Rhinoplasty

Nose surgery (rhinoplasty) can address multiple concerns about the nasal bridge (dorsum) and nasal tip. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. Nasal Hump Composed of a variable combination of cartilage and bone, a hump on the nose can make other features of the nose appear small and the length short. The treatment of a nasal hump is not a one-size-fits-all approach. It is important to consider each patient's aesthetic goals, gender, and ethnic background when developing a surgical plan. Some individuals may benefit from – and desire – the creation of a gentle concavity to their nose. In contrast, over aggressive reduction of a nasal hump in a male patient can make their nose appear more feminine. Instead, the nasal hump tends to be softened or straightened. It is also important to be respectful of the beautiful features of a nose that communicate the ethnic background of an individual. For example, individuals of Arab, Iranian, or Turkish background may request only a subtle reduction in their nasal hump. Wide Nasal Bridge A wide nasal bridge often needs to be narrowed when a large nasal hump is reduced to reduce the risk of long-term complications. It is also important to consider the width of the nasal bridge when a large, bulbous nasal tip is narrowed. The nasal bridge may appear wider than the tip if it is not narrowed with the tip, thereby breaking an aesthetically ideal curve from the eyebrow to the nasal tip. Bulbous Nasal Tip Narrowing and refining a bulbous nasal tip, like addressing a drooping tip, is among the most technically difficult portions of nose surgery (rhinoplasty). This is due to the complexity of the paired cartilages that contribute to the shape of the nasal tip. Refinement of the nasal tip usually employs some combination of suturing and reorientation of the cartilages, sometimes with removal of a small amount of the cartilage. Drooping Nasal Tip Lifting a drooping nasal tip naturally is technically difficult because the complex nasal tip cartilages need to be reoriented and secured to the septum – the wall separating each nasal cavity - symmetrically. Moreover, the projection of the nasal tip can change as a result of lifting a drooping a nasal tip, which needs to be accounted for when securing the final position of the nasal tip. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon. Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us to learn more! Contact Us

The difference(s) between a functional and a cosmetic rhinoplasty is(are) of philosophy and goals, not necessarily of specific surgical maneuvers. A functional rhinoplasty is focused on improving nasal breathing by widening or strengthening the opening of one or both nasal cavities. A cosmetic rhinoplasty may be like a functional rhinoplasty but may also involve maneuvers that narrow or reduce the size of the nose. Most patients desire both functional and cosmetic improvement, demanding a mixed philosophy which informs the surgical approach. Overall, it is important to work towards a natural appearing result that fits each patient's unique facial features when performing a functional rhinoplasty, cosmetic rhinoplasty, or a rhinoplasty that incorporates both functional and cosmetic goals. An in-person consultation is always necessary to evaluate the nose to determine the most appropriate approach. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. Some Maneuvers are Primarily Cosmetic Maneuvers that may be more cosmetic than functional include: Dorsal hump (bump) reduction, which is meant to reduce the height of the nasal bridge Dorsal onlay graft, which is meant to increase the height of the nasal bridge Nasal tip cartilage suturing (stitching), which is meant to narrow the nasal tip Nasal tip grafting (e.g., columellar strut graft, caudal septal extension graft), which is meant to control the projection and rotation (i.e., upturn) of the nasal tip Lateral crural trim, which is meant to decrease the "fullness" of the nasal tip Lateral and medial osteotomies, which are meant to narrow the nasal bridge The above maneuvers change the height of the nasal bridge, the size and shape of the nasal tip, and the projection and/or rotation of the nasal tip. One or more of these maneuvers may be an appropriate approach to achieve a patient's cosmetic goals. However, this list is not comprehensive, as there are many other maneuvers available to surgeons. Maneuvers that Widen and/or Strengthen Can be Functional and Cosmetic Maneuvers that open a collapsed area of the nose or strengthen the opening of one or both nasal cavities can improve restricted nasal breathing as well as the appearance of the nose. Maneuvers that may be functional as well as cosmetic include: Spreader grafts that widen the nasal bridge and open up the interior of the nasal cavity Lateral crural grafts that open and strength the valve that keeps the opening of the nose stable Grafts that straighten and strengthen the nasal septum While most osteotomies are intended to narrow the nasal bridge, they can be used to return a previously fractured nose to a more symmetric position, thereby opening a previously narrowed nasal cavity. All functional rhinoplasty procedures should seek to at least preserve and, when possible, enhance the cosmesis of the nose. The focus of functional rhinoplasty, however, should be on improving air flow through the nose. There may be instances in which the cosmesis of the nose is sacrificed when function of the nose is by far the most valued goal of a patient. Facial Plastic Surgeons Have an Eye Towards Long-Term Results A facial plastic surgeon has an aesthetic eye regardless of the primary goals of a rhinoplasty. As a result, there is not a purely functional or cosmetic procedure. Instead, each procedure is tailored to the individual patient based on a detailed discussion of their aesthetic and functional goals. A facial plastic surgeon's aesthetic eye should be aimed towards the future such that the best, most natural appearing, long-term result that is possible is achieved, not necessarily the most trendy result immediately after surgery. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching "plastic surgery near me." Get in touch with us to learn more. Contact Us

The term "scarless" rhinoplasty is widely marketed. In reality, all incisions heal in a manner different than untouched skin. Incisions can be well-hidden and so subtle that almost no other individual would notice their presence. They can also be poorly hidden and/or abundantly obvious due to abnormal features. The scarless rhinoplasty is approach that can hide the incisions from the view of the public. It is important to seek not only a fellowship-trained but also a double board-certified facial plastic surgeon if you have aesthetic concerns about your face and/or neck. The nose surgery (rhinoplasty) technique marketed as "scarless" is also referred to as a closed, or endonasal rhinoplasty. The technique was developed over one hundred years ago and is associated with some of the earliest rhinoplasty surgeries. However, the technique is currently not widely taught to training physicians. A closed rhinoplasty requires a detailed understanding of nasal anatomy, because it involves manipulating that anatomy in ways that do not match the classically learned visualization of the anatomy. All the incisions are placed inside the nose, also called the nasal vestibule. This approach can reduce post-operative swelling and bruising. But while this hides the incisions from external view, the same healing process occurs with these incisions as with others. Therefore, there truly is no such thing as a "scarless" rhinoplasty as defined by the technique used. This approach to rhinoplasty surgery can be an excellent option for the right individual. Trust Your Face to a Facial Plastic Surgeon It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose. Why Choose Dr. Harmon The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good. Dr. Harmon is a double board-certified facial plastic surgeon. Dr. Harmon values making patients feel welcomed, listened to, and respected. Dr. Harmon graduated with honors from Cornell University with a Bachelor of Science degree in molecular biology. Dr. Harmon earned his medical degree from the University of Cincinnati. Dr. Harmon underwent five years of extensive training in head at neck surgery at the prestigious residency program at the University of Cincinnati. Dr. Harmon then underwent focused fellowship training in cosmetic facial plastic surgery through the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) with the world-renowned surgeon, Dr. Andrew Jacono, on Park Avenue in New York City. Request a Consultation Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon's credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching "plastic surgery near me." Get in touch with us today to learn more! Contact Us