Wednesday, April 29, 2015

Rhinoplasty for crooked nose

Rhinoplasty or nose job surgery is one of the more difficult procedures in plastic surgery. There are a lot of moving parts to the nose with cartilage, bone, and soft tissue involved. There may not only be changes that need to be made to the outside appearance of the nose, but also to the inside airway. A deviated septum or enlarged turbinates may need to be addressed with septoplasty and turbinate reduction respectively.

The crooked nose is one of the hardest noses to make and keep perfectly straight, simply because cartilage has memory. If you pull your nose or ear over, it pops right back to its original position. There are many procedures and maneuvers in rhinoplasty to straighten the nose, but how the cartilage is going to heal is unknown. I tell all my crooked nose patients that their nose will be perfectly straight on the operating room table. However, I cannot predict what mother nature has in store for healing. The only thing that can be promised, is that the nose will be straighter. It may or may not lose a small amount of correction. Most if not all patients are very understanding of this.

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

Sunday, April 12, 2015

When can I have revision rhinoplasty?

Rhinoplasty is a procedure that takes a good amount of time to heal and allow all swelling to go down. The open rhinoplasty approach is performed by lifting the skin off the cartilage and bone and reshaping those structures. The skin then needs to contract over this new bony and cartilaginous framework. During the healing process after rhinoplasty, a layer of scar tissue forms between the skin and the mentioned framework. This scar tissue layer takes time to settle down and become organized and smooth. The skin takes time to contract down.

I tell patients with normal thickness skin that the swelling from rhinoplasty typically goes down about 25% after 3 weeks, 50% after 6 weeks, but will take a full year to completely go down. The tip skin is the thickest and typically takes the longest to contract and settle.

For thicker skinned patients, it may take 1.5-2 years for the swelling to completely settle down.

It is typically recommended to wait the full healing time before pursuing revision rhinoplasty to allow the nose to “declare itself”. You do not want to have two healing processes ongoing under the skin. That being said, if there is still a glaring dorsal hump after the primary rhinoplasty 6-9 months postop, the chances of that going down are low so you could theoretically have a revision rhinoplasty earlier for this.

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

Friday, April 3, 2015

How much does rhinoplasty cost in Houston?

The cost of rhinoplasty can vary from region to region within the United States and even in Texas. Rhinoplasty in Houston costs can also vary depending on the complexity of the nose surgery, the experience of the surgeon, and whether insurance is involved for functional or breathing issues such as a deviated septum, enlarged turbinates, or nasal valve collapse.

The complexity of the nose can vary based upon how much work may be necessary. Some patients require a simple nasal hump reduction while others may require hump reduction, base reduction, rotating the tip, refining the nasal tip, or straightening a crooked nose. Lastly, there are the revision rhinoplasty patients where complexity takes on a whole new meaning as other areas of cartilage may be needed such as ear cartilage or rib cartilage for the nose surgery.

Incorporating your insurance into the rhinoplasty or nose job procedure will not only abate the surgeon’s fees but will also help with the facility and anesthesia fees for rhinoplasty. If the insurance company can cover the functional aspects of the procedure like septoplasty or turbinate reduction, this can help fray the cosmetic costs of rhinoplasty.

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