Rhinoplasty San Francisco
Performed by Dr. Maas
Rhinoplasty (Nose Surgery) by Dr Maas
San Francisco rhinoplasty surgeon, Dr. Maas specializes in reconstructive and cosmetic surgery techniques in rhinoplasty, resulting in enhanced symmetry and alignment of the facial anatomy. Approximately 40 percent of the surgeries performed by Dr. Maas are rhinoplasty procedures, including revision rhinoplasties requested by patients that were not completely satisfied with their initial procedures.
Dr. Maas understands that revision of the nose is a very personal choice that should be made primarily by the patient, but involves the expert input of the plastic surgeon as well. It requires exceptional anatomical knowledge, surgical skill and the eye of an artist. An experienced plastic surgeon will take the time to understand the aesthetic goals of each patient and determine the best techniques and procedures to meet those goals.
What is Rhinoplasty?
Rhinoplasty (cosmetic nose surgery) is the surgical procedure for changing the appearance of the nose by altering the shape, size or proportion in relation to the rest of the facial features. Nose surgery can have a profound impact on the entire appearance of the face, which is why rhinoplasty is such a significant procedure for some patients.
During rhinoplasty, incisions are often placed just inside the rim of the nostrils where post-operative scarring cannot be seen at all. In other situations, a W-incision may be placed across the columnella, the narrow area of tissue skin between the nostrils. While this incision is placed on the exterior of the nose, scarring after the procedure is minimal and rarely detected by others.
Through these incisions, the soft tissues of the nose are carefully separated from the underlying cartilage and bone. Excess bone and cartilage are appropriately adjusted to give a balanced, harmonious appearance to the face. The septum, the cartilage that divides the nose into two compartment, the nasal bones that lie above and the cartilage that makes up the tip are the most common areas to address during a rhinoplasty procedure.
When rhinoplasty is performed to relieve obstructions inside the nose, or in conjunction with surgery to reconstruct the nasal passages, the procedure is called septorhinoplasty. In this procedure the obstruction is removed through internal incisions and the interior of the nose is restructured. Because this procedure is often performed for medical reasons, insurance coverages may be available for at least a portion of the procedure. Patients can include cosmetic changes to the nose during this procedure as well, although insurance will not cover that part of the surgery.
A rhinoplasty can be performed right in our office at the Maas Clinic on an outpatient basis. These procedures usually last from two to three hours, depending on the amount of work to be done. Because minimal anesthesia is generally required for the procedure, patients tend to feel relatively alert after the procedure.
Revision rhinoplasty is effective in correcting concerns left behind by a previous procedure and producing the final aesthetic results the patient was originally hoping for.
About half of all the rhinoplasty procedures Dr. Maas performs are revision rhinoplasties. These procedures may be requested for purely cosmetic reasons or because the original surgery affected the function of the nose and requires correction. In either case, the revision procedure may be more complex than the initial surgery, which is why it is important to work with a plastic surgeon like Dr. Maas that is highly experienced in revision techniques and is qualified to make the necessary corrections to help you achieve the results you want.
Revision surgery may be more complicated for a number of reasons. First, there may be scar tissue from the initial procedure that has to be addressed in order to ensure the revision surgery produces the best possible results. Second, there may be less bone and cartilage to work with during the revision procedure, which may necessitate grafting from another area of the body to provide sufficient support for the nose after revision surgery.
Revision rhinoplasty results can take a bit longer for a patient to see, which may be distressing for patients that were unhappy with their initial results and anxious to see the corrections. While patients will see preliminary results within about two weeks once the cast comes off, there may still be significant swelling for a number of months that prohibits patients from viewing the final results. In fact, most will see those results within 12-18 months, which will become permanent at that time.