Every patient may have a different goal when considering rhinoplasty (nose job) or nose surgery. You may be seeking to reduce a nasal hump or bump, make a crooked nose straight, narrow a wide nose, refine a bulbous tip, or rotate a tip that hangs down to much. You might also have breathing problems due to a deviated septum, large turbinates, or valve collapse. Rhinoplasty or nose surgery is one of the most commonly performed surgeries by Houston facial plastic surgeon, Dr. Etai Funk. Dr. Funk focuses not only on improving the appearance and proportion of your nose but also enhancing facial harmony and self-confidence. The American Society of Plastic Surgeons states that most plastic surgeons perform on average 11 rhinoplasties per year. As one of of Houston's top rhinoplasty surgeons, board certified surgeon Dr. Etai Funk performs over 100 rhinoplasties in Houston per year for both cosmetic and functional purposes.
Rhinoplasty, though a common procedure these days, requires an exacting knowledge of the structure and the function of the nose. Some believe that rhinoplasty is the most difficult type of plastic surgery simply because every nose is different. In addition, there are close to 200 types of maneuvers, grafts, and suturing techniques described to change the shape of the nose. This organ possesses three-dimensional qualities that must be respected and maintained. The intricacies and nuances of rhinoplasty can be overwhelming and a surgeon must be well trained in this specialty.
This is a question that many patients likely ask themselves. Is rhinoplasty worth the one week recovery? Is it worth the discomfort postoperatively? Is it worth the cost? Is it worth the risk of undergoing surgery? Ultimately, this is a question you must answer yourself. However, many of Dr. Funk's patients have stated that they had wished they had the surgery long earlier after realizing how much they loved their new nose and how tolerable the postop period was. When shown their result, may of Dr. Funk's patients have said, "In my mind, this is the nose I always thought I had". Dr. Funk has had many patients cry and shed tears of joy at 8 days after their tape is removed as their nose had caused them such angst and insecurity throughout their lives. He has seen teenage girls develop significantly more confidence postoperatively and other patients have stated they never feel shy in front of the camera or are afraid of getting a profile photo taken. Rhinoplasty or nose reshaping is a surgery that has changed the lives of many of Dr. Funk's patients.
Dr. Funk will sit down and thoroughly discuss your cosmetic concerns and goals for rhinoplasty. He will ask questions regarding any breathing or internal nose issues you may have. Dr. Funk will then examine your nose (both inside and out!) and explain why you may be having breathing issues due to a deviated septum, enlarged turbinates, or valve collapse. Photographs will then be taken and you will review these with Dr. Funk extensively. Digital rendering of what your nose may look like after surgery will be performed to your liking. This will allow you to get an idea of what rhinoplasty can do for you and of Dr. Funk's aesthetic sense. Rest assured, you will have plenty of time to sit down, discuss things at length, and feel comfortable with Dr. Funk.
Rarely do we hear comments like, "She has a beautiful nose!". We are meant to notice people's eyes, lips, and hair. These are the features we continuously focus our attention to with models, actors, and actresses. Those of us who do focus on others' noses may be unahppy with our own nose. This self conscious feeling about our nose may come and go throughout our life, but ultimately will prevail. Patients seeking rhinoplasty will frequently state during their consultation, "I have never liked my nose".
Although the nose may sit in the middle of the face, it should really be invisible. Our attention should not be drawn to the nose. A nose that is crooked, has a bump or hump, is too long or too wide, or even one that looks operated, can distract from the features we want people to notice like our eyes. It is said that a a good rhinoplasty is not seen in the nose but in the eyes. It is important to obtain a natural and unoperated result with rhinoplasty which is something Dr. Funk prides himself on.
Rhinoplasty before and after by Houston surgeon Dr. Funk. This patient also had a septoplasty for a deviated septum and sinus surgery for sinusitis.
What is recovery like after Rhinoplasty?
Rhinoplasty or nose surgery is NOT a painful procedure. Patients will describe it as being uncomfortable for the first two days and by day three they start feeling better. Many of Dr. Funk's patients will only take one prescribed pain pill and some require none!
Dr. Funk DOES NOT USE PACKING after rhinoplasty. Dr. Funk feels that by using good surgical technique and controlling the blood pressure during and after surgery, packing is not needed. Packing can lead to more pain and discomfort for patients and is frequently unnecessary.
You may have a small amount of bruising and swelling around the eyes after surgery. Dr. Funk's regimen of herbal remedies and cold Swiss therapy gel masks helps decrease this after nose surgery.
Recovery is eight days. On day six after surgery, Dr. Funk will remove your cast and some stitches. He will retape your nose and on day eight after surgery he will remove that tape and all the stitches. You are social at this point! Most if not all of your bruising is gone by then. The nose will be swollen at this point but not noticeable to others. As the months pass by, your swelling will decline. At 3 weeks, 20-30% of swelling is down. At 6 weeks 50-60% of swelling has abated. It will take a full year for all the swelling to subside. However, most of Dr. Funk's patients are thrilled with the appearance of their once the tape comes off and know it will only get smaller over time.
