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Rhinoplasty: Surgery as an Art

Whether you are considering changing the shape of your nose for appearance, or because of breathing problems, or perhaps both, you want to be confident you select a surgeon who has the experience and knowledge to appreciate how important the role is between nasal function and form.  Facial plastic surgeons excel in this procedure, having performed hundreds of nasal surgeries even before they complete their training.  Truly an art form, rhinoplasty requires career-long dedication for complete mastery, and Paoli surgeon Dr. Hove has attained this distinction. He fully understands the balance between the outward appearance of the nose and the breathing function.  Novice surgeons may not recognize subtle anatomic features that have a profound impact on how well breathing will be after surgery, or they may miss an underlying diagnosis of nasal polyps or sinusitis.  This is especially true if their training is limited to just the outside of the nose.

Surgeons’ approach to the nose has changed dramatically in the past three decades.  Techniques that originally gave excellent immediate results in the 1980’s have led to some long-term problems with structure and function.  Dr. Hove often performs reconstructive rhinoplasty on patients with these problems.  For first-time cosmetic rhinoplasty,  surgery today is usually not so aggressive, and less invasive techniques are used to achieve natural aesthetic results while preserving the critical function and support structures.

Closed Rhinoplasty vs Open Rhinoplasty?

This is a very common question that people have- “Will my rhinoplasty be done on the inside or the outside?”  What they refer to is how the surgery is done.  In other words, can the shape of the nose be changed by making incisions inside the nostrils (otherwise known as an endonasal, or closed, approach), or is there an incision made on the outside?  With an open approach, the incision is actually very small (about 5mm), and is made near the bottom of the middle part of the nose between the nostrils (called the columella),  When it heals, it is virtually imperceptible.  Dr. Hove has extensive experience with both approaches.  It may seem intuitive that the closed/endonasal approach is less invasive, but this is not always true.  In general, Dr. Hove prefers using the closed approach if only the dorsum (profile above the tip) of the nose needs to be changed.  If the tip needs to be sculpted, he prefers to use the open approach.  The open approach actually is LESS violating of the natural support structures of the tip, and allows him the best natural view of the cartilage to deliver you the best shape for your tip.

Will My Eyes Be Bruised After Rhinoplasty?

This is another common question.  This is much more likely if the bones (upper part) of the nose need to be reshaped.  Even so, it is usually 50:50 whether there is bruising or not, and it usually lasts 7-10 days.  If only the tip your nose needs to be addressed, then bruising is not likely.

Will My Nose Swell After Rhinoplasty?

Yes it will, but Dr. Hove uses a splint during the first week to limit the bruising and swelling.  After that, our patients will use tape at night to keep swelling to a minimum.  The vast majority of swelling is gone by 3-4 weeks  You may notice minor swelling changes actually for several months after surgery, mainly because you know what was done, but friends and family do not perceive this.

Is My Nose Packed After Rhinoplasty?

Dr. Hove does not routinely use packing after a rhinoplasty.

If you're curious about any of the procedures introduced on this page and would like to know more, please contact our office for further detail. Dr. Hove is always available to discuss your cosmetic surgery options with you and suggest how we can tailor a treatment plan to suit your individual needs. Please feel free to contact us for more information, or to schedule an initial visit.

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I believe that to excel in any career, one has to keep reaching, learning, and sharpening their skills, instead of resting idle on some self-declared title. At the Hove Center for Facial Plastic Surgery, we continually strive to bring you the latest advanced techniques and products in the field of facial plastic surgery, both cosmetic and reconstructive.

-Dr. Christopher Hove