Call our offices at (919) 933-9522 or Fill out this simple form to schedule an appointment in our Chapel Hill offices to enjoy the results of Rhinoplasty enhancements.
The nose is the defining characteristic of the face and even a slight disproportion or irregularity may greatly detract from one’s appearance. Deformities may be a familial trait or may be the result of trauma or abnormal development. Nasal deformity can be accompanied by problems in function of the nose including breathing problems and recurring sinus infections. Rhinoplasty may improve not only the aesthetics of the face but also the function of the nose.
Symmetry, facial proportion, shape and stature all contribute to the aesthetics of the nose. Rhinoplasty may dramatically improve facial harmony. Dr. Finn’s many years of experience and artistic skill can help you achieve the results you will love. When you combine his artistic talent and his double board certification as a Facial Plastic surgeon and an ENT, there is nobody more qualified to operate on your nose!
What Is Rhinoplasty?
Using a combination of intravenous sedation and local anesthetic, Dr. Finn will use concealed incisions to reshape the cartilage or structure of the nose. By carefully contouring the underlying structure of the nose, a more pleasing and proportioned shape may be obtained. At times, this is as simple as removing a “hump” on the nose. Other times, it may be more complicated with delicate reshaping of the cartilages of the tip.
Oftentimes, internal nasal work such as septoplasty or turbinate reduction may be done to improve nasal airway. Insurance companies will pay for medically necessary internal nasal surgery, but cosmetic surgery is not covered by insurance. Often, a plastic splint is worn on the outside of the nose for one week and occasionally an internal splint is used. It is very rare to require any sort of nasal packing as has been done in the past. Bruising is variable; but if bony work is done on the nose, it is not unusual to have bruising under the eyes for five to seven days. It often takes many months for the final results of the rhinoplasty to be apparent as the swelling that inevitably follows surgery often conceals subtle changes.
Occasionally, facial disproportion is caused by more than a nose that is out of balance. It is common to combine a chin augmentation with rhinoplasty as a weak chin may make a large nose appear much more prominent.
What are the benefits of a Rhinoplasty?
At Finn Facial Plastics, you may have a detailed discussion with Dr. Finn to best determine your goals and realistic outcome of the surgery. With cutting edge three dimensional computer imaging, we may modify your nose on the computer screen to come to a better understanding of your needs and desires. More importantly, we may demonstrate the limitations of surgery to ensure realistic expectations. Only with careful considerate discussion and education about the procedure may one be adequately prepared to achieve a satisfactory outcome. Dr. Finn’s special combinations of training both in the aesthetics and in the function of the nose may help insure optimal results. As an ENT and a Facial Plastic surgeon Dr. Finn would never sacrifice functionality of the nose for aesthetic purposes.
Just as each nose is different, each rhinoplasty is different as well. There should be no “cookie cutter” rhinoplasty. Various techniques will be adapted to your special circumstances to achieve your best possible result. Dr. Finn’s years of experience and specialty training will help you achieve your goals. Rhinoplasty is Dr. Finn’s favorite surgery to perform. He has extensive experience in both primary and revision rhinoplasty.
Dr. Finn is double board certified in both Otolaryngology Head and Neck surgery AND in Facial Plastic and Reconstructive Surgery. Dr. Finn presents at many national medical lectures and authored the chapter “Broad Nasal Tip” in the Medicine online surgery textbook, Otolaryngology and facial Plastic Surgery. In addition to private practice, Dr. Finn is an Assistant Consulting Professor of Surgery at Duke University and frequently lectures at the university.
Deciding to Schedule
You will be given a surgical quote at your consultation with Dr. Finn as well as any clearance forms required. Should you decide to schedule the procedure with Dr. Finn you will contact our patient care coordinator, Shannon Jones. At this time you will pick a procedure date that works for both you and Dr. Finn. At this time a $500.00 non-refundable surgery booking fee will be paid to reserve this day on Dr. Finn’s schedule. Once the surgery date is set we back track 2 weeks prior and schedule a pre operative appointment.
At your pre-op you will have ample time with Dr. Finn to discuss your upcoming procedure in great detail and have all your questions answered. You will bring the required clearance forms to this visit unless we have already received them. We will review all pre- and post-operative care, prescribed medications and any provisions we may give you for use pre- and post-surgery. You will review and sign the consent for surgery and the balance will be due at the conclusion of this appointment.
What should I avoid before surgery?
It is vitally important to avoid all blood thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). It is generally fine to be take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multi vitamins, omega 3 fatty acids such as fish oil and flax seed oil. You will be given a complete list of medications/supplements to avoid at your pre-op. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.
Recovering from rhinoplasty is not as difficult as one might expect. During surgery Dr. Finn uses local anesthetic in addition to the IV sedation. Upon waking from surgery the local anesthetic is still on board and usually does not wear off for several hours after surgery. Mild throbbing and facial pain around the nose and eyes is common but is easily treated with pain medication. This is usually present for the first 24-48 hours and many patients do not take pain medication past this time. A splint will be placed on the outside of the nose. Sutures will used both internally and externally. The internal sutures will dissolve on their own. The external sutures are placed right inside the nostrils and right below the nose. The sutures and splint will be removed five to seven days after surgery. At this time most all bruising and swelling is gone. Swelling can linger for many months in the tip of the nose but this is not noticeable and changes are minimal.
What can I do to speed up my recovery time?
We want you back to your normal routine as quickly as possible so in addition to avoiding blood thinners, we provide our surgical patients with a supply of Arnica Montana and Vitamin K cream which are both clinically proven to help reduce bruising and swelling. Vitamin K cream applied to your skin two weeks before surgery tends to reduce bruising. Arnica Montana is a homeopathic herb that helps to reduce swelling and bruising. We also have a laser called the V Beam Perfecta that is amazing at speeding up stubborn bruising! It targets the pigment in the bruise causing it to break up and dissipate much faster than it could by itself. We encourage surgery patients to take advantage of this laser treatment at no charge and it can be done as often as you want while the bruising is still present. We will also go over surgery specific tips at your pre-op that can help speed up the down time!