Nose Surgery (Rhinoplasty) in our Miami office
Rhinoplasty, which comes from the Greek word to shape the nose, is a plastic surgery procedure aimed to correct a nasal deformity that is congenital or acquired. If you are interested in nose surgery (rhinoplasty), contact our Miami office and schedule a consultation with Dr. Tal Roudner, a specialist in nose surgery (rhinoplasty). Your rhinoplasty consultation will include a careful evaluation of your current physical health as well as your reasons for seeking nose surgery (rhinoplasty).
According to the American Society of Plastic Surgeons, in their cosmetic national data bank statistic reports of 2014, nose reshaping (rhinoplasty) was performed in 217,124 patients that year. That is a 2% decrease from 2013 and a 44% decrease from 2000.
Dr. Roudner’s surgical goal is to restore the form and function of the nose in reconstructive rhinoplasty such as: after nasal trauma, secondary rhinoplasty, respiratory compromise or congenital deformity. In cosmetic rhinoplasty cases his goal is to correct the nasal deformity and aesthetically enhance the appearance of the nose according to the patient’s desire.
Dr. Roudner may perform either a closed rhinoplasty or open rhinoplasty to achieve the pre-operative goals. By separating the nasal skin and soft tissues from their underlying skeletal support and reshaping the bones and nasal cartilages Dr. Roudner creates a functional and facially proportionate nose.
Nose Surgery (Rhinoplasty) Before & After Photo Gallery
(Click to view our entire Nose Surgery (Rhinoplasty) Before & After Photo Gallery)
Your Nose Surgery (Rhinoplasty) Consultation at Our Miami Office
Miami surgeon Dr. Roudner will review your history to determine your suitability for nose surgery (rhinoplasty). Because nose surgery (rhinoplasty) is a surgical procedure, it has risks and contraindications, so it is important that you participate fully in this consultation with Dr. Tal Roudner so that he is able to make a determination on whether rhinoplasty surgery is the best option for you based on your medical history.
Other topics that will be discussed at your nose surgery (rhinoplasty) consultation at our Miami office include the current functionality of your nose, your concerns about aesthetics, previous surgeries that have been performed and any history of traumatic injury to your nose. Your goals and expectations for nose surgery (rhinoplasty) are important, and Dr. Roudner will discuss these with you to make sure your expectations are in line with what nose surgery (rhinoplasty) can actually do. Dr. Roudner may also recommend other procedures that could enhance the results of your nose surgery (rhinoplasty) such as a chin implant.
Risks, benefits and potential complications about your nose surgery (rhinoplasty) will be reviewed, and Dr. Roudner will make sure that any questions you have are answered during your visit to our Miami office. You will also be provided with instructions for both pre- and post-operative self-care, and Dr. Roudner will review these instructions with you to make sure you understand them completely. Following these instructions is extremely important as they ensure that your recovery following nose surgery (rhinoplasty) will be smooth and fast with minimal complications.
At your nose surgery (rhinoplasty) consultation appointment, you will also meet with the practice coordinator at our Miami office to discuss information such as pricing and scheduling. We will discuss your payment options with you and help you make the decision that is right for you. Prior to your next pre-op appointment at our Miami office, we recommend gathering photos that represent the desired results of your nose surgery (rhinoplasty).
Following Your Nose Surgery (Rhinoplasty) at Our Miami Office
Following your nose surgery (rhinoplasty), steri-strips, which control your swelling, will be applied to your nose followed by a splint, which will protect your nose. This splint should remain on your nose for at least one week following nose surgery (rhinoplasty). If your nose surgery (rhinoplasty) required the use of internal supports, you may have splints inside your nose as well. You will likely have at least a light gauze packing inside your nostrils. This packing needs to remain in place for about 24 to 48 hours following your nose surgery (rhinoplasty).
Immediately following your nose surgery (rhinoplasty), you will be transferred to the post-anesthesia care unit of our Miami surgical suite. Typically, patients are allowed to go home the very same day. You will be provided with medication to relieve pain and prevent infection as well as instructions about caring for your incisions and nose.
