Nose projection is the distance that it projects outward from the point where it connects the upper lip to its tip.

If the tip is too protuberant, it can have a significant impact on the overall appearance of the nose. But if the nose under-projects, it will appear too shallow and excessively small relative to other facial characteristics.

The surgeon may trim away a portion of the cartilage at the nasal tip to reduce the projection of the nose. To increase the nose projection, the surgeon may separate and realign the cartilage.

A Surgical Step

They will push it forward and suture it into a refined position. If there is inadequate cartilage in the nasal tip, the surgeon may use a cartilage graft to augment it.

Board certified facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding communities.

Correcting an Over Projected Nose

Individuals with over-projected noses which protrude too far out from their face can undergo corrective surgery which involves trimming away the cartilage at the nose tip. This surgery, also known as nasal de-projection or retro-displacement, moves the nasal tip back to offer it a more attractive appearance.

Correcting an Under Projected Nose

The surgeon will extend the nose cartilage to re-project a nose which is under-projected. They can achieve this goal through two approaches, depending on the nasal anatomy. One approach involves shaving away the nasal cartilage and suturing it up to create a better nasal projection.

The second technique involves the surgeon taking a cartilage graft from another body area with adequate cartilage availability and using it to enhance the projection of the nose.

This donor cartilage is often taken from the nasal septum in cases of primary rhinoplasty. The cartilage can also be taken from the ears or the ribs if necessary.

Types of Cartilage Grafts

The cartilage grafts may be called columellar struts when used to support the columella which divides the nostrils. If the patient is undergoing a revision nose surgery, there may be inadequate septum cartilage.

Ear cartilage is quite elastic. For this reason, it is considered to be beneficial in providing support to the nasal tip. A common cartilage graft from the ear will be thicker relative to septum cartilage. But it may help develop a nose tip that feels more natural rather than one that is rigid and solid due to the elasticity.

Costal or rib cartilage is also considered a viable option for primary rhinoplasty patients. Ear or septal cartilage is commonly used in tip refinement. But at times, the surgeon may use rib cartilage as well.

Considerations for Male Patients

Men considering nose projection rhinoplasty may have concerns about their nose looking too feminine after the procedure. However, a judicious and skilled facial plastic surgeon can make sure that the male aesthetic of the nose is preserved while improving the nose projection simultaneously.

A nose projection surgery can effectively enhance the nose shape will preserving its masculine appearance for men who do not want to undergo a “full rhinoplasty.”

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

In case the nasal tip lacks definition or is too defined, it may not have a proper rotation. The upward or downward tilt of the nasal tip is called rotation.

The surgeon will reshape the cartilage to develop a more desirable nose tip. During this procedure, they will pay close attention to the nasal base as it impacts the tension and rotation.

Board certified facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding locations.

What is Nose Tip Rhinoplasty?

Nasal tip rhinoplasty refers to a cosmetic surgery procedure undertaken on the lower third part of the nose. This is an intricate procedure where the rhinoplasty surgeon should be highly experienced and skilled as well as have an in-depth understanding of the nasal anatomy.

Nasal tip refinement is not only a cosmetic procedure but also a medical necessity at times. For instance, sometimes the patient may experience breathing issues either in their routine life or when sleeping because of an abnormally shaped nasal tip.

Sinus infections may also develop due to an abnormal nasal tip. Some patients also suffer from speech issues because of an abnormally shaped nose tip.

Reasons to Receive Tip Refinement

Nasal tip refinement can be undertaken either by itself or as an alternative to rhinoplasty for various reasons. However, patients usually undergo this procedure to correct a fuller or “bulbous” nasal tip.

Some patients may find that their natural nose structure to be unattractive such as patients with “hooked noses, noses that droop at the tip, or upturned noses. Nasal tip refinement has a slimming effect on the face in general.

Wide Tip Correction

A bulbous or wide nose often occurs because of a combination of thick nose skin and large nasal domes that are spaced apart widely. In many cases, a thick ligament or fat may separate the nasal domes.