Rhinoplasty Before and After Houston Facial Plastic Surgeon Dr. Etai Funk
What happens when I have my nose surgery?
You will check in at the facility where Dr. Funk performs rhinoplasty and they will start an IV. Rhinoplasty is done under general anesthesia and takes about 2 hours depending on the complexity of the nose. Dr. Funk will make a small incision between your nostrils and the rest of the incisions are on the inside of the nose. When you awaken after your rhinoplasty, you will have a small cast on your nose, a Swiss therapy gel mask over your eyes and a guaze drip pad under your nose to catch any drainage. Expect discomfort but not a lot of pain after nose surgery. You may have some bruising under and around your eyes which should resolve within the week. Once the cast and tape come off, expect to have some swelling. This will last for weeks, but you WILL see a dramatic improvement after surgery. As the swelling resolves, your nose will look better and better. It simply takes time for the skin to readhere and redrape over the new cartilage and bony framework.
Refining a boxy or bulbous nasal tip with rhinoplasty or nose surgery by Houston facial plastic surgeon Dr. Etai Funk
What does Rhinoplasty cost?
This is a common question amongst many rhinoplasty patients. If you have breathing problems due to a deviated septum, allergies, or repeated sinus infections that require surgery, this portion of your surgery will be paid by your insurance (depending on the extent of your benefits). This will fray the cost of cosmetic fees for the facility where Dr. Funk performs surgery and the anesthesia fees. The majority of their bill will be paid by your insurance company (again, depending on your insurance benefits).
However, if you are interested in making cosmetic changes to the appearance of your nose such as addressing a hump or bump, refining the tip, making the nostrils smaller, or narrowing the nose, this will not be covered by insurance. There will be surgeon's, anesthesia, and facility fees for these aesthetic changes that you may desire.
Rhinoplasty, Septoplasty for Deviated Septum
How do I know Dr. Funk is the best rhinoplasty surgeon for me?
Choosing the right plastic surgeon is a personal decision. The first step is to confirm that surgeon's credentials and assure that they are board certified. Dr. Funk is double board certified in ear, nose, and throat surgery, and facial plastic surgery. He can therefore address your breathing issues and any cosmetic concerns you may have. Next, it is important to read that surgeon's website. Understand that surgeon's philosophy on rhinoplasty and aesthetics. In addition, assure that the surgeon has been trained appropriately at the proper instituitions. Lastly, it is important to review that surgeon's work. If the photo gallery has 20 before and after photos of breast augmentation and 2 rhinoplasties, they may not be as experienced with rhinoplasty as they are with other procedures. Assure you like the before and after results for in the rhinoplasty photo gallery.
The next step is the consultation. Did you get enough time with the plastic surgeon? Did you feel comfortable with the surgeon? Were you confident of their skills and plan for your nose surgery? Did you like his/her digital enhancement of your nose and did the surgeon do it themselves or a staff member? Did you feel at ease with the staff and did they explain the quote and your benefits effectively? Did you leave the surgeon's office excited for your rhinoplasty? Were all your questions answered?
It is also important to know how many rhinoplasties per year your surgeon performs. The average plastic surgeon performs under 20 nose surgeries per year. Dr. Funk performs close to 150 rhinoplasties per year. The majority of these are combined functional or breathing with cosmetic surgery. Nose surgery is Dr. Funk's specialty and he receives many referrals from other plastic surgeons in Houston for difficult rhinoplasty surgeries or complex noses.
Patient after nose surgery for deviated septum and cosmetic changes. Patient also underwent chin implant.
Does Dr. Funk perform open or closed rhinoplasty?
Dr. Funk performs both open and closed rhinoplasty in Houston. He does feel that the open approach allows for better visualization of the bony and cartilaginous framework and allows for more precise graft and suture placement. This ultimately leads to a more predictable and improved result. Although there is a little more initial swelling with the open approach, Dr. Funk feels that the final result is well worth the wait to be able to assure you get the outcome you desire from you nose surgery. The external approach does leave a very small scar between the nostrils, but Dr. Funk has yet to have a patient complaint abou this scar. He closes this incision meticulously and it is almost completely unnoticeable at one month after rhinoplasty.
Patient before and after nose surgery and correction of deviated septum with septoplasty.
Is there packing after Rhinoplasty?
Dr. Funk does not use packing after rhinoplasty or nose surgery. Packing can lead to unnecessary discomfort and pain. Dr. Funk feels that by using careful surgical technique along with controlling the blood pressure and heart rate effectively, packing can be avoided in almost all cases.
Is Rhinoplasty permanent?
Many plastic surgery procedures will require repeat surgeries in the future. A facelift does not stop the aging process and will last 10-15 years. Another facelift will likely be needed at that point. Breast augmentation may require implant exchange every 10 years. However, the results of a rhinoplasty are permanent. Once the swelling has completely subsided, the grafts that are placed and scarring that has occurred will be subject to the effects of aging and gravity like the rest of the face and body. Unless you are unahppy with your result and are desiring revision rhinoplasty, repeat nose surgery is quite rare after a successfull primary rhinoplasty.