About a week after your nose surgery (rhinoplasty), you will need to return to our Miami office for your first follow-up appointment. If you have any external sutures, Dr. Roudner will remove them at that time along with the splint and the steri-strips. Dr. Roudner will thoroughly examine your nose to make sure that everything is healing well. If necessary, fresh steri-strips may be applied.
Make arrangements to rest at home for at least a week following your nose surgery (rhinoplasty). At about three to four weeks following your nose surgery (rhinoplasty), you will be able to gradually resume physical activity. By six weeks you should be back up to normal activity; however, you should still avoid contact sports completely for at least three to six months. Continue to attend your follow-up appointments with Dr. Roudner at our Miami office.
Additional Information About Nose Surgery (Rhinoplasty)
When deciding to pursue nose surgery (rhinoplasty), you should always take into consideration all of the benefits, risks and complications of the surgery and weigh them carefully, keeping in mind your goals and expectations for this surgery.
During your consultation appointment with Dr. Roudner at our Miami office, be sure to listen carefully as the risks and possible complications are explained. Read through the literature you are provided and ask any questions that you have. Also, read your consent forms before you sign them. We want you to be fully informed about your nose surgery (rhinoplasty).
As with any surgery, risks are always possible. Some of the risks that can occur with any surgery include bleeding, infection, scarring, pain, numbness, anesthesia risks, healing complications and deep vein thrombosis.
Nose surgery (rhinoplasty) carries with it some specific risks including the possibility of difficulties with your nasal airway, nasal asymmetry, perforations of the septum, contour irregularities and the need for future surgical revision.
To learn more about nose surgery (rhinoplasty), please call our Miami office at (305) 443-3531 and schedule your consultation with plastic surgeon Dr. Tal Roudner.
Prepping for Nose Surgery (Rhinoplasty) at our Miami office
Patients undergoing rhinoplasty procedure are seen in the office at time of consultation and two weeks prior to surgery for pre-op. At the pre-operative appointment necessary blood work and other test are performed, consents are reviewed and signed and medical clearance is obtained as necessary. Pre-op photos are taken. Patients that smoke are required to stop smoking 4 weeks before the procedure and for 3 weeks after the surgery. It is important to inform Dr. Roudner if you smoke at the initial consultation.
Medications (aspirin, ibuprofen, etc) supplements and herbs can cause bleeding problems during the surgery and post surgery. Therefore a list of any medication, supplements or herbs that should not be taken a few weeks before the procedure is given at the time of the consultation.
Prior to surgery it is important to eat a healthy diet and avoid drinking alcohol a few days prior to the procedure. Exercise and being in good shape prior to surgery is generally good for the patient’s overall health and a speedy recovery; however, day prior to the rhinoplasty procedure patient’s should avoid strenuous exercise.
Patient’s should not eat or drink anything, including water, after midnight the night before surgery. The patient’s should shower the night prior to the surgery and wash the surgical site with antimicrobial soap. After the shower the patient’s should avoid wearing any products such as: oils, creams, makeup, moisturizers, or lotions — including deodorant.
Removing any nail polish from at least one fingernail and toenail will be helpful for the anesthesia person in order to monitor the blood circulation during the procedure using a pulse-oxy-meter.
The morning of the surgery the patient’s may brush their teeth, but should not swallow more than a sip of water. If instructed by the primer care physician, patient’s may take any needed prescribed medication with sipping a minimal amount of water.
On the day of surgery the patient should wear loose-fitting clothes that open in the front and comfortable flat shoes that are easy to put on.
Arrangements for transportation of the patient to and from the procedure as well as a someone to stay with the patient for the first 24 hours after surgery should be made in advance.
Care for small children, should be arranged prior to the surgery as well as preparation of extra food and drinks. Responsibilities at home and at work should be taken care of prior to surgery in order to have worry-free and relaxing recover.
Prescription medications maybe filled at the time of surgery by the person accompanying the patient to surgery or a in advance prior to the day of surgery.
