What should I ask my doctor about rhinoplasty?

80 percent of breathing is performed through the nose. Therefore, the key in primary rhinoplasty is preservation or correction of function, along with achievement of the aesthetic goals. Focus on aesthetic rhinoplasty has shifted over the last decade.

Leaders in the field have focused on "structural rhinoplasty", which involves augmentation of existing structures. This preserves function, in contrast to many of the reduction procedures of the previous decade, which would often cause functional loss in patients.

In addition to the importance of the functional result, it is also important that your surgeon evaluate your overall facial harmony. No two patients require the same aesthetic result, it is essential that your surgeon study your facial aesthetics and blend the nose into the overall aesthetics and ethnicity of the patient. Many of my patients have undergone simultaneous rejuvenation of the upper or lower third of the face to provide a natural harmonious goal. Chin augmentation with neck liposuction can be necessary to achieve harmony of the lower and middle third of the face.

In addition, we focus strongly on long term results. The nose as a unit undergoes aesthetic changes up until one year postoperatively. This is why most surgeons will not perform revisional rhinoplasty until one year. Many of the newer techniques focus on ways to camouflauge and provide structural strength that last a lifetime. By remodeling existing cartilage, and reserving grafts for lack of structural support, results are often more durable and longer lasting. Depending on the amount of deviation, or amount of dorsal hump resection, support grafts may be necessary. In addition, depending on the amount of tip support and stability, grafts may also be necessary.

Most patients desire an elegant, refined, and balanced nose that blends into their facial aesthetics. Studies of the ideal nasal shape are not surprising, most patients desire a flat to slightly concave nasal bridge, a subtle break or transition between tip and bridge, and a tip angled slightly above the horizontal.

However depending on ethnicity, facial shape, and nasal function, Dr.Gill can offer you a detailed and individualized plan to optimize your facial harmony and maintain or enhance your functional results. Visit http://www.drpaulgill.com to learn more about Dr. Gill, his practice, and rhinoplasty. He proudly serves the Greater Houston Area, the Woodlands, and Conroe Areas. Call for a consultation.