Saturday, July 27, 2013

Nose surgery for deviated septum

Nose surgery for a deviated septum can be fairly straightforward when the nasal septal deviation is minor. However, when there is a severe septal deflection that is extending into the nostrils and causing nostril asymmetry, repair becomes more difficult.

This is called a caudal septal deformity and must be corrected in order to improve breathing. This is done using numerous techniques. The open rhinoplasty approach is easiest to address a severe caudal septal deviation. This allows me to see the septum from above and secure it effectively. The septum may need to be shortened and resutured to the bone above the teeth. Sometimes, a small piece of bone is taken from the back of the septum and used to brace the cartilage in the front and keep it stiff and straight. A last resort would be to completely take the deviated portion of the septum out and use a straight piece of septum to replace this deviated one. This is a complex maneuver that requires PDS plate or a bone graft to bridge the new cartilage to the old.

Dr. Funk is a double board certified ear, nose, and throat surgeon and facial plastic surgeon who specializes in septoplasty and rhinoplasty for a deviated septum.

Thursday, July 18, 2013

Rhinoplasty Most Common Facial Plastic Surgery

I was recently quoted in Houston on how rhinoplasty or nose job surgery has become the most common cosmetic facial plastic procedure as reported by the American Academy of Facial Plastic and Reconstructive Surgery. There has been a surge in male rhinoplasty and close to 1/3 of rhinoplasty patients today are men. The average facial plastic surgeon performed 37 rhinoplasties in 2012 and average plastic surgeon performs 11. I have found that I perform close to 100 rhinoplasties per year and this continues to grow. Many of these patients have functional nasal breathing issues in addition to their cosmetic concerns.

The amount of rhinoplasty surgeons has been declining throughout the years. It is important to choose a board certified surgeon with much rhinoplasty experience for your surgery.

Dr. Funk is a double board certified facial plastic and ear, nose, and throat surgeon in Houston, TX.

Sunday, July 7, 2013

Nose surgery for Reconstructing the Nasal Tip after Bite Trauma

This week I performed rhinoplasty or nose surgery to reconstruct a patient’s nasal tip after bite trauma years prior. The patient had multiple nasal surgeries to attempt reconstruction with skin grafts and cartilage. However, the nose still looked quite distorted and the patient continued to have breathing issues with a deviated septum.

Nasal reconstruction required removal of the entire nasal tip skin which had significant scarring, contour deformities, and discolored, patchy skin grafts. The tip also lacked significant projection and needed to be built up with cartilage grafts.

Fortunately, after performing septoplasty, the patient had some septal cartilage remaining that I was able to use in addition to her ear cartilage to rebuild the tip.

Next, I rotated a forehead flap of skin to resurface the entire nasal tip. The next step will be to detach the forehead flap in 3 weeks.

Dr. Funk is a double board certified facial plastic surgeon who specializes in rhinoplasty and facial reconstruction.