Would you like to improve your nose by giving it a more desirable shape? Do you find your nose to be too short or long, lacking a nasal bridge, or too wide? There is a solution to help you improve your profile.
What can I do for these concerns?
A specific rhinoplasty that addresses your detailed concerns with the shape of your nose may be the solution. Perhaps, a reduction/addition of the tip in height and projection will make your face more balanced.
What makes his approach different from other plastic surgeons?
Dr. Byun, an architect of beauty, is an expert in hiding all incisions and sutures. All incisions are made inside of the nose and along the nasal area. Many times Dr. Byun uses your own cartilage for projection and height. The corrected tip is more proportionately appealing.
We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.
PREOPERATIVE DIAGNOSIS: Nasal Asymmetry
POSTOPERATIVE DIAGNOSIS: Nasal Asymmetry
OPERATION: Rhinoplasty, infracture of the nasal bone through a silicone augmentation and the spreader graft, the lower lateral cartilage through the intranasal closed technique.
Indication: The patient is ___ year old male who once to improve the nasal features. He has a slightly bulbous tip with a low dorsum and then a wide spreading nasal bone.
After induction of local anesthesia in a supine position, the patient was prepped and draped in the usual sterile fashion. 5 ml of 1% Lidocaine with epinephrine was injected to the area and a throat pack and nasal pack were utilized. Intracartilaginous incision was made bilaterally intranasally where the subperiosteal dissection was done along the nasal bone. Using the Converse scissors, the tip of the nose was also dissected retrograde from the incision where the customized soft silicone was inserted to the dorsum of the nose. The strut was also intruduced in between the medical crura of the lower lateral cartilage where 1.5 cm with the 0.5 small strut was insterted to give him better projection. Infractures were done bilaterally using the 3 mm osteotome with the fenestrated technique and the ostectomy was performed with good hemostasis obtained. The nasal symmetry was good where the supratip and infratip break angle was acceptable with good increase in height which balances his face well and this was closer to the size that we discussed prior to the surgery. The incision was closed using 4-0 Vicryl. Good hemostasis was obtained. Aquaplast was applied to stabilize the infracture. He was extubated and transferred to the Recovery Room in good standing.
Gauze packing in the nose can be removed after 24 hours by gently pulling it out, unless instructed differently by Dr. Byun. Avoid hanging your head forward. Do not remove any cast or tape on the surgical area. These will be removed by Dr. Byun at your post operative check up. Cleanse any uncovered incisions 3-4 times a day using clean gauze soaked in saline water. (found at your local pharmacy). If you do not have a cast and only bandages covering your nose then it is acceptable to get your face wet, but avoid doing so if possible. If there is a cast, do not allow the cast to get wet.
You must not blow your nose for two weeks. You may gently clean just inside the nostril with a moist Q-tip and saline water. If you have to sneeze, do so with your mouth open. Bruising alone the lower eye area is expected and is normal. Do not wear eye glasses or sun glasses until after receiving permission from Dr. Byun. Failure to adhere to this precaution may result in adverse effects following surgery.
What is the recovery time for Rhinoplasty?
Many sutures inside the nasal are dissolvable. Some sutures will be taken out during your one week follow up. You may endure some swelling, which will decrease 100% in 4-6 weeks. You will experience some redness, bruising, and minimal pain for about 8-10 days. Although, you may return to work 2 weeks following the date of the procedure.