Dr. White uses his background in plastic surgery and otolaryngology (specializing in conditions of the ear, nose and throat) to identify and correct the root causes of medical problems and cosmetic imperfections while maintaining a natural and balanced appearance. During the initial consultation, he will work with you to understand your goals and explain what can be accomplished during surgery. Dr White’s goal is to achieve a beautiful and functional nose that fits within each patient’s unique aesthetic and ethnic ideals.
Rhinoplasty, from the Greek “to shape the nose” (also called nose jobs), is a surgical procedure that corrects the form and function of the nose, either for aesthetic purposes or after an injury. It is usually an outpatient procedure, performed in a day with two weeks of post-operative rest. The more common aesthetic changes include:
• 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.
Yes, certain functional aspects of rhinoplasty 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, but by combining the aesthetic aspect with the functional correction many patients are able to significantly reduce their out-of-pocket expenses.
There is no age restriction on rhinoplasty, per se, although if you are under 18 your parents or legal guardian have to be involved in the consultation. Determining whether someone is a good candidate for a nose job has more to do with nasal development than age. If the surgery is performed before the nose is fully developed, two things could happen: the surgery may partially hinder that development, and/or future growth may affect the finished nose. Nasal growth is usually complete around 16 years old, on average.
This is a highly debated topic! Rhinoplasty or nose jobs 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. The method you doctor recommends will most likely be determined by the requirements of your unique procedure.
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.
There are two major types of anesthesia for rhinoplasty: “Twilight” (half asleep, no breathing tube) and general (completely asleep with a laryngeal mask or breathing tube). Both can be safe for the right patient. The decision depends on your pre-existing medical conditions and how complex your operation is.