Closed Rhinoplasty

Dr. William Portuese, a facial plastic surgeon, encounters a number of diseases that can cause a droopy nose and add to the appearance. A droopy nasal tip may be to blame for the “hang-down” appearance, or there may be a more general issue made worse by structural problems further up the nose.

For example, a nasal hump can cause lines to flow from the middle of the nose to the tip, accentuating a droop even more.

Droopy Nose Rhinoplasty Consultation

Patients will meet with a plastic surgeon for a consultation prior to any drooping nose rhinoplasty in order to go over their surgical goals and ask any questions they may have regarding the surgery.

In order to demonstrate each patient what rhinoplasty outcomes might appear like on their own face, digital imaging is employed to create virtual before and after photographs during this session. They can see firsthand the potential benefits of rhinoplasty and the effect a straighter nose would have on the face.

Droopy Nose Surgery

After evaluating the nose, Dr. William Portuese chooses a suggested line of action.
He works closely with each patient to understand their goals for rhinoplasty and thoroughly describes the procedure. With more than 30 years of rhinoplasty experience, he can manage a variety of issues and aims and tailor the procedure to the individual patient.

In order to fix a droopy nose, the doctor will conduct a rhinoplasty after the initial consultation and preoperative procedures.

To prevent future droopiness, he will rotate or lift the nasal tip, then add or rebuild support with cartilage taken from the patient.

Rhinoplasty can simultaneously minimize a nasal hump and an oversized nose.
In some instances, the two surgical procedures go hand in hand because cartilage removed from the nose to reduce its size can later be used to strengthen the nasal tip.

The end result of a drooping nose rhinoplasty is to create a nose that doesn’t emphasize any one particular feature and fits naturally and proportionately in the face.

Droopy Tip Rhinoplasty Recovery

Patients will need a few weeks to recuperate from droopy tip rhinoplasty. Patients can anticipate wearing an outer splint for roughly a week and a light dressing for a day.

For the first two to three weeks after surgery, patients should refrain from engaging in any physical activity that could cause a physical blow to their healing nose.

Swelling and bruises will progressively go away throughout this period.
Although the surgery’s outward indications disappear in a matter of weeks, interior healing could take up to a year.

Every crooked nose rhinoplasty patient receives aftercare instructions from The Portland Center For Facial Plastic Surgery, along with information on how to recognize uncommon potential problems including bleeding and infection.

A rhinoplasty procedure can accomplish narrowing wide nasal bones with osteotomies. The osteotomies allow the entire bridge line composed of the wide nasal bones and the corresponding wide upper lateral cartilages to be narrowed from their pre-existing wider position. After performing medial and lateral osteotomies in the nasal bones, a cast is applied across the bridge of the nose and is usually left intact for one week. Anticipate 2 weeks of visible bruising and swelling from the procedure itself. The sutures placed on the inside of the nose with closed rhinoplasty are all dissolvable. It’s also important to make sure the tip of the nose balances with the new bridge line, so in many instances, some type of tip surgery may be required. To narrow the nasal tip requires a conservative cartilage removal or suture techniques called intra-domal or inter-domal sutures, which can narrow the nasal tip. It’s important that all of the components of the nose including the nasal bones, upper lateral cartilages, and the lower lateral cartilages of the nasal tip balance with themselves. To narrow wide nostrils requires an alar-plasty, which can be accomplished with an incision at the base of the nostril sill for very wide nostrils, or an internal incision if the amount of narrowing is minimal. To close the alar-plasty incision usually requires 2 types of sutures to hold the incision together underneath the skin with dissolvable sutures and a meticulous skin layered closure so that the incision heals inconspicuously.

Many nose job procedures require a dorsal hump reduction. The dorsal hump is composed of cartilage and bone and it must be shaved down in order to remove it successfully. The removing of the dorsal hump creates an open roof, and a flat-top nasal deformity which also has the appearance of a very wide nose. Osteotomies of the nasal bones are definitely required for each time the dorsal hump is removed. Osteotomies performed on the nasal bones allow closure of the open roof deformity to give a very balanced nose. It’s also important that the nose looks balanced from all angles, since it is a three-dimensional structure. Some patients also require small spreader grafts placed underneath a concave upper lateral cartilage once the dorsal hump has been removed. These grafts are placed through a small incision at the septal angle and inserted underneath the perichondrium and periosteum of the nasal septum to bolster and support the upper lateral cartilages and prevent them from falling inwards. Portland Facial Plastic Surgeon Dr. Portuese performs closed rhinoplasty to accomplish narrowing a wide nose under general anesthesia by a board-certified physician anesthesiologist. The procedure is performed in a state of the art in a Medicare Certified, Outpatient Ambulatory Surgery Center. The center is also a licensed by the Department of Health in Washington State. Call today for rhinoplasty for wide nose.