Rhinoplasty

Conveniently located to serve the areas of Boca Raton, FL

Rhinoplasty is a surgical procedure that alters the appearance and or function of the nose.

Also known as a “nose job,” this surgery is one of the most frequently performed facial plastic surgeries. In fact, according to the American Society of Plastic Surgeons, over 350,000 rhinoplasties were performed in 2020 in the United States. 

Despite its relatively small size, the nose is an incredibly complex part of our anatomy.  Rhinoplasty is considered one of the most difficult surgeries to perform, (1) and given the nose’s central position on our face, it’s essential to select an experienced and talented plastic surgeon.

Dr. Gregory Albert is a board-certified plastic surgeon and performs a wide range of nasal procedures, including corrective surgeries for patients unhappy with the results obtained from other surgeons. Whether you’re interested in improving your aesthetics, respiratory function, or correcting the results of an injury or initial surgery, Dr. Albert is here to help. Schedule a personal consultation at the Optimization Centre in Boca Raton by calling (561) 495-2700 or filling out a simple online form at your convenience.  

Before & After Photos

Before and After Photos

About Rhinoplasty

Approaches to rhinoplasty continue to evolve, with advanced techniques leading to consistently better, more natural-looking outcomes. This is chiefly due to a better understanding of nasal anatomy. And, we’ve had plenty of time to learn more about this important facial feature: the first documented nasal surgery was explained in hieroglyphics in an ancient Egyptian papyrus! (2) New discoveries about the many layers of tissue that form the nose continued to be made until fairly recently. Today’s rhinoplasties focus on maintaining the inner structure of the nose by using more conservative approaches to surgery, such as the strategic placement of sutures rather than direct excision. This approach is called preservation rhinoplasty, which allows surgeons to access the structural components of the nose more directly. This also results in less trauma to the nasal tissues, which means a faster and more comfortable recovery for patients. (3) 

Types of Rhinoplasties

Patients seek out rhinoplasties for a variety of reasons. Aesthetic rhinoplasties are performed to enhance the aesthetic appearance of the nose. Patients may be unhappy with the width of their nose, the shape of the tip, or a prominent dorsum – the bridge of the nose. Functional rhinoplasties are undertaken to improve a patient’s ability to breathe, and often include a septorhinoplasty, in which the center section of cartilage is repositioned or reshaped to increase airflow. Because of its prominent location, the nose is frequently a site of injury for athletes and non-athletes alike, and a rhinoplasty can correct the deformities that often result from nasal fractures. 

Reduction Rhinoplasty

This type of rhinoplasty focuses on reducing the size of the nose. To do this, the bridge, tip, and nostrils may need to be re-sized, and this may involve careful removal of some bone and cartilage.

Augmentation Rhinoplasty

In some cases, it’s necessary to rebuild the main framework of the nose to restore it or make it larger. Grafted bone, cartilage, or synthetic implants can be used to achieve this. Augmentation rhinoplasty is usually recommended for patients who have a naturally flat nose, or who have suffered trauma to their nose and are experiencing breathing problems.

Septorhinoplasty

This is when the septum, which is the thin piece of cartilage separating the nasal chamber, is either straightened or rebuilt. This improves breathing as well as the overall cosmetic appearance of the nose.

Rhinotip

This form of rhinoplasty focuses on altering the tip of the nose and nostrils.

Nasal Anatomy

Like other facial plastic surgeries, rhinoplasties are carefully customized to fulfill a patient’s desires and to best suit their unique facial anatomy. Our noses contain several interlocking types of tissue, and the specific parts that are modified during a rhinoplasty are determined by the individual case. 

  • Nasal Bones: Two small nasal bones form the top-most part of our nose, and extend from the right and left sides of the maxilla, the bone that forms the central part of our face and upper jaw. 
  • Upper Lateral Cartilage: Just beneath the nasal bones, the upper lateral cartilages form the left and right sides of the nose. The small area of overlap between the nasal bones and these cartilages form the bridge of the nose, or dorsum. 
  • Alar Cartilage: The right and left alar cartilages meet to form the tip of our nose. These cartilages contain curved elements called crura, which extend outward above each nostril and curve downward, creating the shape and positioning of the tip. 
  • Septal cartilage: The septal cartilage runs down the length of the nose, connecting the left and right cartilages and dividing the left and right nasal cavities.
  • Soft Tissue Envelope: The entirety of the bone and cartilaginous structures are encased by the soft tissue envelope, which contains the skin, connective tissues, muscles, and blood vessels.

Where Form Meets Function

When designing a rhinoplasty approach, form and function are both important and closely related. Preserving the many structural elements of the nose is important for maintaining the integrity of the nose, both for aesthetic and functional reasons. Removing too much of the bone or cartilage can lead to collapsed areas that affect the appearance of the nose or block airways. Patients frequently come to Dr. Albert from other practices with complaints about breathing. Despite this being an essential function of the nose, it is often overlooked by other surgeons who are preoccupied with the aesthetic goal.

Dr. Albert performs several different types of rhinoplasty and his experience in nasal surgery includes rhinoplasties, rhinoplasty revision, and nasal reconstruction. 

In fact, he has treated professional athletes including UFC fighters, as well as NFL and NHL players!

