Monday, May 14, 2018

What causes a bulbous tip?

Many of my Houston rhinoplasty patients complain of a bulbous tip and would like a more refined elegant nasal tip. A bulbous tip in rhinoplasty is usually due to wide tip cartilages or nasal tip cartilages that overly convex or have too much “spring” to them. The separate nasal tip cartilages may also be too wide apart.

Refining the bulbous nasal tip cartilages can be done by trimming the cartilage and reshaping them. Sometimes the nasal cartilages need to be divided and overlapped to remove the spring component. Stitches are also placed in the cartilages to refine the tip and bring the cartilages together.

Dr. Funk performs rhinoplasty surgery in Houston, Texas.

Sunday, May 6, 2018

Nostrils asymmetric after rhinoplasty

Many of my Houston rhinoplasty patients want to know if their assymetric nostrils will be identical after surgery. Assymetric nostrils could be due to a deviated septum, trauma, cartilage malposition, or a cleft lip. During rhinoplasty, all the incisions are made around the nostrils and an incision will contract to form a scar. As these incisions contract, the may cause minor asymmetries in the nostrils. That is why as a surgeon, it is sometimes difficult to take very asymmetric nostrils and make them perfectly symmetric.

Dr. Funk is a top rhinoplasty surgeon in Houston.

Thursday, May 3, 2018

Will my nose hump come back after rhinoplasty?

A common question from my Houston rhinoplasty patients is whether their hump or bump will grow back after rhinoplasty. Rhinoplasty for a nasal hump will create a softer profile and change the way light may reflect off the nose. If resected properly and smoothed appropriately, once a nasal hump is removed, it is rare for it to recur. Occasionally, younger patients may have some minimal bony regrowth but this is rare. Rhinoplasty is a safe and long lasting surgery to enhance the appearance of the nose.

Dr. Funk is a top rhinoplasty doctor in Houston Texas.

Wednesday, April 25, 2018

Botox for a droopy nasal tip

Many of my Houston rhinoplasty patients complain of a droopy nasal tip and for this reason seek rhinoplasty or nose job surgery. Botox is another alernative to rhinoplasty for a downward rotated nasal tip. Botox for a droopy nasal tip can be injected into the depressor septi muscle which is responsible for turning the tip downward, especially with smiling. This will weaken that muscle and ultimately lead to the nasal tip rotating or at least not drooping with smiling. Of course, the degree of rotation achieved is not as impressive as one could expect with rhinoplasty, it is still there.

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

Friday, April 20, 2018

Rhinoplasty and Bruising

Many of my Houston rhinoplasty patients inquire as to how long will bruising last after rhinoplasty. The answer is that every patient is different. Younger patients have less capillary fragility and will likely bruise less. Their bruising is usually unapparent or completely resolved by day 8-10 postoperatively. Patients that have more bony work or are a little older may have more prolonged bruising. Their bruising may last up to 2 weeks. There are multiple things that can be done to minimize bruising after rhinoplasty. Avoiding use of aspirin, ibuprofen, or any blood thinners prior to surgery is helpful. A surgeon who is gentle with the tissues and maintains good hemostasis will have less bruising. Arnica Montana pills, tea, and topical lotion may help some patients.

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