Nasal Surgery (Rhinoplasty)

Nasal Surgery or Rhinoplasty is the surgical alteration of the nose to change its shape and/or improve its function. Cosmetic nasal surgery can correct a variety of conditions including an over-sized nose, a hump on the bridge, an undesirable shape of the nasal tip or a narrow or wide span of the nostrils. Both frontal and profile views of the nose can be corrected to complement other facial features, and achieve balanced facial proportions.

But not all nose surgery is performed for strictly cosmetic purposes; rhinoplasty can correct structural abnormalities, such as a deviated septum, which can lead to breathing problems, chronic stuffiness, post-nasal drip and even snoring. Nasal surgeries performed for functional breathing issues may be reimbursed by most medical insurance companies. However, many of our Dallas rhinoplasty patients elect to add a cosmetic component to achieve the best aesthetic outcome from their functional procedures.

Dr. Bassichis is board certified in two disciplines, making him uniquely qualified for nasal surgery. As a Board Certified Facial Plastic Surgeon and a Board Certified Otolaryngologist (Ear, Nose, and Throat), he has the ability to improve both the appearance of the nose while simultaneously improving breathing function to permit the best possible outcomes from nasal surgery. Dr. Bassichis' goals for each rhinoplasty he performs are to improve the nose functionally and aesthetically, and to create harmony with the other facial features. His rhinoplasty outcomes are individualized to each patient, creating a well proportioned nose, that enhances the beauty of the eyes, allows for comfortable nasal function, and is in peaceful harmony with the other features of the face.

During your complimentary consultation, Dr. Bassichis will discuss your individual desires and goals for your nasal surgery, as each nose is different and requires a unique approach.. Digital photography and advanced computer imaging software can be extremely useful tools to communicate aesthetic desires and to assist in visualizing your final results. While not a guarantee of outcome, it is an important communication tool to mediate for the patient and surgeon and visualize realistic expectations for your nasal surgery.

Nasal Surgery FAQ's

Is Rhinoplasty For Me?
A good candidate for a nose job is anyone who is unhappy with the appearance of their nose and/or cannot breathe through their nose. Candidates should be in good physical health, be psychologically stable and have realistic expectations for the outcome of their surgery. However, the decision to undergo rhinoplasty remains a personalized question. Additionally, Dr. Bassichis may discuss other procedures which may be helpful in creating your best cosmetic outcome, such as chin or cheek implants to balance your facial features. No one is too old for nasal surgery, but adolescents who have not completed their growth phase or are emotionally immature should consider delaying the procedure. Special considerations should be reviewed with your surgeon. For example, what influence will rhinoplasty have on your voice if you are a singer?

So if you cannot breathe through your nose or are plagued with chronic snoring, you should be evaluated for nasal surgery. Some of these cases may be covered by your medical insurance.

How Do I Know If My Expectations Are Realistic?
If you are considering rhinoplasty, be sure to openly and honestly discuss your expectations with Dr. Bassichis. During your consultation, you will be asked what bothers you about your nose and how you would like to change it.

Dr. Bassichis will evaluate the structures of your nose such as the underlying nasal bones and cartilage, your overlying skin and other facial features, in addition to assessing nasal function. It is important for you to provide any history of trauma or surgery that you have had to your nose as well as any seasonal allergy problems.

After this evaluation, Dr. Bassichis can tell you if your expectations are realistic and whether rhinoplasty will enhance your facial beauty.

Is There a "Perfect" or "Ideal" Nose?
Even in our "Extreme Makover" world, there is really no one nasal shape that will compliment the natural beauty of every face. Today, surgical changes are made to enhance the remaining facial features and emphasize the individual's natural facial beauty, and not to create that plastic or "operated" look. An ideal surgical outcome is one which optimizes your appearance, yet preserves the uniqueness that is YOU.

What If I Have A Broken Nose Or A Deviated Septum?
Because of the prominent position of the nose on the face, it contains the most frequently injured bones on the face. Forgotten, neglected or overlooked injuries can lead to nasal obstruction, a deviated septum, or crooked nose. Deviated septums and broken noses are often fixed at the same time as cosmetic nasal surgery. Following surgery, patients are thrilled to be able to breathe through their nose again not realizing the magnitude of difficulty that they had breathing through their nose prior to the procedure. So if you cannot breathe through your nose or are plagued with chronic snoring, you should be evaluated for nasal surgery. Some of these cases may be covered by medical insurance.

How Long Does It Take To Heal?
Modern surgical techniques used by Dr. Bassichis can reduce the incidence of significant post-operative bruising and swelling. Most patients return to their normal routines one week after surgery and vigorous exercise can begin at two weeks. Final results are usually realized in six months to a year.

Can I Choose The Nose I Want?
Within reason. Digital photography and computer imaging can be very useful in visualizing what the final result will be. While not a guarantee of results, it is a great benefit in preoperative planning. It can assist you and Dr. Bassichis in determining a reasonable outcome for your nasal surgery, as well as indicating what is not possible from surgery. Clearly discussing your expectations with Dr. Bassichis is crucial to your satisfaction with the procedure. After all, the goal of rhinoplasty is to improve the nose functionally and aesthetically, and to create harmony with the other facial features. If you are self-conscious about your nose, nasal surgery can open up new possibilities for changing your appearance and your self-image.