Saturday, December 31, 2016

Identifying a nose job

A good rhinoplasty is not seen in the nose, but in the eyes. That is to say, the nose is not an object to which attention should be drawn, but rather overlooked…A good nose job in Houston is one where someone cannot tell you had a rhinoplasty. People may look at you and say, you look different. Something has changed about your face.

There are times when you can tell someone has had a rhinoplasty. If the cartilage has been overreacted the tip may be too pinched. If too much of the bridge is taken down, the rhinoplasty patient may have an overly slooped nose or operated appearance. This is especially telling in an ethnic/Middle Eastern rhinoplasty patient where they naturally rarely have a sloped profile.

Rhinoplasty should create a natural, more balanced, and softer nose so that attention can be placed more on the features that should be focused on such as the eyes, hair, cheeks, and lips.

Dr. Funk is a top rhinoplasty surgeon in Houston.

Saturday, December 24, 2016

Revision Rhinoplasty policy

I frequently get asked by rhinoplasty patients, what is your revision rhinoplasty policy? That is to say, what if the patient is unhappy after their rhinoplasty and wants a revision rhinoplasty? This is a fair question that is typically not need to be addressed, fortunately.

First, I have to say that my revision rhinoplasty rate is about 2-3% of the primary rhinoplasties I perform. And typically these revisions are pretty minor with the patient desiring a little more taken off the bridge or one of the bones did not heal properly after the controlled fractures/osteotomies.

In order to consider revision rhinoplasty after a primary rhinoplasty or nose job, three criteria must be met. First, the patient has to be unhappy with something after their rhinoplasty. Second, I have to be able to identify the issue of concern. Lastly, the issue must be something that can be corrected.

If the nose has completely healed and sufficient swelling has subsided after the initial rhinoplasty - typically 1-1.5 years, and the previously mentioned criteria have been met, revision rhinoplasty can be considered.

Our policy is that there will be no surgeon’s fees charged for the revision but you as the patient would be responsible for the facility and anesthesia fee.

Dr. Funk is a board certified facial plastic surgeon and a top rhinoplasty surgeon in Houston, TX.

Sunday, December 18, 2016

Revision Rhinoplasty Scar

Patients desiring revision rhinoplasty may have concerns regarding their scar from open rhinoplasty or their scar around the nostrils from alar base reduction or nostril narrowing. The open rhinoplasty approach requires an incision between the nostrils in the columella. This scar typically heals quite well and is not very visible after rhinoplasty.

The alar base scars or scars around the nostrils may not heal as well or take longer to heal as this is a much thicker skinned area. In addition, this incision is typically under more tension as skin and soft tissue is removed and then needs to be brought together to close a hole in comparison to the mid columellar incision which is not under tension. Any one of these scars could be revised during rhinoplasty.

Dr. Funk is a revision rhinoplasty expert in Houston.

Saturday, December 10, 2016

Is rhinoplasty a nose job?

Rhinoplasty comes from the latin term of changing the shape of the nose. The goal in cosmetic rhinoplasty is to change the external shape of the nose to create a more aesthetically pleasing nose. This is the the definition for the lingo or slang nose job. However, changing the inside shape of the nose, which can be termed functional rhinoplasty, is also a form of rhinoplasty. However, speaking as a facial plastic surgeon and rhinoplasty surgeon, rhinoplasty is typically the cosmetic surgery to change the shape of the nose.

Dr. Funk is a top rhinoplasty surgeon in Houston, TX.

Tuesday, November 22, 2016

Will Insurance pay for Rhinoplasty?

Many of my Houston rhinoplasty patients will ask if insurance will pay for their rhinoplasty. This will depend on any functional issues the patient may have and what is found on physical exam. If you have breathing issues or recurrent sinus infection and are found to have a deviated septum, turbinate enlargement, valve collapse or a CT scan demonstrates sinus issues, these are functional issues that can be billed towards your insurance. However, the cosmetic portion of your surgery such as straightening the nose, taking down a hump, narrowing the nose, refining the tip, or bringing in the nostrils is not covered by insurance.

Whether to utilize your insurance will depend on your benefits such as your deductible and out of pocket. Most rhinoplasty surgery will include septoplasty in order to obtain cartilage for grafting purposes. Therefore, if you are not planning on using your insurance yet have a deviated septum, this will still be fixed at the time of your rhinoplasty.

Dr. Funk is a top rhinoplasty surgeon in Houston, TX.