This unique range of experience has given him the ability to treat simple to complex cases. He has restored severely broken noses from sports trauma and has experience solving complex problems of the nose, repairing for functional, breathing improvement and aesthetic appearance.

Dr. Albert will choose the best rhinoplasty approach based on the modifications that are required.

Open Rhinoplasties

In an open rhinoplasty, a small incision is made across the columella, the covering of skin that separates the right and left nostril. The skin and other layers of soft tissue are then lifted, exposing the structure of the nose and allowing the surgeon to make the necessary adjustments with better visibility. Open rhinoplasties are typically performed on patients requiring more extensive surgical measures.

Closed Rhinoplasties

In a closed rhinoplasty, the surgeon is able to perform the surgical modifications from inside the nostril. Dr. Albert performs both open and closed rhinoplasties and is careful to preserve the structures of the nose in case of future injury.

Nasal Grafts

Many of the complications and deformities that arise after an initial rhinoplasty are the result of a surgeon removing too much bone and or cartilage. Revision rhinoplasties and augmentation rhinoplasties require a graft to be placed in the nose to replace or strengthen the tissue. These are typically harvested from the cartilage in the ears or ribs. 

Dr. Albert also works with MTF Biologics, which supplies donor grafts. Dr. Albert uses non-irradiated grafts, which means that the donor cartilage has not been treated with radiation to sterilize it. Non-irradiated grafts have a high success rate once placed.

Spreader grafts are used to replace sections of lateral cartilage that were previously removed and to correct collapsed nasal vaults. (1) Alar grafts may also be utilized to create better definition for the tip of the nose. When performing reconstructive work, he may also use silicone implants to create the necessary dimensions. 

Special Considerations 

Florida’s tropical climate causes many patients allergic rhinitis, or hay fever, which causes nasal inflammation. Sinusitis is also common and can lead to infections. Dr. Albert is meticulous to ensure that he delivers optimal care and will prescribe pre-operative medications for these allergies. 

When performing a rhinoplasty, it is important to identify the different goals for men vs. women.

Men should maintain a strong, masculine nasal appearance, while women typically desire a shapely and more refined nasal profile. Dr. Albert works closely with the patient to ensure that their unique facial features are enhanced by their rhinoplasty and that their individual aesthetic desires are satisfied.

Benefits of Rhinoplasty

A rhinoplasty procedure can improve the appearance and the function of the nose. This transformative procedure helps patients continue their life with increased comfort and confidence. 

A Rhinoplasty can:

  • Adjust nasal size, shape, and angles
  • Improve respiratory function
  • Reduce a dorsal hump and create a more streamlined profile
  • Balance the proportions of facial features and correct asymmetry
  • Reshape nostrils and tip of the nose
  • Correct deformities caused by injury, trauma, or accident

To learn more about the other procedures that Dr. Albert performs, and the latest topics in plastic surgery, follow his blog!

Personal Consultation

Before approving a patient for rhinoplasty, Dr. Albert conducts an extensive conversation to identify the patient’s desires. This conferencing addresses their concerns about both their nasal performance and appearance. It also includes a thorough examination of their nose, and a careful evaluation of the proportions of their other facial features to ensure balanced results. He typically looks at the profile or lateral proportions of the nose and how they relate to the eyes, forehead, chin, and neck. 

Often patients include a chin implant and neck liposuction. This ensures that the size of the chin harmonizes with the results of their rhinoplasty, and improves jawline and chin definition for overall aesthetic improvement. Although patients sometimes decline these extra procedures, Dr. Albert feels that it is his responsibility to tell them what will give the optimal results, which other providers typically do not. Once Dr. Albert has determined the best approach for your rhinoplasty, he’ll review the details of the surgery and explain the process so that you know exactly what to expect before, during, and after your procedure. 

You’ll also be given a detailed list of instructions to ensure that your surgery goes smoothly and that you make a speedy recovery.

Recovery and Results

Your rhinoplasty will be performed at the Optimization Centre’s state-of-the-art Surgery Centre. Rhinoplasties are outpatient procedures, and patients are able to return home with their designated driver once their surgery is complete. Patients are able to breathe through their nose immediately after their surgery, as Dr. Albert does not use nasal packing. After surgery, patients will continue to wear a nasal splint for a week, after which it is removed at a follow-up appointment. Dr. Albert always looks forward to sharing these emotionally charged events with his patients, who often cry upon seeing their new nose for the first time! 

If you’ve been unhappy with how your nose looks, or just want to breathe easier, there’s no reason to wait. Schedule an appointment for a personal consultation and learn more about how this procedure can transform your life. Call the Optimization Centre today at (561) 495-2700.

How Much Does a Nose Job Cost in Boca Raton?

The final cost of your rhinoplasty will depend on the details of your surgery. Once Dr. Albert develops your personal treatment plan, you’ll be given an accurate estimate for the cost of your procedure. 

References

  1. Bussi, M., Palonta, F., & Toma, S. (2013). Grafting in revision rhinoplasty. Acta Otorhinolaryngologica Italica, 33(3), 183–189. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709529/
  2. Bagheri, S. C. (2012). Rhinoplasty: current therapy (1st ed., Vol. 24). Saunders.
  3. Daniel, R.K. (2018). The Preservation Rhinoplasty: A New Rhinoplasty Revolution, Aesthetic Surgery Journal, 38(2). 228–229, https://doi.org/10.1093/asj/sjx258