Thursday, December 20, 2012

Deviated septum and Septoplasty

During rhinoplasty, aka nose surgery, a septoplasty may need to be performed to correct a deviated septum. A deviated septum may occur due to numerous reasons such as trauma, pubescent growth, or passage through the birth canal during labor. Correcting a deviated septum during rhinoplasty is done by removing the deviated portions of septum and bone. Other curvatures are addressed by scoring or weakening the cartilage, bracing it with a bone graft or PDS plate, and even possible replacing the deviated portions of septum with straighter ones. Your surgeon should be trained both in the functional and cosmetic aspects of rhinoplasty to be able to correct these issues.

Dr. Funk is a nose surgery expert in Houston, TX.

Tuesday, December 11, 2012

Rhinoplasty for Persian or Iranian nose

Rhinoplasty or a nose job for a Persian or Iranian nose is quite common both in Houston, the United States, and in Iran. I have all too often seen Iranians who have obviously had cosmetic nose surgery or rhinoplasty. They may have a sloop the bridge of their nose, the tip may be pinched, and knuckled cartilage may be showing. The nose is frequently left too long and has an operated appearance.

Rhinoplasty or nose surgery should provide natural changes. The nose should not be noticed on the face. It should not draw attention, whether due to surgery or natural causes. The human eye should not be distracted by the nose when looking at one’s face and concentrate on one’s eyes, lips, hair.

I think it is essential to assure that Iranian rhinoplasty provides a natural result and one that does not give the appearance that the patient has had surgery.

Dr. Funk is a rhinoplasty specialist in Houston, TX.

Sunday, December 2, 2012

Rhinoplasty or nose job for wide base

Rhinoplasty or nose surgery can be performed for someone with a wide base of the nose or wide nostrils. This is a common procedure for patients of ethnic background such as African-Americans, Hispanics, and even some Caucasians. Alar base reduction is performed by making small incisions in the nostril sill and around the ala to remove the excess tissue and narrow the base. These incisions actually heal quite well and scar very little. This can narrow the base of the nose, narrow the nostrils, and also reduce nostril flare.

Dr. Funk is a rhinoplasty specialist in Houston, TX and performs close to 100 nose surgeries per year.

Sunday, November 25, 2012

Rhinoplasty for Cleft Lip

Rhinoplasty or Septoplasty in a patient with a history of a cleft lip repair can be more tricky due to inherent asymmetry in the nasal tip cartilages and the septal cartilage. The nasal tip cartilage on the cleft side is typically depressed and leaning to this side. The nostril is typically more collapsed on the cleft side and the septum is typically deviated to the cleft side.

It is important to support this tip cartilage on the cleft side with strut grafts made from cartilage and suturing techniques. It is also important to center the cartilaginous septum which is typically tilted onto the cleft side obstructing the nasal airway on this side and leading to an asymmetric nostril.

Rhinoplasty can be difficult due to the lack of cartilage for grafting purposes. At times, ear cartilage may be necessary to reconstruct the nose.

Dr. Funk is a facial plastic surgeon and rhinoplasty specialist in Houston, TX.

Monday, November 19, 2012

Revision Rhinoplasty with Deviated Septum

Rhinoplasty alone is one of the most difficult operations in plastic surgery due to the need to shape a 3 dimensional object by carving, grafting, and manipulating cartilage, soft tissue, and bone. All the while, respecting or improving function or breathing is critical during this operation. Revision rhinoplasty is even more difficult as much of the remaining cartilaginous framework may be missing. Septal cartilage for grafting purposes may be missing. There is significant scar tissue under the skin making the dissection that much more difficult. Lastly, scar will be healing on top of old scar making the results not quite as predictable.

Revision septoplasty can also be quite difficult as there may only be fragments of septum remaining and the septal cartilage may be so warped or curved, advanced techniques may be necessary to straighten it. These include the use of spreader grafts, PDS plate, bone grafts from the bony septum to the cartilaginous septum, or ear cartilage. Sometimes the entire deviated septum needs to be removed, straightened and then replaced during revision septoplasty.

Dr. Funk is a Houston facial plastic surgeon specializing in revision rhinoplasty and septoplasty.