Many surgeons regard rhinoplasty as one of the most technically difficult operations there is. Not only does the nose have a complex internal and external anatomy, it is also the central, most prominent facial feature—changes to its structure can have an immense impact on overall appearance.

    As with any procedure, Dr. Schmidt takes a highly personalized approach to rhinoplasty. His extensive training and experience in nose reshaping techniques allows him to address a wide range of issues, while also remaining attentive to each patient’s natural facial contours.

    The result is an attractive, proportionate nose that supports harmony among facial features, rather than calling attention to itself.

    Who is a candidate for rhinoplasty?

    Rhinoplasty is a common, versatile surgery that can address both the appearance and the function of the nose. Candidates for rhinoplasty typically include individuals who have experienced any of the following:

    • Disproportionately large or small nose
    • Asymmetrical or misaligned nose
    • Crooked or poorly shaped nose
    • Disproportionate nostrils, poorly shaped nose tip or flat nose tip. Dr. Schmidt will specifically correct these issues with a tip-plasty, a localized procedure that reshapes the nasal tip.
    • Dorsal hump (a protrusion on the bridge of the nose)

    Nasal surgery for breathing difficulties

    With a background in head and neck surgery, Dr. Schmidt is also equipped to correct breathing difficulties during nose reshaping.

    The nose contains three to four “turbinate bones” that play a role in cleaning and humidifying air for the lungs. In some patients, the linings around these bones are so thick that airflow is reduced or blocked completely. In these cases, Dr. Schmidt will shrink the structures so that they can perform their proper function without constricting airflow.

    A deviated septum is also a common cause of breathing difficulties that Dr. Schmidt can correct. The septum is a partition separating the inside of the nose into two halves. A misshapen or deviated septum can prevent normal airflow, causing breathing difficulties as well as nosebleeds or headaches, a limited sense of smell and taste, and interrupted sleep. In many cases, insurance companies will reimburse the cost of repairing a deviated septum.

    How rhinoplasty works

    1. After anesthesia is applied, incisions are cut either inside the nose, or hidden in the tissue between the nostrils.
    2. Dr. Schmidt will then adjust the structure of the nose. This may involve removing or reshaping bone and cartilage, or adding cartilage grafts if necessary.
    3. No nose is reshaped in isolation. Dr. Schmidt sculpts the nose with consideration to the angles and proportions of the rest of the face, in order to create a balanced front and profile view.
    4. After reshaping, Dr. Schmidt will drape nasal tissue back in place and close incisions. Temporary supports may be inserted to ensure that the nose heals in its new shape.

    Results and recovery

    Immediately after rhinoplasty, most patients will experience some swelling and bruising around the nose. Breathing may also be limited in roughly the first week after surgery. Dr. Schmidt will provide instructions for proper postoperative care.

    Dressings will be removed between one and two weeks after rhinoplasty. Most patients can return to normal activity after two or three weeks, although the timeframe is different for everyone. In some cases, patients will need to wait a month or more before returning to strenuous activity, exposing the nose to direct sunlight or wearing glasses.

    Although rhinoplasty requires a longer, more strict recovery process than some other cosmetic surgeries, the results are significant and permanent.

    Nose reshaping can not only bring an attractive harmony to the facial features, but it can also help boost self-confidence. Even with subtle reshaping, patients typically feel much more comfortable knowing that they are in control of the impression they make on the world—not their nose.

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