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Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems. Rhinoplasty is often very effective when done in conjunction with Cheek or Chin Augmentation, Eyelid Surgery or Dr. Chugay's Crow's-Feet Removal Technique.
A surgery to correct a defect or deformity in the nasal partition (septum) is technically named Septoplasty. This procedure, by making the septum as straight and symmetrical as possible will help or enable you to breath well through both nostrils.
A procedure that includes elements of both nasal contouring and septum repair could be medically referred to as Septorhinoplasty. There are other technical terms, however familiarity with these three will help you understand the most important nasal surgery distinctions.
At present the most favored, Rhinoplasty approach involves the so-called Open Technique. This technique incorporates an outside incision across the columella, the vertical strip of tissue separating the nostrils. The superficial nasal tissues are then turned upward to expose the cartilage of the tip and the bony area of the nasal hump. A cosmetic surgeon would then proceed to contour the tip, bridge and other areas of the nose.
Frequently a patient would benefit from reducing the size and span of his or her nostrils, whether such narrowing would be done separately or in conjunction with other nasal contouring procedures. The procedure of reducing nostril size is called Alar Reduction. It is effectuated by making incisions in crease found where the nostril meets cheek, removing a piece of nostril material in a wedge-like shape and suturing the nostril back in.
Not in the most generic sense. Dr. Chugay's Nose Surgery will include one or more elements of Rhinoplasty, Septoplasty and Alar Reduction. Dr. Chugay has had years of experience with noses, which, coupled with his unmistakable sense of beauty and keen artistic gift, is able to produce most stunningly beautiful noses.
Besides skill, artistry and experience, Dr. Chugay's methodology boasts some unique techniques. Some of them are listed below:
Dr. Chugay does not make any incisions outside the nose. All of his incisions are made inside (there are some exceptions in severe Reconstructive cases). You will have a new beautiful nose without having even traces of surgery being done. The scar-free method is used by a handful of surgeons in the United States and is usually sign of skill and experience.
You must remember that if you need to have your nostrils reduced (Alar Reduction), you will have outside scars. Unfortunately, there is no logically possible way to reduce nostril size without making incisions on your nostrils. However, the incisions, if they are made by a competent surgeon, will be hidden in the Alar (nasal) crease.
Dr. Chugay will make as few cuts as possible between the cartilages of the nose to be able to remove excess tip cartilage material, bony and cartilage hump and modify the tip. He is very meticulous to avoid removal of mucous membrane of nose to avoid breathing problems and future cosmetic deformities.
Dr. Chugay uses extreme precision and conservatism to avoid any future disasters. More often than not removing less is more. Remember that every cut made in the tender nasal area will result in scar tissue formation. Scar tissue helps your body heal, however, too much of it will disfigure your nose and may even create breathing problems.
Unfortunately, there are still many surgeons who will resort to excessive cutting and chiseling. Here is an analogy for you: the best nose job is the one which take the fewest strokes, just like a figurine made with the least amount of carving.
Dr. Chugay uses soft Gore-Tex nasal implants for certain types of Secondary Cosmetic and Reconstructive Rhinoplasty. These instances include augmentation of nasal bridge or filling in concave cavities, often found in asymmetrical, injured or misshapen noses. These implants produce a very natural appearance of the nose, smooth contours, which usually cannot be achieved (regardless of the surgeon's skill and good will) with cartilage grafts or other natural or synthetic implants or fillers.
For some instances of Reconstructive Rhinoplasty Dr. Chugay uses cartilage grafts. Dr. Chugay believes that use of cartilage grafts should be limited to only certain instances in Reconstructive Rhinoplasty. Cartilage grafts are pieces of patient's natural cartilage material (removed from nose or ear), which are placed in the patient's nose. Once the cartilage graft is fully healed and assimilated, the results are excellent. However, in many cases, cartilage grafts have a tendency to move, absorb or extrude. Use of Gore-Tex is not only viable, but superior alternative to cartilage grafts in most cases.
Gore-Tex is a very new effective implant material. It has undergone extensive testing. It is inert and safe for patients use and has been approved by the FDA surgical use. You can learn more about this material in the Cheek Implant section.
Nonetheless, Dr. Chugay found certain instances when use of cartilage grafts produces excellent reconstructive results. One example is Nasal Tip Reconstruction. When nose has been damaged, in previous surgeries or traumatic injuries, to such an extent that a major nasal tip correction is required, cartilage grafts are sutured into the nasal tip to reconstruct the tip. This is rare and unique procedure which requires enormous skill on the part of the surgeon. Because of its complexity, open Rhinoplasty is performed where a cut is made at the base of the nose.
Successful Reconstructive or Secondary Rhinoplasty is limited to a handful of highly skilled surgeons. Make sure that your surgeon has experience in these procedures. Only about 5% of surgeons in the United States are familiar with and use Gore-Tex implants.
Frequently correction of septal deformities will allow for straightening of crooked noses. Occasionally a conservative removal of most of the septum is the only effective solution to straighten out a severely misshapen nose. Such removal of septal cartilage (inner barrier between the nostrils) is a fundamental revolution in Rhinoplasty Technique allowing for correcting of previously thought-of-impossible nasal deformities. Such septum removal nevertheless preserves the tip support. Dr. Chugay in the United States and Dr. Jose Juri in Argentina have popularized this technique.
Nasal surgery requires true artistic sense and a keen appreciation of the uniqueness of each nose. Experience is also very important. Make sure that the surgeon is at the forefront of his or her field (which is usually evidenced by new techniques).
Dr. Chugay utilizes a combination of local anesthesia and IV sedation. You will be asleep and comfortable during the procedure. The risky general anesthesia is not used. LEARN MORE ABOUT ANESTHESIA.
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