What to expect from Nose Surgery (Rhinoplasty)
Prior to undergoing rhinoplasty procedure a consultation with Dr. Roudner will be scheduled. At the consultation a detailed review of the past and current medical history and a physical exam that will focus on the nose. A discussion with Dr. Roudner regarding the concerns, goals and expectations of the rhinoplasty procedure will take place. At the time of the consultation the Dr. will analyze the nose and will recommend the appropriate procedures to be performed to accomplish the goals desired as well as recommend other ancillary procedures that may enhance facial harmony such as a chin implant. The consultation will include a detailed discussion regarding the risks, benefits and complications associated with the rhinoplasty procedure and will answer any questions regarding the procedure. The highlights of the pre and post operative instructions will be reviewed to ensure proper preparation prior to the procedure and a safe and speedy recovery after the surgery.
The practice coordinator will be seen and review information regarding medications and herbal supplements to avoid.
Techniques used during Nose Surgery (Rhinoplasty)
Depending on the analysis of the nose and the corrections and changes needed during the nose surgery a open or closed rhinoplasty maybe performed.
Closed rhinoplasty is commonly chosen for cases were major nasal tip work is not needed and complex techniques are nor required. In closed rhinoplasty the incisions are placed inside the nose and hidden.
Open rhinoplasty is performed in most nasal surgeries were major tip work and more extensive procedures are needed to correct the nasal deformities. In open rhinoplasty the incisions are placed across the mid-columella between the nostrils.
Once either the closed or open incisions are made the skin and soft tissues are elevated carefully exposing the structures of the nose allowing better analysis and access to reshape the nasal structures.
Reshaping the Nose
Depending on the nasal structures either reduction, augmentation or a combination of both is used to reshape the nose. Reduction may include trimming, removing or repositioning nasal bones, cartilage soft tissues. Augmentation of nasal structures maybe performed with cartilage or rib grafts from the nose (nasal septum, alar cartilage, etc.) or other areas in the body (ribs, ear, etc.). The nasal bones are repositioned as needed by performing osteotomies. The nasal ala may be repositioned to decrease the width of the alar base by incisions and trimming as needed.
Correction of a deviated septum
Many patients suffer from breathing problems due to obstruction of the airways. This obstruction is due to a deviation of the nasal septum which hinders or obstructs the nasal airway. The deviation may alter the nasal structure as well. When correcting the deviation by repositioning or removing part of the cartilaginous septum to straighten it, breathing may be improved and nasal shape corrected.
At the completion of the procedure once the the underlying skeleton of the nose is reshaped to the desired effect the soft tissues and skin are re-draped and the incisions are closed. If additional incisions were made at the natural creases of the nostrils (ala) to alter their size the are meticulously closed.
Reasons for Nose Surgery (Rhinoplasty)
The common reasons to undergo nasal surgery (including nasal septal surgery) involve procedures aimed to correct nasal deformities that are congenital or acquired.
Reconstructive nasal surgery aims to restore the form and function of the nose such as: after nasal trauma, secondary rhinoplasty, respiratory compromise or congenital deformity. The goal is to restore normal breathing that may be obstructed due to deviation of the nasal septum, narrow nasal bones, decreased angle of the internal or external nasal valve, saddle nose deformity and more .
In cosmetic rhinoplasty cases the goal is to correct the nasal deformity and aesthetically enhance the appearance of the nose according to the patient’s desire enhancing facial aesthetics. Those goals are achieved by improving the shape, appearance and proportions of the nose to the remaining facial structures. Depending on the nasal structures either reduction, augmentation or a combination of both is used to reshape the nose. The root of the nose (radix) is adjusted as needed to correct nasal length, the dorsal convexity is either reduced or augmented to improve the nasal profile, alar cartilages are trimmed repositioned or sutured to improve nasal tip definition, projection and position, repositioning nasal bones to correct nasal width, correction of nasal nostrils and more.
What can Nose Surgery (Rhinoplasty) do for me?
In most cases the shape of ones nose is hereditary in nature but may be altered during injury or previous surgery. Rhinoplasty may enhance your appearance by improving the aesthetics of your nose. Nose surgery can change the noses size and improve its relation to facial features. The surgery can improve on the noses width at the base or the bridge of the nose. On profile view, rhinoplasty may reduce the nasal convexity also know as the “dorsal hump” or correct concavities “depressions” of the nasal bridge. The tip of the nose may be reduced in size, rotated either up or down, made more symmetrical and lifted when drooping. The nostrils may be made smaller. The asymmetries and deviations maybe improved and the nasal septum corrected.
