Cosmetic and Functional Nasal Surgery--Dallas Fort Worth

Rhinoplasty is defined as surgery of the external nasal bones and/or cartilages for the purpose of improving nasal appearance or nasal breathing.  Cosmetic rhinoplasty, commonly known as a "nose job", is performed for the primary purpose of improving the appearance.  Cosmetic rhinoplasty surgeons must first be able to accurately analyze the desired changes in nasal form in light of patient ethnicity and facial proportionality.  Multiple factors must be considered and discussed such as the presence or absence of a dorsal hump, the symmetry of nasal bones and sidewalls, the thickness of the nasal skin, the forward projection of the nasal tip, the refinement of the nasal tip, masculinity vs. femininity of shape, and related facial structures such as the shape of the chin and forehead.  Taking these into account, Dr. Thomason will explain the surgical techniques required to affect the desired changes.

Rhinoplasty that is performed to improve nasal breathing is referred to as functional rhinoplasty.  Oftentimes patients have suffered a previous injury such as a nasal fracture that was never fixed properly.  Other times, patients have obstructed breathing from congenital or acquired weakness of the lower nasal cartilages that results in a condition called nasal valve collapse.  These abnormalities may be present in conjunction with other nasal conditions such as a deviated nasal septum or chronic sinusitis.  

Surgery Details

Surgery is performed under general anesthesia in the operating room.  Usually, an incision is made on the underside of the nose on the skin bridge between the nostrils.  This approach, called open rhinoplasty, is commonly used when the dorsal aspect of the nose needs to be altered or for significant changes to the nasal tip.  The nasal bones are altered by performing osteotomies--which are controlled cuts along the edges of the nasal bones.  The cartilages of the nasal skeleton can be trimmed or re-shaped and very often, cartilage grafts are placed to reinforce structures.  The grafts of cartilage may be taken from the nasal septum, the auricle (external ear) or rib cartilage depending on the specific needs of each case.  The surgery takes around two hours and patients can go home on the same day.  An external cast is worn for 7 days and no strenuous activity is allowed for 2 weeks.  There may be mild to moderate bruising around the nose and mild to moderate post-operative pain is controlled with prescription pain medication.  The first follow-up visit is 5-7 days after surgery and the external nasal cast is removed.  Most of the nasal swelling subsides in the first few weeks.  There is some residual swelling and skin thickness which takes 6-12 months to resolve completely.  

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Office Hours
Monday:8:00 AM - 5:00 PM
Tuesday:8:00 AM - 5:00 PM
Wednesday:8:00 AM - 5:00 PM
Thursday:8:00 AM - 5:00 PM
Friday:8:00 AM - 5:00 PM
(972) 253-4280
6750 N. MacArthur Blvd. Suite 300 Irving, TX 75039
Irving, TX ENT Doctor Metroplex ENT & Allergy 6750 N. MacArthur Blvd. Suite 300 Irving, TX 75039 (972) 253-4280 ENT Doctor in Irving, TX Call For Pricing Options