|
|||
 |
|||
 |
|||
 |
|||
 |
|||
 |
|||
 |
|||
 |
Nasal
Surgery (Rhinoplasty)
Each year, hundreds of people seek cosmetic enhancement of
their nose. Since it is the most
prominent feature on the face and so essential to facial symmetry, the nose is
the most defining characteristic of the entire face. Not only is it intricately connected to one’s looks but
also to one’s heritage, ethnicity, facial character and strength. Whether a person wants to improve upon the nose that nature dealt, to
correct a nasal injury or deformity, or to change the effects of aging on the
nose, individuals who undergo rhinoplasty usually find that even a slight
alteration can greatly improve their appearance.
Rhinoplasty means “shaping the nose.”
The majority, if not all, of the stitches are dissolvable and made inside the
nose, where they do not show. Through small incisions, the bone and
cartilage are sculpted to provide a new structure. In other words, the
cartilage may be reduced, enhanced, or simply reshaped. The tip may be
elevated, the base may be narrowed, using tiny stitches inside the nostrils, or
the angles at the base and/or the top of the nose may be altered.
Sometimes, an open technique is used on a particularly challenging nasal tip,
but the incision site heals beautifully.
Many times, internal breathing problems
are corrected at the same time as the rhinoplasty is performed. If the
septum inside is deviated, blocking one’s breathing space on one side or both,
it is crucial to clear the passageways of the nose before narrowing it
externally to prevent any further breathing difficulty. Moreover, many
times, when noses are crooked inside, they also grow crooked outside, or they
may have a hump on the dorsum (the main bridge) of the nose. Therefore, in
order to correct the external nasal deformity, it is necessary to improve the
nasal base, which functions much like the foundation of a tent, where the canvas
is stretched over its structure. The portion of the surgery that may be
considered medically necessary is known as a septoplasty or in some cases, a
nasal reconstruction, which may be covered by one’s insurance if the policy so
allows.
If nasal surgery is something you have always dreamed of but were afraid to investigate or unsure if it would be right for you, the best thing to do is make an appointment for a personal, private evaluation with Dr. Miles.
Call (817) 336-9131 in
Fort Worth or
(214) 368-6863 in Dallas or 1-800-940-3223. You may also E-mail us at wkmiles@advancedcosmeticsurg.com.
You can also visit our website at www.advancedcosmeticsurg.com.
THE INITIAL CONSULTATION
After taking your health history,
examining the inside and outside of your nose, and listening to your personal
desires, Dr. Miles will offer suggestions for improving your nose, based upon a
thorough evaluation
You can view before and after pictures of
actual patients, although each case is unique. Therefore, we provide a
personal computer imaging session, which allows you to visualize possible
changes to your nose before surgery takes place and to gain a better
understanding of the surgery, your particular facial structure, profile, etc.
This is a great opportunity for communication between the doctor and the
patient. Usually, his trained imaging consultant will create his
recommendations on the screen and discuss them with the patient; then, Dr. Miles
will review the results further, make any necessary corrections, and also do
real measurements with a drawing prior to surgery.
You will receive an itemized fee quote so
that you may know what to expect regarding surgical, operating room, anesthesia
fees, medications, and any required lab work, x-rays, EKG, etc., needed prior to
the surgery. If you wish to file any medical portion on your
insurance, please bring your policy information with you and investigate
beforehand your policy restrictions and coverage.
Insurance will not cover cosmetic nasal
enhancement, but it may cover (in whole or in part) surgery to correct or
improve nasal function.
Prior to any surgery, you will have an in-depth,
preoperative visit where final plans are made. Dr. Miles
wants you to feel
confident and even excited about your decision to have nasal surgery. He
believes that a good rapport with the doctor is almost as important as the
surgery itself. Your attitude and cooperation regarding follow-up care is
essential to the outcome of your procedure.
THE DAY OF SURGERY
You will arrive at our private, fully-accredited operating
facility early in the morning, and you should be able to return home by early
afternoon. Your surgery, which usually takes only an hour or two, will be
performed under a safe, local anesthetic plus IV sedation; the anesthetist will
monitor you throughout the procedure and in the initial period that follows.
Your friend, spouse, or relative can sit with you in the recovery room following
surgery. The nurse will review your post care, medications, and time for
your return visit with your designated person. Then, you will be taken by
wheelchair to the vehicle that will transport you home.
If your surgery is mainly medical and
not cosmetic and you prefer (or your insurance company) to have your surgery
performed in a hospital, Dr. Miles is willing to do so. However, due to
the added risk of germ exposure (where ill patient care is involved), he
usually prefers to use his own accredited facility, experienced staff,
anesthesia techniques, special endoscopic and laser equipment, etc.
POST SURGERY
Although discomfort is usually mild and
confined to a headache that evening, you will be given oral pain and rest
medication as needed. You will experience some stuffiness, and elevating
the head helps. Dr. Miles will provide you will a special ice pack to rest
on the eye area for two days to help prevent any swelling or bruising. You will
have a small splint on your nose for approximately a week. When a septoplasty for breathing improvement is performed as well, a small, internal
splint may be placed inside the nose along the dividing wall of the air passages
to maintain stability of the septum. Dr. Miles
does not use conventional
“packing” of the nose but does use a tiny sponge and breathing tube in each
nostril overnight in some cases of septoplasty.
Also, you will have something to clean
and possibly irrigate the nose. Mild nose drops are sometimes necessary,
as you must be careful not to blow the nose. The sutures are usually
absorbable and do not have to be removed.
Some activities will be prohibited in
the weeks following surgery, and you must be careful not to injure the nose for
6 to 8 weeks. If you wear glasses, special arrangements must be made to
keep the glasses from resting directly on the bridge of the nose as it heals.
Tape and other devices are sometimes used to permit the wearing of glasses.
Since the nose continues to take shape over the next few months, follow-up care is vital to monitor healing.
Visit our plastic / cosmetic surgery offices located in Dallas and Fort Worth, Texas (TX).
|
|
||
William K. Miles, M.D., F.A.C.S.
Home
| About the Center | About the Surgeon |
Services
| Contact Us |
Location Maps |
For Your Info. |
Photos
| Site Map |
||
|
Full Abdominoplasty ( Tummy Tuck)
| Mini Abdominoplasty (Crescent Tuck)
| Endoscopic
Abdominal Muscle Tightening Body Contouring / Liposuction | Breast Enhancement (Augmentation) | Breast Reduction | Breast Lift (Mastopexy) Cheek Augmentation | Chin Augmentation | Eyelid Lift | Neck / Cheek Lift | Forehead and Brow Lift | Lip Enhancement Nasal Refinement | Ear Refinement (Otoplasty) | Skin Rejuvenation | Fat Transfer | Thermalift |
||
|
Registered to beautify.com. |
Dr. Miles
specializes in facial and full body cosmetic plastic surgery and his practice is
located in Dallas, Texas. Patients from the following areas and cities: Fort
Worth, Houston, San Antonio, Austin, El Paso, Arlington, Corpus Christi,
Plano, Garland, Wichita Falls, Abilene, Lubbock, Irving, Forest Hill, Southland,
Mansfield, Allen, Frisco, Denton, Carrollton, Lewisville, Waxahachie, Corsicana,
Sherman Denison, Texas (TX), and Little Rock, Arkansas (AR), New Orleans,
Louisiana (LA), Santa Fe, Albuquerque, New Mexico (NM), Tulsa, Oklahoma (OK),
Topeka, Kansas (KS), Jefferson, Missouri (MO) can conveniently schedule
appointments in our Dallas, Texas office.
© 2009