What is rhinoplasty?
Rhinoplasty, otherwise known as a “nose job,” is a procedure designed to improve nose appearance and functionality. Problems with nose size, shape, width, or abnormalities are corrected with rhinoplasty. It can also fix the nasal tip, nostrils, nasal asymmetry, or a depression on the bridge.
Functional rhinoplasty is performed when obstacles to breathing need correcting or to maintain nasal structural integrity.
Rhinoplasty – precision is key
Rhinoplasty is an intricate and customized surgery determined by your anatomy and the results you want to achieve. Although a popular procedure, rhinoplasty is referred to by plastic surgeons as a “surgery of millimeters,” due to its precise nature and because a positive or negative outcome can be judged by this minute measurement.
Dr Evan W Beale is a rhinoplasty surgeon in Dallas who is fellowship trained in craniofacial plastic surgery. His skill level has been reached only after many years of experience.
Call us for an appointment to discuss how a rhinoplasty in Dallas can restore balance and harmony to your face.
What occurs during the rhinoplasty consultation?
Rhinoplasty is a personal decision and should never be taken lightly. Dr Beale will consult with you during the initial visit and discuss your reasons for nose surgery to determine if it’s the right option for you. You will receive a thorough medical examination and, if you are found to be an appropriate rhinoplasty candidate, he and his qualified staff will help you choose the procedure most suited to your body type and expected outcome.
You may be concerned with:
- A bridge hump
- A nose that is too large
- A crooked nose
- An upturned nose
- A bulbous tip
- Flared nostrils
- A deviated septum
Dr Beale will explain the process of preparing for rhinoplasty and what to expect on the day of your rhinoplasty surgery. He will also describe the healing process and what you can expect during your recovery. He will share before and after rhinoplasty pictures of Dallas patients who had similar issues and concerns as you.
I heard that UT Southwestern had one of the nation’s top plastic surgery training programs, so I knew I would be in good hands with Dr Beale. Despite his capability and experience, he is one of the humblest people I have ever met. He listens more than he talks and has a caring bedside manner. He was available to me and answered all my questions both before surgery and during recovery. His nurse practitioner, Courtney, is wonderful! She was professional, but we chatted like girlfriends 🙂 It was a perfect team!
Dr Beale’s rhinoplasty nuances
Breaking the nose is an antiquated method and not practiced by Dr Beale. He makes an incision into the nasal bones for repositioning because this method gives him more control of the operation and reduces the patient’s anxiety. Incisions into the bone are required to narrow the nose or reshape the nasal structure after reducing the hump.
When removing an unattractive hump, bone and cartilage are taken from the bridge of the nose. Dr Beale is careful not to take too much, which could harm the nasal structure or create an unnatural look. When nose size is too large, excess bone and cartilage are removed as necessary.
Septoplasty – helping you breathe easy
When necessary, septoplasty is often performed simultaneously with cosmetic rhinoplasty. Septoplasty begins with the removal of the mucous membrane from the cartilaginous and bony septum. The crooked (deviated) portions are pinpointed and removed or straightened with care, preserving enough for support and structure of the nasal cavities.
Once this is done, the mucous membranes are re-estimated and sutured together, getting rid of the necessity for deep nasal packing. This technique has been one of the greatest developments in rhinoplasty, reducing much of the unwelcome discomfort during recovery that nasal packing has caused many patients.
Adding volume to the nose
If the nose needs to be enlarged or supported, cartilage grafting will be used to build up the area. The cartilage can be taken from the septum, other parts inside of the nose, or from the ear. If Dr Beale believes ear cartilage will be needed, he will explain this to you during your consultation. Your ear will look no different after surgery, and the subsequent scar will be discreet. This procedure is often performed to support the tip, clear the airway, strengthen the nostrils, or build up the bridge of the nose.
Reduction of the nostrils
When necessary to reduce wide nostrils, an incision can be made in the crease where the side of the nostril adjoins the upper lip and cheek. This is in a natural fold, so the scar is nearly invisible within weeks.
Bringing relief to the sinus cavity
When the sinus cavity needs to be flushed out, an endoscopic balloon sinuplasty may be used. A small camera will be placed in the nostril and a catheter is inserted in the main sinus opening. The openings are then dilated using the balloon, and the cavities are thoroughly cleaned.
You may have a nasal obstruction if you suffer from any of the following:
- Frequent nosebleeds
- Dry mouth (caused by nasal congestion)
- Noisy breathing
- Bad breath
- Frequent headaches
- Recurrent sinus infection
Rhinoplasty is not limited to a cosmetic procedure but can also be a functional procedure. The purpose of functional rhinoplasty is to improve breathing.
What’s the difference between functional rhinoplasty and cosmetic rhinoplasty?
Functional rhinoplasty address the main function of the nose – breathing. Cosmetic rhinoplasty address aesthetic problems. If both solutions are needed, the procedures can be done simultaneously.
Often, functional issues will arise during a cosmetic rhinoplasty, requiring correction to maintain proper breathing. Likewise, some patients with functional issues opt for a few cosmetic tweaks during their functional rhinoplasty. Dr Beale will strive to improve both – the aesthetics and functionality of your nose.
