Your Rhinoplasty Procedure - Your New Look
Dr. Kris Reddy will customize your nose surgery procedure to fit your objectives, lifestyle, and lifestage. The two most common rhinoplasty procedures are closed rhinoplasty which has the incisisons concealed inside the nostril, and open rhinoplasty which has a tiny tiny, inconspicuous incision across the skin between the nostrils (the columella).
Dr. Reddy performs rhinoplasty as an outpatient procedure at the West Palm Beach Plastic Surgery Center, Dr. Reddy's AAAASF nationally accredited operating center utilizing MD Anesthesiologists providing general anesthesia or local anesthesia with sedation. Most nose surgery procedures take about two to three hours to perform.
After making the initial incision to begin the rhinoplasty procedure, Dr. Reddy separates soft tissues of the nose from the underlying structures and reshapes the cartilage and bone. When straightening a nose or making it more narrow, he might need to change the position of certain bones. Alternatively, he can build up your nose using nasal cartilage, bone, or cartilage from another area of your body. After he completes the procedure, Dr. Reddy places a splint over your nose and occasionally uses an internal splint made of a soft plastic to maintain and support its new shape while healing.
The first couple of days after rhinoplasty surgery, you should restrict your activities and sleep with your head elevated to minimize swelling and reduce minor bleeding. You will usually be able to return to work in about a week to ten days after surgery, even though swelling and bruising may last for about two weeks. I will remove the splint, stitches, and packing within about seven days after surgery. You can usually resume most normal activities within three weeks.
Open vs. Closed Rhinoplasty (Nose Surgery)
Open rhinoplasty and closed rhinoplasty are two approaches to reshaping the nasal tip. Open rhinoplasty means that there is an incision along the columella (soft tissue between the nostrils), while closed rhinoplasty means that all of the incisions are inside of the nostril. However, there are many more differences than just an incision and both approaches have pros and cons. How do you know what approach is right for you?
Open rhinoplasty has the distinct advantage of direct visualization of the cartilages. However, perhaps more important is the ability to manipulate and alter nasal shape with more control, precision, and even in ways not possible with closed rhinoplasty. Patients who need large amounts of projection (nose sticking out from face) or deprojection (pushing nose closer to face) are often better served with an open rhinoplasty.
Some nasal variants also warrant open rhinoplasty including cephalic oriented cartilages. Cartilages which are oriented to the top of the head rather than the ears (vertically oriented) will have weakness on the outside portion of the cartilage. With an endonasal approach, often times roundness is accentuated and patients develop pinching along the outside of their noses.
Closed rhinoplasty has the advantage of decreased operative time, less swelling and postoperative healing and avoidance of a scar along the columella. Many patients with closed rhinoplasty will have less swelling early on. In some patients with a minimal tip modification approach, patients will almost no nasal swelling by two weeks postoperatively. However, the goal of rhinoplasty is to shape the nose to the desired shape. Most patients will care more about their ultimate result than whether or not they had to contend with swelling.
Dr. Kris Reddy FACS can perform either approach depending on the needs of the rhinoplasty patient.
Ethnic Rhinoplasty in West Palm Beach
Dr. Kris Reddy FACS, West Palm Beach Board Certified Plastic Surgeon and Rhinoplasty Expert, is an Ethnic Rhinoplasty expert. Dr. Reddy realizes that Asian, African American, and Hispanic nose jobs must take into consideration the unique internal and external ethnic features of each patient’s nose. Due to the ethnicity of the nose structure, Asians, Hispanics and African Americans may have specific nasal features which require special attention. For example, African American, Hispanic, and Asian patients often have rounder, bulbous or less protrusive nasal tips they may wish to extend and refine (make the tip taller and more narrow). Excessive nostril width or nostril flare is also a common aesthetic concern which Dr. Reddy addresses during an ethnic nose job.
During an Ethnic Rhinoplasty (Ethnic nose job), Dr. Reddy frequently reshapes or resizes a nose while ensuring that the ethnic identify is maintained to the degree that a patient seeks.
