Nose Surgery Rhinoplasty

Rhinoplasty Chicago


Nose Job Chicago, Nose Surgery Chicago

After the eyes the nose is the second place people focus when first meeting. The nose is central on the face so any imperfection is easily noticed. Dr. Caughlin has trained in rhinoplasty with leaders in the field. He has researched, written book chapters and published on this topic. Rhinoplasty is one of the most popular aesthetic treatments because it can give the most drastic results. If you plan on coming in for a rhinoplasty consultation we ask that you bring photos of people with noses that you like so that we are able to get an idea of your personal aesthetics.

What can be changed with rhinoplasty ? What results can I expect?

Like the photos below a nasal hump can be removed. The tip can be narrowed. Breathing can be improved. Lumps and bumps can be reduced. The nostril size can be reduced. With rhinoplasty the lip can have a longer or short appearance depending on if you make the nose bigger or smaller. The rotation of the nasal tip can be adjusted and contoured. Many of these decisions are complicated and are affected by the skin type of the patient, the height of the patient, the hair color and eye color of the patient and obviously the goals of the patient.

Skin type affects the recovery. Thick skinned patients with sebaceous type skin have more post operative swelling than thinned skin patients. The thicker the skin though the smoother the outcome will be in the long run. Thinned skin patients show every lump and bump that progresses through the recovery process. The scar will be more red in thin skinned patients.

The height of the patient helps dictate the ideal tip rotation. Shorter patients can tolerate more tip rotation than taller patients. If you are tall and your nasal tip is overstated then people will be looking directly into your nostrils. This is not ideal. Taller patients can tolerate a longer nose though which can give a refined look.

Hair color and eye color. This essentially dictates skin tone and will affect how the scar and edema will progress post op. It is similar to skin thickness. There are also implications of how thick and strong and long the cartilage will be when the surgery begins. The cartilage gives the nose its’ structure. Thick strong cartilage gives a large defined nose. Thin flexible cartilage gives a shorter flatter appearance.

Patient goals. As with any plastic surgery the patient expectations have huge implications. It is important to discuss with your surgeon the true changes they feel can be obtained. Look at some of the post operative photos of your surgeon to get an idea but be aware these are only an example of changes that can be obtained and the points above are important and should all be assessed.

An interesting fact about the history of rhinoplasty is that the revision (redo) rate of rhinoplasty has not changed over the 100+ years we have been performing this surgery. For all surgeons averaged across the board, some studies quote the revision rate as high as 15%. This is for a couple key distinct reasons. The patient expectations, the surgeon’s skill and experience, the healing process of the patient, the post operative care and course all have large implications in how the final result will turn out. Another fact that affects the revision rate is that the nose is central in the face and the slightest asymmetry is magnified because of this. We will work with you to assure a realistic preoperative visit and do everything we can to get your nose exactly as you imagine it.

What are the risks of rhinoplasty? The main risks of rhinoplasty is that the patient is not 100% happy with the results. For reasons stated above this is an all too common problem with the operation. It is important to assess the characteristics of yourself when deciding to undergo rhinoplasty.

What are the different approaches to rhinoplasty?  There are a couple different ways to approach the nose. Mainly it is between the “open” or “closed” approach. The open approach involves a small scar on the columella (the middle part of the bottom of he nose near where it attaches to the face. This allows the surgeon to lift the skin off the nose and directly see the cartilage structure and soft tissue contributions to the nose. The closed approach is done only through intranasal incisions. The procedure is then performed more by feel and experience. The main benefit of the closed approach is the lack of the 2 mm scar of the columella. There can also be less post operative swelling. We offer both open and closed rhinoplasty. The approach is determined by the changes that are going to be made.

How much does a rhinoplasty cost? This is hard to directly answer. For a simple straightforward rhinoplasty with removal of a hump and improvement of the airway the starting cost is $5,500 for the surgeon fee (there is also an anesthesia and surgicenter fee of ~ $ 3,000). So that puts the cost at around $ 8,500 for a primary first time rhinoplasty. For a revision rhinoplasty where we may need to use cartilage to reconstruct the nose the price rises as the surgery becomes more complicated. This can be determined prior to going to the operating room but is too variable to generalize. It is a tailored treatment you need and the price should be tailored to reflect the amount of work done.

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Rhinoplasty

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