The plastic surgeon will modify the soft tissue and move the domes closer to correct this condition. They may need to place a graft on the nasal tip itself for patients with thick skin to give the nose better definition. The surgeon may also shave off or tweak the cartilage structure beneath the skin to make the nasal tip narrower.

Less Invasive Procedure

The nasal tip refinement surgery is much less invasive in comparison to a full rhinoplasty. The inner structure of the nose undergoes significant modification in a traditional rhinoplasty. This may include fracturing the nasal bones which will lead to a longer recovery phase.

But nasal tip refinement usually involves only two to three incisions allowing the surgeon to access the cartilage in that area. The surgeon will seal the incisions after reshaping the nose. In addition, this procedure involves a relatively shorter recovery period.

For patients who are good candidates for tip refinement surgery, it usually offers a suitable alternative to “full” rhinoplasty surgery.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

Nose Width Reduction Surgery

When viewing the nose from beneath, the nasal tip and nostrils form a triangle called the pyriform aperture. A nose surgeon will adjust the pyriform aperture to reduce the width of the nasal tip.

They can reduce the width of the nose by making the angles of this triangle steeper at the point where the nostrils attach to the face.

Board certified facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding locations.

Nasal Base Reduction

The nasal base reduction rhinoplasty technique can effectively reduce the width of the nasal base where it is too broad in comparison to other facial features. This technique is used in some variation as a routine part of rhinoplasty and revision rhinoplasty procedures.

Ethnic rhinoplasty patients undergo reduction of the nose base even more often. Patients with African American, Asian, and Middle Eastern lineage usually need nasal base reduction as these ethnicities typically have a wider nose base. To enhance the appearance of the nose, this area will require reduction.

Many patients considering rhinoplasty or revision rhinoplasty often complain that their nose appears too broad or large at the base. The base is measured from the outer margin of one nostril to the outer margin of the other.

Ideally, the width of the nasal base should not be more than the distance between the eyes. Upon visualizing a line extending vertically down from the corner of the eye, or inner canthus on either side, the nasal base should fall between these two lines.

But it is vital to understand that this adjustment is the aesthetic ideal for Caucasian rhinoplasty patients. This standard may not be appropriate for ethnic patients. Most ethnic nose reshaping cosmetic surgery patients attain optimal outcomes with a nasal base that is slightly wider than this ideal measurement.

Anatomy Involved In Nasal Base Reduction

To decide on the most appropriate surgical treatment of specific rhinoplasty patients, it is vital that the surgeon has an in-depth knowledge of the anatomy of the nose base area. The columella is the column-shaped structure that is found in the middle of the nasal base.

This structure bifurcates the nostrils into right and left parts. The alar base insertion is the part of the nostril side wall that attaches to the upper lip-cheek point. The nasal sill area lies between the alar base insertion point and the columella.

A Wide Sill Area

Along with a wide nasal base, some nose surgery candidates also tend to have a broad sill area that gives the nose extra width. An excessively broad sill could create a more horizontal type nostril shape. This is common in patients with a wide nasal sill.

What to Expect after Reduction Rhinoplasty Surgery?

Reduction rhinoplasty involves the same recovery period and strategies as other nose reshaping surgical procedures. Following the surgery, the patient will experience swelling and discomfort for a number of days as the nose, and the surrounding tissues heal.

The bruising will subside gradually, and the swelling will resolve as the healing progresses. The final results of the rhinoplasty will establish over a period. The patient will be able to return to their routine activities after the recovery period.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty.

For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

A rhinoplasty cosmetic surgery is a suitable procedure for people who have a slightly crooked nose or a nose that has shifted to one side. A nose surgeon can straighten the nose by eliminating some bone or cartilage or moving the tissue manually.

The rhinoplasty surgeon may place a splint (similar to placing a splint in case of a broken nose after functional nose surgery) to ensure that the nose remains in the correct position while it heals.

