RHINOPLASTY QUESTIONS AND ANSWERS
WHAT IS A DEVIATED SEPTUM?
A deviated septum is when the nasal septum (or wall between your nostrils that separates your right and left nasal cavities) is severely shifted to one side or "crooked," making one nasal cavity is larger than the other.
HOW DOES A DEVIATED SEPTUM DISTURB YOUR LIFE?
A deviated septum can cause many side effects, including breathing problems as a result of a blockage of one or both nostrils, nasal congestion, frequent nosebleeds, recurrent sinus infections, excessive drainage from the front of the nose or back of the nose into the throat (post-nasal drip) and headaches. With a deviated septum, studies suggest that colds last longer in duration also.
HOW CAN A DEVIATED SEPTUM BE IMPROVED WITH SEPTOPLASTY?
Septoplasty is a surgical procedure that treats various breathing problems and is performed in people as soon as the septum stops growing. It is a procedure done from inside the nose to correct the nasal septum and does not involve breaking the nose. Septoplasty can also be combined with sinus surgery, if necessary.
CAN SEPTOPLASTY BE COMBINED WITH RHINOPLASTY?
Yes, if patients are interested in improving their nose's appearance. This procedure is called Septorhinoplasty.
WHEN ARE YOU READY FOR RHINOPLASTY?
If you are unhappy with the shape of your nose, whether that's from birth, injury or a result of aging, you may be a candidate for rhinoplasty. Females should be over 14 years old; males should be ages 15 or older.
Aside from being in good health in order for the surgery to go smoothly, patients should also be mentally prepared. Patients who are seeking "perfection" are not candidates for surgery. This is true particularly for those who are having revision rhinoplasty, as this is a clue that a patient's goals are not reasonable and they will likely be unhappy with the surgery, no matter the outcome. What's more, a patient with body dysmorphic disorder should address psychological issues regarding their appearance first with a qualified expert before seeking surgery. Dr. Rizk may choose not to operate on a patient who he feels is not a good candidate.
CAN A NOSE SURGERY LOOK NATURAL IF YOU HAVE A WIDE NOSE AND WANT TO MAKE IT NARROWER?
Absolutely. In some noses, particularly in ethnic rhinoplasty patients, the base of the nose is wider than it should be. A nostril reduction can help. During surgery, Dr. Rizk removes a wedge of tissue at the nostril base, making the incision from the inside part of the nostril (versus on the outside where it attaches to the cheek), which hides scarring and produces a natural result. This technique can narrow the base of the nostril and make your nostrils smaller. Dr. Rizk's special technique of rotating the nostril to avoid a pointy look helps maintain a natural curved nostril shape.
CAN SOMEONE WITH A SMALL OR AN UPTURNED NOSE HAVE A RHINOPLASTY TO ENLARGE IT?
A small or upturned nose can be corrected with rhinoplasty and may be the result of a previous rhinoplasty that the patient now wants to correct. Dr. Rizk pioneered cartilage-reshaping techniques with sutures that help lessen the removal of cartilage and preserve natural nose structures. He also uses this cartilage technique to elongate an upturned nose or correct tip irregularities or asymmetries. In this case, he would obtain this cartilage from the nasal septum or the ear. This subtle change in correcting the tip can greatly improve a patient's appearance.
IN THE EVENT ONE NOSTRIL LOOKS MUCH DIFFERENT THAN THE OTHER, CAN YOU USE RHINOPLASTY TO MAKE THE SIZE AND SHAPE OF BOTH NOSTRILS THE SAME?
Yes, asymmetries in nostril size, shape, thickness or horizontal placement on the face can be corrected. Dr. Rizk will use cartilage grafts, fat removal, or fat addiction. For example, in a nostril that has a collapsed shape, Dr. Rizk will correct this and produce a natural curve in the nostril with a fat injection or a cartilage graft. A nostril reduction or correction in shape or size can also be done in combination with a rhinoplasty. In that case, surgery to the nostrils does not prolong the recovery process from a rhinoplasty.