What anesthesia is recommended for Nose Surgery (Rhinoplasty)?
Patients undergoing nasal surgery may under go the surgery using general anesthesia or twilight sedation with local anesthetic. The decision on what method is used depends on the patient, surgeon and extent of the surgery.
Who is a good candidate for Nose Surgery (Rhinoplasty)?
Patient seeking to undergo nose surgery should have specific and realistic goals. They should be undergoing surgery for their own personal benefit to improve their own self-confidence and esteem and not be pressured into having the surgery by someone else.
The patient should have reached the final stages of their facial growth at about 16 years of age and are physically and emotionally healthy. They should not be smoking or have stopped smoking 4 weeks prior to and 3 weeks after the surgery.
How long will II need to recover from Nose Surgery (Rhinoplasty)?
The recovery time after rhinoplasty surgery varies depending on the extent of surgery performed the technique used and the patient themselves. As a general rule significant swelling and bruising is noticed in the first three weeks after surgery. Most of the swelling is improved by six weeks after surgery. Swelling may come and go and worsen in the morning during the first year following your nose surgery. The swelling is the most significant at the tip of the nose (especially in an open rhinoplasty procedure) and is the last to recover. The final results of the surgery are noted at one year after the surgery. Although the final results of rhinoplasty surgery are permanent the nose shape and form changes with aging process.
Is the recovery process after Nose Surgery (Rhinoplasty) discomforting?
The recovery from rhinoplasty surgery may involve some pain and discomfort that is treatable and manageable with post-operative pain medication. The operation may involve pain and discomfort that is mild to moderate mostly when there is need for fracturing the bones (osteotomies). The pain usually is temporary and may last a few weeks.
How should I prepare for Nose Surgery (Rhinoplasty) in Miami?
Following your nose surgery (rhinoplasty) consultation at our Miami office, you will return to our Miami office two weeks prior to your nose surgery (rhinoplasty) for your preoperative appointment. At this appointment, we will perform any necessary blood work as well as other tests required in preparation for your nose surgery (rhinoplasty). Photographs will be taken for your medical records, and we will also obtain any medical clearances at this time. If you smoke, we do require that you quit smoking four weeks prior to your nose surgery (rhinoplasty) and remain smoke- and nicotine-free until at least three weeks following your rhinoplasty.
Provide our Miami office with a list of the names and dosages of medications, supplements, or herbal preparations you are taking. Since some medications can increase the risk of bleeding or other complications during your nose surgery (rhinoplasty), Miami surgeon Dr. Roudner will review your list and determine whether you should discontinue any of your medication prior to your rhinoplasty.
In the weeks before your rhinoplasty, eat healthy and get plenty of exercise. For at least a few days prior to your nose surgery (rhinoplasty), avoid alcoholic beverages. Healthy people who are in good shape are likely to have a faster recovery. On the day before your nose surgery (rhinoplasty), avoid strenuous exercise.
On the night before your nose surgery (rhinoplasty) at our Miami office, do not consume any foods or liquids, even water, after midnight. Take a shower before you go to bed and use antimicrobial soap to thoroughly clean your surgical site as directed by Miami surgeon Dr. Roudner. Do not apply anything to your skin following your shower including lotions, creams or makeup. If you wear nail polish, remove the polish from at least one of your nails. This will make it easier for the anesthesiologist at our Miami office to use the pulse-oxy-meter, which monitors your blood circulation.
On the day of your nose surgery (rhinoplasty), before leaving for our Miami office, brush your teeth but be careful to swallow no more than a sip of water. If Miami surgeon Dr. Roudner has confirmed that you may take medication on that morning, take your medication with as little water as possible. Wear clothes that fit loosely and open in the front as well as comfortable, flat-heeled shoes.
Prior to your nose surgery (rhinoplasty), make arrangements for a friend or family member to drive you to and from our Miami office. You should also have someone who can stay with you for at least 24 hours following your nose surgery (rhinoplasty). Any small children, pets or other important responsibilities will require advance arrangements for care so you can focus on relaxation and recovery.