What is rhinoplasty?
Patients often come to Dr. White because they are unhappy with the appearances of their noses. Having been dual trained in Plastic Surgery and Otolaryngology, Dr. White is very adept at identifying the causes of these problems and changing the shape of the nose while maintaining a natural look. He also asks his patients what they do like about their noses because some patients want to preserve certain ethnic features. Simultaneously, he will often address any functional breathing problems that the patient might have either with medical management or by performing septoplasty, shrinking large turbinates, and adding structural support for nasal collapse when needed. Your nose should look great, but it also has to work!
Rhinoplasty is usually an outpatient procedure with two weeks of postoperative rest. Some of the more common aesthetic changes that he performs are nasal hump reduction, nostril flare diminishment, bulbuous nasal tip shrinking, twisted nose straightening, and droopy nasal tip lifting. Most of the swelling is reduced after a month, but it often can take a year before one can appreciate the final outcome!
Dr White’s consistent goal is to achieve a beautiful and functional nose that fits within each patient’s aesthetic and ethnic ideals.
Can rhinoplasty be covered by insurance?
Yes, certain functional aspects of rhinoplasty sometimes can be covered by your medical insurance. This relates to procedures that attempt to improve breathing through the nose such as septoplasty, inferior turbinate reduction, and nasal valve surgery. The aesthetic component is not covered by insurance.
How old do I have to be in order to get rhinoplasty?
The age at which rhinoplasty can be performed has to do with the time at which nasal growth is complete. If surgery is performed too early, the growth centers of the nose can be disturbed and the nose might not develop fully. Nasal growth is usually complete around 16 years old, on average. Another necessity is that, if you are younger than 18 years old, your parents should be involved in the consultation.
Which way is better, open or closed rhinoplasty?
This is a highly debated topic! Rhinoplasty can be performed via an “open” or “closed” approach. The open approach involves the usual internal incisions of “closed rhinoplasty” with the addition of a small incision on the columella, which tends to heal almost imperceptibly. While this can cause a slight prolongation of nasal tip swelling, it also enhances visibility of underlying structures and sometimes provides for better control of cartilage graft placement.
All in all, there is no one best way. Dr. White uses both of these approaches well, but each procedure is unique and personalized. He carefully evaluates each patient individually and decides which method would be best to achieve his patient’s aesthetic goals.
Is medical imaging / morphing helpful?
Image morphing can sometimes be a helpful communication tool between Dr. White and his patients, but it is in no way a guarantee of a particular result. Real surgery has the limitations of skin thickness, cartilage strength, and a biological healing process that does not occur when simply drawing on a photograph.
What kind of anesthesia should I use for my rhinoplasty?
There are two major types of anesthesia for rhinoplasty: MAC (half asleep, no breathing tube) and general (completely asleep with a laryngeal mask or breathing tube). The decision depends on your medical comorbidities, what your “airway” looks like, and how complex your operation is. Both can be safe for the right patient.
We offer the Rhinoplasty services in Fort Lauderdale, Miami and more South Florida locations.