to four rhinoplasty procedures per week. This is over eight times more rhinoplasty procedures than the typical plastic surgeon performs. Dr. Weber is passionate about performing cosmetic rhinoplasty, reconstructive nasal airway surgery and hybrid procedures that seek to both improve the appearance of the nose and your ability to breathe. Dr. Weber is considered a “Top Rhinoplasty Doctor” by RealSelf.com.
Rhinoplasty is the most complicated plastic surgery procedure for several reasons. Every person’s nasal anatomy and healing process is different. Surgery must not just improve the size and shape of the nose but needs to also maintain or improve the ability to breathe. In addition to these requirements, an individual nose must fit the rest of a person’s facial features, their height and their personality. All of these considerations must be addressed during the planning and performance of a successful rhinoplasty procedure.
Frequent rhinoplasty requests include:
- Reducing a bump on the nasal bridge
- Refining the bulbous or large nasal tip
- Narrowing and straightening the nasal bridge
- Rotating the droopy tip or eliminating the tip droop when smiling
- Reduction of the size of the nose
- Improvement in wide or flared nostrils
- Improvement in nasal breathing, snoring and “sinus congestion”
Dr. Weber seeks to create facial harmony where the nose “fits” the facial shape creating a more refined, attractive appearance. His goal is to provide rhinoplasty results that are natural looking and aesthetically-pleasing. A good rhinoplasty result leaves you ecstatic with the result but co-workers unsure of exactly what has changed.
During rhinoplasty surgery, there is an incision placed inside each nostril and, in some instances, a small incision between the nostrils. The two modern approaches to rhinoplasty include the “closed” or endonasal approach and the “open” or external approach. Both are very useful for rhinoplasty surgery and frequently performed by Dr. Weber. The “open” approach provides superior exposure to the nasal tip cartilages and bone structure. The “open” approach is recommended by Dr. Weber in cases of an asymmetric or oversized nasal tip, patients requiring rhinoplasty revision and cleft rhinoplasty. The “closed” approach is effective for minor tip changes, removal of a bump on the bridge of the nose, straightening or narrowing the nose as well as modifying the nostril size and shape.
Dissolving sutures are used to carefully close all incisions and do not require removal. “Packing” is never placed inside the nose. Delicate tape and a flexible nasal splint are used to minimize swelling and hold your new nose in place while you heal. This splint is removed by Dr. Weber 5 – 7 days following surgery. Swelling, congestion and bruising peak during the first three days after surgery and then steadily resolve.
A common request along with rhinoplasty is the placement of a chin implant to add additional balance to the middle and lower face on profile.