Rhinoplasty - The perfect nose for you
I believe rhinoplasty to be the most challenging procedure in plastic surgery. It is the focal point of the face and one of the defining features of your profile. Millimeters matter. It has the ability to unite the features of the face and improve your confidence. Particularly in young people, a rhinoplasty can change your sense of self at a critical time in life. A nose job or rhinoplasty can not only address any concerns you have with the appearance of your nose, but can also improve your breathing. Whether you’re looking to get rid of a “dorsal hump” or you’ve had trauma to your nose, we can help you.
My passion for rhinoplasty began during my training while focused on cleft lips and the nasal deformities associated with cleft lips. My apprenticeship included assisting in over 80 rhinoplasties, performing my own surgeries and always having the humility to review my results and always strive for improvement. I continued to seek out pioneers in the field of rhinoplasty and have been blessed to learn from some of the best rhinoplasty surgeons in the world.
I understand there is no one size fits all nose for everyone. Unless you have a twin, the nose that is right for you will likely not fit anyone else’s face. I strive to listen and understand your goals so that we are always on the same page.
Rhinoplasty can be performed “open” or “closed”. The difference is a small incision placed across the skin in between the nostrils (Columella). I perform both methods depending on your goals and the surgical maneuvers required to achieve them. The scar from an open rhinoplasty is almost imperceptible even upon close inspection. The procedure varies in length depending on the goals of the surgery with times varying between 2-4 hours. Surgery for someone who has never had nose surgery before is typically faster than revision surgery. We recommend that all rhinoplasty surgery be performed in an accredited surgical facility under general anesthesia. The surgery is an outpatient procedure so that you can go home the same day, but you will need a friend or family member to drive you home and stay with you overnight.
Downtime is typically 1 week. There can be some swelling and bruising along the lower eyelids. You will have a small splint on your nose and inside your nose for the first week. The splint is removed at your first follow up visit, 1 week after surgery. You will be able to enjoy the new shape of your nose when the splint is removed and you will notice continuous improvement in the shape and detail of the nose for up to a year after the procedure.
The cost of a typical rhinoplasty is around $10,000. This will vary depending on where the procedure is performed and whether we will address problems with your septum or breathing. Functional Rhinoplasty (nose job for breathing) and otherwise reconstructive nose surgery can be covered by your health insurance.
The goal of rhinoplasty in men is different than women. While a smaller nose and lower profile is typically desired in women, a straight, strong dorsum is more appropriate for men. Men also benefit from less tip rotation and may have more breathing difficulties before surgery. Preservation rhinoplasty has also given us the ability to maintain a more natural male nose than was possible with older methods of rhinoplasty.
Preservation rhinoplasty decreases trauma and decreases downtime. Preservation rhinoplasty preserves most of the structures and ligaments of the nose in order to create natural, durable results. Swelling is decreased, particularly in patients that have thicker skin. Tiny, residual swelling can persist for up to 1 year after rhinoplasty surgery, and therefore anything to decrease trauma to the nasal structures at the time of surgery can help the recovery process.
An ethnic rhinoplasty is simply an appreciation of the fact that beauty varies across cultures. The goals and techniques used to refine your nose should not sacrifice the characteristics of your heritage. Ethnic rhinoplasty should enhance your natural beauty.
If you have had nose surgery previously and are interested in correcting a new or remaining deformity, revision surgery may allow you to still accomplish your goals. Second or third procedures require rebuilding a solid yet refined nasal structure that can tolerate the deforming forces of scarring during the healing process. Furthermore, it may be necessary to use cartilage from another body part (ear or rib cartilage) if the cartilage in the nose was harvested at the original surgery. Revision surgery tends to be a little more emotionally taxing since you have already experienced disappointment with a surgical outcome. Dr. Rankin is particularly good at managing expectations and ensuring clear communication.
Skin Cancer/ Moh's Reconstruction
None of us expect to face cancer, but if you do, Dr. Rankin will approach your reconstructive surgery no differently than any cosmetic rhinoplasty. Restoration of form and function are paramount. If you have been diagnosed with skin cancer, Dr. Rankin will work with your dermatologist or Moh’s surgeon in order to restore what has been lost.