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Rhinoplasty in Dallas
Your nose can be the focal point of your face, or a pleasant feature fully adapted to your natural appearance. The problem arises when your nose is out of harmony with the rest of your facial features. Nose size, shape, or irregularities can have an adverse effect to your general appearance. Or there could be a physical problem which causes distress with your breathing. Whether functional or aesthetic, rhinoplasty may be the solution to the problem with your nose.
What is Rhinoplasty (Nose Job)?
Rhinoplasty (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 and nasal structural integrity maintained.
Rhinoplasty, also known as nose surgery, 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 in this minute measurement.
Dr. Evan W. Beale is a rhinoplasty specialist in Dallas who is fellowship trained in craniofacial plastic surgery. His skill level has been reached after many years of experience.
Call us for an appointment to discuss how a rhinoplasty in Dallas can restore balance and harmony to the face.
Rhinoplasty is a personal decision for Dallas residents 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 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 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 in Dallas 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! ~ Dallas
What to Expect During Rhinoplasty
Rhinoplasty is performed using general anesthesia or a local anesthetic with IV sedation in one of Dallas’s fully accredited surgery centers used by Dr. Beale. A closed rhinoplasty or an open rhinoplasty technique will be used, depending on your surgical plan devised during your consultation.
A closed rhinoplasty is performed inside the nostrils. An open rhinoplasty is performed with a small incision on the columella below the tip of the nose. This incision will become inconspicuous with time as the incision line heals. A warped nose or revision rhinoplasty demand the open technique due to the access needed. Dr. Beale will discuss with you the technique necessary during your initial visit.
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 eliminating 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 is often performed simultaneously with rhinoplasty. Septoplasty is the removal of the mucous membrane lining from the cartilaginous and bony septum. The crooked (deviated) portions are pinpointed and removed with care to preserve enough for support and structure of the nasal cavities.
Then the mucous membranes are re-estimated and sutured together, eliminating 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 packing has caused many Dallas patients.
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.
When necessary to reduce wide nostrils (flared), 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.
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.
Call us for an appointment to discuss how a rhinoplasty in Dallas can restore balance and harmony to the face.
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 be a functional procedure too. Functional rhinoplasty’s purpose is to improve breathing.
What’s the difference between functional rhinoplasty and cosmetic rhinoplasty?
Functional rhinoplasty addresses the main function of the nose – breathing. Cosmetic rhinoplasty addresses aesthetic problems. If both solutions are needed, the procedures can be done simultaneously.
During a functional rhinoplasty, if any cosmetic problems are identified, Dr. Beale will address these simultaneously with the aesthetics. He performs every nose procedure with a goal of maintaining or improving nasal function while enhancing your facial appearance.
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.
Does functional rhinoplasty change my appearance?
This is a common question asked by our Dallas patients during consultation. The answer will depend on your desired result from the procedure. Frequently, we can improve the airway without making noticeable changes to the outward appearance of the nose.
More often, patients want to have an aesthetic and functional improvement to their nose. This is possible, as is improved breathing without a change in appearance.
Recovery Period for Rhinoplasty in Dallas
- You may experience some discomfort which can be controlled with prescribed medication.
- 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.
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 check up 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. ~ Dallas, Tx.
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 right credentials. Board-certification is a must and they 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.
Why Dr. Evan Beale for Rhinoplasty
Beautiful results with a natural appearance are the outcome Dr. Beale strives to achieve. He is not of the one size fits all mentality when it comes to aesthetic surgery, but focuses on your unique anatomy to retain your individuality. His approach to plastic surgery is one of precision and art, combining technical skill with the latest advanced methods to achieve optimal results.
Dr. Beale grew up in Dallas. The native Texan received his BS in biology from Washington and Lee University where he graduated cum laude. He attended University of Texas Health Science Center where he was a member of the surgery honors program and was elected to the Arthur P. Gold Humanism in Medicine Society. From there he served as Administrative Chief Resident at Southwestern Medical Center and was a recipient of Resident Excellence in Teaching Award. He has also completed a fellowship in Craniofacial and Pediatric Plastic Surgery at Medical City Dallas Children’s Hospital.
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! ~ Dallas, TX
Do you have questions or concerns regarding rhinoplasty? Below, you will find a list of frequently asked questions often asked by potential patients, 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 of the nose is generally 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 takes place during the rhinoplasty procedure?
Before the surgery begins, you will most likely be administered general anesthesia. Then, during the procedure, your doctor will make incisions to access both the bones and cartilage of your nose. Then, depending on your overall surgery goals, the doctor 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 with your doctor. 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 to partake from 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 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 the bleeding, bruising, infection, and difficulty breathing.
Is rhinoplasty expensive?
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 your doctor, you can discuss your goals of the surgery, which will allow you to receive a more detailed estimate of the cost.
Call our Dallas office for an appointment to discuss how rhinoplasty can restore balance and harmony to the face.