Dr Beale is a great doctor. He will answer all questions for you. After recovery, he is the first person you wake up and see. His after care is the best. He came to see me the next day after surgery. I went for my week checkup to get my stitches taken out … He answered all my questions and concerns. I thought the other night that my drain was oozing too much so I was afraid. I called him at 2 in the morning and he told me exactly what to do and he called later that day to check on me. Love him.
Recovery period following rhinoplasty
- You may experience some discomfort which can be controlled with prescribed medication.
- There will be stiffness and light bleeding from the nose during the first few days.
- A small external splint will be taped to your nose to protect the new shape for approximately 5-7 days after surgery.
- Sleep on your back for 1-2 weeks and elevate your head to reduce swelling.
- Return to light activity within a few days.
- Return to full activity within 3-4 weeks.
Financing your rhinoplasty
Our Dallas-based practice works with most major insurance companies, and our office coordinators will assist you to make your surgical experience as worry-free as possible. Insurance coverage will be reviewed during your consultation. Contact us if you need more information.
Choosing your plastic surgeon for rhinoplasty
Finding a qualified plastic surgeon in Dallas for your nose procedure is important. Unfortunately, any physician with a license is legally permitted to perform the procedure.
The first thing to look for is a plastic surgeon who is accomplished and has the proper credentials. Board-certification is a must and your surgeon should be in good standing within the Dallas community and the various medical boards. Other important accomplishments are education, experience, and a list of satisfied patients.
Pay attention to the staff. Are they friendly and compassionate? Are they efficient? These are the people you will lean on during recovery. Find a surgeon and staff who you are totally comfortable with.
Make sure you meet with the surgeon face to face. Ask questions and state your concerns. Be thorough with your search and you will be rewarded with your desired outcome.
I went in for a consultation with Dr Beale and immediately knew he was the right doctor for me. He is VERY easy to talk to (ask him any question and he will never make you feel dumb), also his staff is very knowledgeable and nice…I’m so happy with my decision – I feel complete. Thank you, Dr Beale!
Do you have questions or concerns regarding rhinoplasty? Below, you will find a list of frequently asked questions, ranging from what the surgery entails to recovery details.
What is rhinoplasty?
Also known as a “nose job,” rhinoplasty is any type of cosmetic procedure that is performed on the nose. Though the surgery can alter depending on each individual’s wants and needs, most procedures involve the reshaping and resizing of the nose. However, there are times when surgery is necessary to assist with breathing problems.
During rhinoplasty, the size and shape of the nose is altered to better fit the face, including the alteration of the following:
- The width of the bridge of the nose
- The appearance of humps or depressions
- The nasal tip position
- Nostril size
What occurs during the rhinoplasty procedure?
Before the surgery begins, you will be administered general anesthesia. Then, during the procedure, Dr Beale will make incisions to access both the bones and cartilage of your nose. Then, depending upon your overall surgery goals, he will either add or remove bone cartilage to change the nose’s appearance, form, and/or function. In some cases, a cartilage graft is used to remodel the tip, while fillers and fat grafts can help add volume.
Who is a good candidate for rhinoplasty?
Regardless of the type of cosmetic surgery you are pursuing, it is important to be mentally, physically, and emotionally stable. Due to the fact that rhinoplasty provides a long-lasting change in appearance, it is imperative to understand the process of the surgery and be sound in your decision to follow through with the procedure.
If you have any reservations regarding rhinoplasty, or only want minor changes done, then you should address these concerns during your consultation with Dr Beale. You may be more suited for non-surgical rhinoplasty. Remember, everyone’s nose changes over time, so waiting until you are older to schedule surgery may be appropriate.
Specifically, a good candidate for rhinoplasty is:
- Someone whose facial growth is complete
- Someone who is healthy (mentally, physically, emotionally)
- Someone who has a positive outlook and realistic goals
How long does it take to recover from rhinoplasty?
Following rhinoplasty, both swelling and bruising are normal side effects and will last for several days. During the recovery period, it is important to have patience, as your body will heal on its own accord. Besides swelling and bruising, you may also experience black eyes.
A week or so after surgery, your cast/nasal packing will likely be removed, allowing you to breathe and sleep better, as well as blow your nose. Another 10 to 14 days later, you should be able to return to work, school, and other daily activities. However, you should still avoid any strenuous actions and exercises, until permitted by your doctor.
Does rhinoplasty hurt?
Because pain is subjective, whether or not rhinoplasty will hurt ultimately depends on each individual. While it is normal to feel discomfort following surgery, your doctor can prescribe medication to help soothe you. It is best to follow your doctor’s instructions, both before and after surgery. In doing so, it is more likely that the surgery will go smoothly, resulting in less pain and/or discomfort.
Is rhinoplasty safe?
Rhinoplasty has been proven to be a common, safe cosmetic procedure. Though, with any type of major surgery, there is always the possibility of risks and unforeseen complications. Yet, these risks and/or complications are less likely to occur when the procedure is performed by an educated and trained professional.
Possible (yet rare) risks of rhinoplasty can include bleeding, bruising, infection, and difficulty breathing.
What is the cost of rhinoplasty?
The price of rhinoplasty can change from patient to patient, depending on a variety of factors, including the specific surgery performed. During your initial consultation with Dr Beale, you can discuss your goals for the surgery, which will allow you to receive a more detailed estimate of the cost.