IGNORE THE INSIDE AND YOU WILL BE SORRY!
Many of my Orange County rhinoplasty patients complain about the shape of their nose.
Although it is important to address the cosmetic concerns of the patient, one must not forget an intra-nasal examination and address any issues inside the nose as well.
Almost all patients have some degree of septal deviation (the cartilage at the center of the nose which provides support to the non-bony portion of the nose). Many, especially in Southern California, also have enlargement of the inferior turbinates. The turbinates (three rows on each side) humidify the air. The enlargement of the lower turbinate may cause or exacerbate post-operative anatomical obstruction leading to airflow restriction. Pre-operatively, although the patient may not subjectively complain about breathing difficulty, many feel better after the turbinate is temporarily reduced by special medication spray.
It is very critical to address these issues, since in majority of cosmetic cases, the nose is not only reduced on the profile, but also reduced in width as well. This cosmetic “narrowing” may cause breathing difficulty if the intra-nasal findings are not addressed.
In almost all patients, a portion of the septal cartilage is removed as part of the straightening process. The removed cartilage is then used to improve the nasal tip and provide additional support to the surrounding structures. The inferior turbinates are reduced, so the airway passage is more open.
If these issues are addressed properly, the patient will have a cosmetically acceptable nasal shape which is functional as well.
Michael A. Jazayeri, M.D. is a board certified plastic surgeon in Santa Ana with over 10 years of experience. His office is located in central Orange County. To schedule a complimentary consultation, please call (714) 834-0101.