Dr. Robert Morin is thrilled to announce the integration of Ultrasonic Rhinoplasty to his practice. As one of the few plastic surgeons in the U.S. offering this cutting-edge technology, he can now perform nose surgery with less surgical intrusion and more precise, organic-looking results. This method involves sculpting the nasal bones using ultrasonic tools, as opposed to conventional methods of breaking the nose’s natural structure which can lead to complications such as secondary fractures and nasal irregularities. Additional benefits to this procedure include: shorter recovery time, diminished bruising and precise asymmetry correction.
Rhinoplasty, or nose surgery, is arguably the most challenging, but also one of the most effective and life-altering procedures in plastic surgery. A properly performed rhinoplasty has the ability to completely reshape a person’s nose in order to achieve facial harmony and to correct deformities. The improvement to a person’s overall facial aesthetics following a rhinoplasty can be truly remarkable.
A rhinoplasty may be performed for both functional and cosmetic concerns. Function is always addressed during the initial consultation and if nasal airway problems are detected, they can be corrected during surgery. One of the most common causes of nasal airway obstruction is a deviated septum, which can be corrected by performing a septoplasty.
Common cosmetic concerns include nasal bumps, large nasal tips, large or wide noses and crooked or deviated noses. The following photographs of actual patients demonstrate these common cosmetic concerns and the postoperative photographs show the result Dr. Morin was able to achieve by performing a variety of rhinoplasty techniques.
Surgical correction of her long deviated nose, dorsal hump and hanging columella was performed.
Most people have a combination of deformities that contribute to a distracting nose. In these two patients almost all of the deformities that will be discussed below in detail can be seen. In these cases, a complete rhinoplasty is necessary in order to create an aesthetically pleasing nose.
These pictures demonstrate how powerful a properly performed rhinoplasty can be when attempting to improve the cosmetic appearance of one’s face.
Surgical correction of her dorsal hump, hanging columella and bulbous tip was performed.
The tip of the nose is made up of several different cartilage structures that provide shape and support. Many different deformities can exist in the nasal tip. The most common deformity results from an excess of cartilage that creates a large ball-like appearance known as a bulbous tip. Removal of this excess cartilage is usually combined with different suture techniques to create a smaller and better defined tip. Flat nasal tips can be lifted by adding support and projection from below. Nasal tip deformities and asymmetries can be corrected with suture techniques or by placing cartilage grafts beneath the nasal tip skin. All of these techniques are used to create a more attractive nose.
Surgical correction of her bulbous tip, wide nasal dorsum and dorsal hump was performed.
The nose can be narrowed in several ways. By removing excess cartilage and properly defining the tip, the lower part of the nose can be narrowed. In order to narrow the upper part of the nose, the nasal bones must be repositioned closer together. As you can see in these before and after pictures, the combination of these techniques can have an impressive result.
This patient’s nasal airway was opened by straightening his severely deviated septum.
One of the most common reasons people decide to undergo nasal surgery is in order to reduce the bump on the top of their nose. This bump is made up of both bone and cartilage. In order to smooth out the bump, both bone and cartilage must be removed. Once these structures are surgically lowered to the correct level, the top of the nose becomes flat and smooth.
This patient had a severe septal deformity. An open rhinoplasty and an extracorporeal septoplasty was performed.
Straitening a crooked or deviated nose can be challenging. Several techniques exist and the technique used depends on the cause of the deformity. At times, the only way to properly straighten a nose is to remove the entire septum, straighten it, and then replace it in its proper anatomic position. This procedure is called an extracorporeal septoplasty and Dr. Morin is one of the few surgeons in the world who performs this highly complex procedure. The patient in the photographs above had an extracorporeal septoplasty in order to correct her severely deviated nose.
When choosing a rhinoplasty surgeon it is important to keep several things in mind. First, your surgeon should be board certified by the American Board of Plastic Surgery. Second, your surgeon should have an artistic eye and thoroughly understand nasal anatomy and function. He or she should also be capable of critical analysis of nasal deformities and have the ability to create a logical operative plan that will satisfy your goals and desires. Finally, your surgeon should have a significant amount of experience operating on the nose. Dr. Morin has all of these characteristics and would be happy to discuss how he can help you in either his Manhattan NYC office or his Hackensack New Jersey office.
Rhinoplasty is an excellent procedure for achieving the following:
The best candidates for rhinoplasty:
A rhinoplasty is performed under general anesthesia in an outpatient setting. The procedure lasts between one and three hours depending on the complexity of the deformity.
Plastic surgeons use one of two general techniques when performing a rhinoplasty. The procedure can either be performed “open” or “closed.” In an open rhinoplasty, an incision is made across the columella, the tissue between the nostrils. In a closed rhinoplasty, incisions are made only within the nostrils, not on the skin. In both methods, the surgeon gently elevates the soft tissue covering the nose. The surgeon then sculpts both the bone and cartilage in order to create a more ideal shape. There is much debate concerning which technique is better. Dr. Morin believes that both techniques are useful in different situations and will discuss which technique is best for you based on your anatomy and personal preference.
After surgery, patients may experience mild pain, swelling and bruising. The pain and bruising subside relatively quickly. The swelling, however, can last a while. Depending on whether an open or a closed procedure was performed, a small amount of swelling can last approximately six months.
Patients with realistic goals for rhinoplasty are generally very happy with the new shape of their nose. The exact results depend on many factors including the nasal bone and cartilage structure, facial shape, skin thickness and age.
Complications are rare but they can occur. The most common complications include bleeding, infection and minor contour irregularities.
A revision or secondary rhinoplasty corrects deformities either caused by or acquired since a previous operation on the nose. It is a more difficult procedure to perform than a primary rhinoplasty because there is usually less cartilage to work with and the soft tissue is no longer normal. However, skilled plastic surgeons can usually improve both the appearance and function of the most complicated noses.