The level of nose crookedness depends on the cause behind it. In general, a crooked nose is only an aesthetic issue. However, it can also lead to breathing problems in some cases.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding communities.  

What causes a Crooked Nose?

There are two types of crooked noses. The first one occurs due to an issue within the intricate nasal system of cartilages, bones, and tissue within the nose.

This can develop due to a variety of reasons, such as:

• Injuries, such as a broken nose
• Birth defects
• Tumors
• Nose surgery
• Severe infections

The nose will assume an I, S, or C-shape, depending on the reason for the crookedness.

The other type of nose crookedness develops because of a deviated septum. The septum is the internal wall that bifurcates the nose into two identical airways. In the case of a deviated septum, this wall leans to one side partially blocking one nasal passageway. Some people have a deviated septum since birth while others develop it after an injury.

In addition to causing nose crookedness, a deviated septum can also lead to:

• Nosebleeds
• Loud breathing
• Problems in sleeping on one side

A qualified surgeon can help determine the cause for the crooked nose and help determine the most appropriate course of treatment.

Surgical Treatment

Dermal fillers can help straighten a slightly crooked nose. However, more severe cases will require nose surgery. Rhinoplasty cosmetic surgery can correct the aesthetic problems of the nose while septoplasty can help straighten the septum.

Rhinoplasty

There are two types of rhinoplasty procedures, namely cosmetic rhinoplasty and functional rhinoplasty. Cosmetic rhinoplasty focuses on enhancing the appearance of the nose. On the other hand, functional rhinoplasty addresses breathing problems.

A 2015 research study indicates that regardless of the technique used, rhinoplasty can effectively straighten crooked noses in patients with or without facial symmetry. The similar appearance of both halves of the face is known as facial symmetry.

Septoplasty

Septoplasty can straighten a crooked nose by reshaping the wall that bifurcates the nasal airways. If a deviated septum is the reason for the crooked nose, the surgeon will likely recommend a septoplasty to the patient. This procedure can straighten the nose and relieve the nasal airways of obstructions caused by a deviated septum.

The Final Word

A crooked nose is a common condition which occurs due to a deviated septum or past injury. Interestingly, nearly 80 percent of people have some form of septal deviation. The patient should seek a suitable treatment option if their crooked nose is causing breathing problems or major aesthetic issues.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

Rhinoplasty cosmetic surgery may be required to reduce a dorsal hump or bump in some patients. Variations of this condition can cause the illusion of a substantial bump, called pseudo-hump or low radix.

The radix refers to the upper bony portion of the nose. The nose may appear to have a bump due to a substantial radix and underlying cartilage. A shallow radix can lead to the appearance of a depression and a bump. The nose surgeon can reduce the size of the radix by cautiously shaving away tiny portions.

The surgeon may source cartilage from another area of the patient’s nose, such as the septum, to add fullness to a depressed area of the nose. Building-up the area right above the radix enables the surgeon to develop a straighter nasal slope. It is important to manage the radix properly in order to provide the nose with a natural look.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding locations.

Pseudo-Hump

The presence of a pseudo-hump indicates that the radix is not sufficiently developed and is under-projecting. This creates a facial profile where the tissue underneath the radix, towards the nasal tip, seems even fuller and more bulbous than it actually is. A pseudo-hump develops if the radix bone does not project the overlying soft tissue appropriately.

Treating an Underdeveloped and Low Radix

The most suitable treatment for an under-projecting nose is rhinoplasty with radix tissue grafting. A radix graft can consist of fascia, cartilage, or other soft tissue.

A graft is usually a sculpted cartilage fragment typically taken from the septum. The surgeon places this graft underneath the muscle and skin of the radix where it remains discreet.

The surgeon will place the cartilage graft over the bone where it will elevate the depressed soft tissue and address the deficient bony structure. This procedure helps create a straighter profile without the need to remove any cartilage or bone underneath the radix.

Is it Possible to have Weak Radix and a True Hump?

