Saturday, December 26, 2015

Septal Perforation repair with revision rhinoplasty

The most common cause of a septal perforation is previous nasal surgery with or without rhinoplasty. Patients who see me for revision rhinoplasty may require a septal perforation repair at the same time.

Depending on the size of the perforation, it may be possible to close it during revision rhinoplasty. This may require ear fascia or ear cartilage during the procedure.

Revision rhinoplasty is a complex procedure which is only made more difficult with a need for septal perforation repair. Both of these procedures should be tackled by an experienced and skillful rhinoplasty doctor.

Dr. Funk is a top rhinoplasty doctor in Houston.

Sunday, December 20, 2015

Balloon sinus surgery

Patients who have recurrent sinus infections and are seeking sinus surgery in addition to rhinoplasty or sinus surgery alone may have heard of balloon sinuplasty or balloon sinus surgery. This is where a small balloon is used to fracture the small thin bone at the opening between the sinus and the nose widening this opening and allowing mucus to exit into the nose more easily. This therefore helps prevent further and more extensive sinus infections.

Balloon sinuplasty is an excellent option for those patients who have recurrent sinus infections but don’t have significant findings on their CT scan. Balloon sinuplasty can easily be done at the same time as rhinoplasty or revision rhinoplasty.

Dr. Funk is a top nose surgeon in Houston.

Sunday, December 13, 2015

Rhinoplasty for the crooked nose

Rhinoplasty for a crooked nose is one of the more difficult noses to fix. This is due to multiple reasons. One is if there are facial asymmetries. It is difficult to create a perfectly straight nose on a face that is not symmetric. 97% of us have facial asymmetries so we can only get so straight.

Additionally, cartilage has memory. If the nose is perfectly straight on the operating table (or as straight as the facial assymetries allow), one cannot control the wound healing process. Despite placing certain sutures, grafts, fracturing the bones, and a cast, the cartilage may want to move back towards its original position and lose some correction. Patients must understand that their nose may stay perfectly straight, but have to agree to at least having a straightER nose long term.

Dr. Funk is a facial plastic surgeon specializing in rhinoplasty surgery in Houston.

Monday, December 7, 2015

Rhinoplasty and turbinate reduction

During rhinoplasty, a turbinate reduction is frequently performed at the same time. The turbinates are structures that moisten the air as it passes through the nose. They can also become quite swollen during an allergy attack and lead to significant congestion, post nasal drip and obstruction.

With inferior turbinate reduction, the lateral aspect and bone of the turbinate is removed leaving the medial mucus producing size. This way, the turbinate can still function but will not be able to swell as much with allergies.

It is important not to over-resect the turbinates as they are critical to preventing a dry nose and creating “turbulent” flow of air in the nose to give the air time to be warmed and humidified.

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