Some of the common elements to reshape or resize are:
· more height to the nose
· change the nose profile
· change the nostril shape
· narrow the nose
· create a sharper nose tip
South Florida nose job patients including West Palm Beach rhinoplasty, Palm Beach rhinoplasty, Boca Raton rhinoplasty, Delray Beach rhinoplasty, Boynton Beach rhinoplasty, and Palm Beach Gardens rhinoplasty patients provide Dr. Kris Reddy excellent ratings and reviews for his natural looking nose surgery results and high standard of care. Dr. Reddy is also an expert in ethnic rhinoplasty including African American Rhinoplasty, Asian Rhinoplasty, and Hispanic Rhinoplasty.
Frequently Asked Questions: Rhinoplasty (Nose Surgery) in West Palm Beach
Question: What is rhinoplasty?
Answer: A rhinoplasty, commonly referred to as a nose job, is a surgical procedure that Dr. Reddy performs to change the shape or look of a nose due to trauma or birth defects. 
Question: What can Rhinoplasty do for you?
Answer: Rhinoplasty is a versatile procedure that can address a number of concerns, including:
- Correcting a nose that is too small or large in proportion to other facial features
- Straightening a nose that has become crooked due to injury
- Altering a nose that excessively turns up or down
- Reducing the size of nostrils or creating symmetry between them
- Creating a more aesthetically pleasing profile to the nose
- Repairing functional defects, such as a deviated septum
Question: What will Rhinoplasty not be able to do?
Answer: While there are many benefits possible with nose surgery, there are also certain things this procedure cannot do. For example, it cannot give you the same nose as your favorite celebrity. While the surgery can improve the appearance of your nose, it will not completely change your look. Rhinoplasty will not change your life or make you into a different person. This procedure is primarily designed to enhance your appearance by addressing specific aesthetic concerns involving the nose.
Question: Will there be visible scars?
Answer: The technique used for your rhinoplasty will determine whether you will have any visible scarring after the procedure. Nose surgery can be performed as either an open or closed procedure. In an open procedure, an incision is made in the tissue that divides the nostrils underneath the nose. This incision will leave visible scarring, although it will not be readily apparent. A closed rhinoplasty may also be performed on some patients, which means incisions are restricted to inside the nose.
Question: In what position, do you sleep after nose surgery?
Answer: You will sleep with your belly up with head elevated for a period of time based on Dr. Reddy's guidance that is specific to you and the scope of surgery that you have had.
Question: How old is rhinoplasty?
Answer: Rhinoplasty is actually one of the oldest cosmetic surgery procedures in history, dating back to 6,000 BC.
Question: What are the risks of rhinoplasty?
Answer: Rhinoplasty is a generally safe surgical procedure, but as with any surgery, things can go wrong. The most common risks during a rhinoplasty procedure are infection, adverse reaction to the anesthesia, and excessive bleeding. There is also the slight possibility that you will need additional surgery in the future. Another risk related to cosmetic rhinoplasty is that you may be unhappy with the procedure — rhinoplasty has the highest rate of revision in cosmetic surgery. Therefore, Dr. Reddy takes his time selecting the appropriate candidates for rhinoplasty, explaining the procedure carefully during a series of consultations, and carefully performing the surgery so he can do his best for patient happiness.
Question: How can I plan for rhinoplasty?
Answer: Prior to the rhinoplasty, Dr. Reddy will go over the realistic expectations of your procedure. Dr. Reddy carefully designs the surgical plan in order to have clarity regarding what needs to be done and the most appropriate methods to use in order to meet your expectations. As far as what you can do to prepare for your rhinoplasty, it is recommended that you don’t take any medications that may inhibit blood clotting or cause postoperative bleeding problems such as aspirin and ibuprofen. If you smoke, it is also recommended that you stop smoking at least a month before your surgery and don’t start again until a month afterward. Smoking greatly slows down the healing process and will extend the time it takes you to recover.
Question: What can I expect during nose surgery?
Answer: Your rhinoplasty will generally be performed under general anesthesia and the entire surgery typically lasts about two – three hours. Depending on your situation, Dr. Reddy may make an incision across the bottom of your nose between your nostrils (known as the open technique), or in the lining of your nostrils (known as the closed technique). Dr. Reddy will then remove or rearrange cartilage, and in some cases break and rearrange bone to reshape the nose. Afterward, Dr. Reddy closes the incisions and your nose is packed with gauze.
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