Patient after rhinoplasty, nose surgery, and septoplasty for functional and cosmetic nasal concerns.
What kind of result can I expect from Rhinoplasty?
Dr. Funk's prides himself on creating a natural appearing nose after nose surgery. One that fits your face and blends in easily with your face allowing attention to be drawn to your eyes, hair, and lips. A nose can distract attention away from these features when it is a crooked nose, has a hump, AND if it looks operated. The last thing you want is someone looking at you and the first thing they think is "nose job!".
Patient with deviated septum and nasal hump before and after rhinoplasty or nose job and septoplasty.
Will Dr. Funk show me what my nose might look like after surgery during the consultation?
Dr. Funk does perform digital enhancement of your photographs during your consultation. This will provide you with an idea of what your nose may look like after surgery. At this time, you can have input as to how you might want your nose to look like. Dr. Funk will aslo provide his aesthetic opinion and explain what he would be capable of with rhinoplasty.
This patient had breathing, crusting, and whistling issues with her nose. She also desired cosmetic changes to the appearance of her nose. Rhinoplasty combined with septal perforation repair was performed and a deviated septum was corrected. Aesthetic changes were made as seen.
I had a bad nose job. Can Dr. Funk fix this?
Dr. Funk is a revision rhinoplasty expert in Houston. 20-30% of his rhinoplasties are revisions due to an undesired result from a previous surgery with a different surgeon. Please go to our revision rhinoplasty page and read about some of our patients issues and results.
Can Dr. Funk fix my crooked nose?
A crooked nose due to trauma, pubescent growth, a deviated septum, or misplaced cartilage can distract significant attention from the features of your face you want people to notice. You do not want people staring at your nose, but want them to concentrate on your eyes, lips, or hair. A deviated nose or canted nose can be fixed with controlled fractures of the bone and cartilage grafting.
A patient with a crooked nose who desired a much smaller nose with hump reduction. Sinus surgery was also performed.
Nose surgery or Rhinoplasty for patient with bulbous or boxy tip and nasal hump. Neck Liposuction also performed.
Patient who underwent rhinoplasty, septoplasty, and sinus surgery.
Patient after rhinoplasty for nasal hump, droopy nasal tip, and crooked nose.
Nose surgery or rhinoplasty for bulbous tip and hump. Septal perforation also repaired.
Patient with nasal hump and bulbous tip before and after rhinoplasty with submental liposuction for her neck fullness.
Patient with severeley deviatated septum requiring septoplasty and sinus surgery. Rhinoplasty was performed to improve hump and hanging tip.
This patient had hump and wide bridge of her nose. Rhinoplasty was performed to take down her hump and narrow her nose more.
This patient had droopy tip that was also boxy. She had a nasal hump. Rhinoplasty and neck liposuction were performed with natural results.
This patient had a boxy nasal tip and a small hump. She desired a natural unoperated appearance to her nose. Nose surgery was performed with natural results.
This patient disliked her crooked nose and did not like her nasal hump. She felt she had a droopy tip and also felt her nose was too big. Rhinoplasty performed.
This patient had a crooked and bulbous nasal tip. She had a wide bridge of her nose as well. Rhinoplasty improved these issues.
This patient had a crooked nose with a bulbous tip or wide tip and a small hump. She desired a more feminine nose. Rhinoplasty was performed with natural results.
This patient desired cosmetic and functional changes to her nose with rhinoplasty. She had a nasal hump which was taken down and a deviated septum which was corrected.
This patient desired cosmetic and functional changes to her nose with rhinoplasty. She had a crooked nose with a nasal hump or bump on her bridge. She also had a deviated septum and valve collapse which was corrected with septoplasty and cartilage grafts.
This patient had previous surgery on her nose and was unhappy with the appearance and her breathing. She desired a more feminine nose. Rhinoplasty was performed with natural results and improved breathing through her nose.
Rhinoplasty or nose job performed by Houston facial plastic surgeon Dr. Funk.
Before and after photos of a patient after rhinoplasty or nose job.
Patient before and after rhinoplasty for nasal hump and crooked tip. Otoplasty and Sinus Surgery were also performed.
Patient with crooked nose and nasal hump and deviated septum.
This patient had a bulbous tip and nasal hump. Rhinoplasty was performed.
This patient had an ill defined nasal tip and wide bridge of her nose. She desired a more feminine nose. Rhinoplasty was performed with natural results.
This patient had a crooked nose with a very bulbous tip or wide tip and a hump. Rhinoplasty and chin implant performed.
This patient had small nasal hump. Rhinoplasty was performed.
Etai Funk is a Houston plastic surgeon specializing in the face. He is a board certified, fellowship trained, facial plastic surgeon. He practices in Houston, Texas treating patients from Katy, Memorial City, Memorial, The Woodlands, Spring Cypress, and Sugarland. Dr Funk also sees many international patients for plastic surgery in Houston and from all over the US.