Some patients can have an underdeveloped radix as well as a true hump. In addressing both these issues together, the surgeon can perform a more conservative hump removal.

The cosmetic surgery procedure involves bringing the ideal profile line closer to the hump by elevating the position of the radix. Consequently, the surgeon will remove a lesser portion of the hum when creating a straighter profile.

The outcomes of this surgery appear less “surgical” and offer a more natural look due to a stronger starting nasal foundation.

Correcting Radix as Part of Revision Rhinoplasty

The height of the radix refers to the angle made between the frontal and nasal bones. This height should be in proportion to the dorsal height, length, and tip for more balanced and complete results.

In case the radix remains too high, or an excessively large graft is used, the nose will appear Romanesque following the surgery. A revision rhinoplasty involves the reduction of the radix to its correct and most appropriate position compared to other nasal aspects and facial characteristics.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

Depending on the unique anatomical and aesthetic needs of the patient, a rhinoplasty surgeon can determine the right nose reshaping cosmetic surgery technique for them.

During the pre-op consultation, the surgeon will evaluate the patient as a candidate for a specific type of rhinoplasty procedure.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding communities.

Reduction Rhinoplasty

Reduction rhinoplasty is a common nose reshaping technique. This procedure involves making the nose more proportionate to the other facial features. It can successfully address issues such as a bump on the nose bridge, excessively wide nostrils, and an elongated nasal tip.

The surgeon will excise small pieces of bone and cartilage from the nose to make it more harmonious with other facial characteristics. They may also use a technique known as an alar base reduction to decrease the size of the nostrils. In performing alar base reduction, the surgeon will remove small amounts of tissue from the region where the cheek and nostrils connect.

Augmentation Rhinoplasty

Augmentation rhinoplasty is another significant nose reshaping technique. This cosmetic surgery procedure involves the grafting of bone or tissue to build-up the nose tip and/or bridge. In this procedure, the surgeon may sometimes use cartilage from other areas of the nose, such as the septum.

But if the patient does not have an adequate amount of tissue in this region, they may use cartilage from other areas of the body, rib bone, synthetic materials, and other types of biological tissue.

Post-Traumatic Rhinoplasty

Post-traumatic rhinoplasty may be a suitable procedure for patients of nasal trauma. This technique can enhance the functionality and appearance of the nose. This procedure can address crooked noses and problems in the septum.

Many patients of traumatic facial injuries also suffer from fractured noses. In such cases, the surgeon may need to re-fracture the nose. They will subsequently reset the nose to achieve desirable results. A surgeon can typically set a basic nose fracture within a ten-day period following the injury.

Reconstructive Rhinoplasty

For patients who have lost their entire nose or a portion of it to skin cancer, accidents, or another serious condition may benefit from reconstructive rhinoplasty.

In this procedure, the surgeon rebuilds the nose through approaches such as flap techniques, skin grafts, and various other advanced methods. Reconstructive rhinoplasty is a complex process in which the patient may require multiple surgeries over several months.

Ethnic Rhinoplasty

Ethnic rhinoplasty involves the same nose reshaping techniques as other types of rhinoplasty procedures. Ethnic rhinoplasty is a popular procedure for people of Afro-Caribbean, African American, Middle-Eastern, and Asian heritage.

People from these ethnicities often have softer nasal contours. It is important for the surgeon to maintain the integrity of the ethnic face while performing such procedures.

Adolescent Rhinoplasty

Teenage patients should wait until their noses are fully developed before undergoing rhinoplasty surgery. Some exceptions include cases where the teenage patient is experiencing breathing problems or has undergone trauma.

An experienced rhinoplasty surgeon will ensure that they protect the delicate nasal structure of the teenage nose during this procedure. Furthermore, the surgeon must make sure that the teen is emotionally and psychologically ready for rhinoplasty.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

Nose fractures account for almost 40 percent of bone injuries in cases of facial trauma. The treatment commences with primary care involving an assessment of the extent of the injury, understanding the reasons for the injury, and reviewing the nose and face condition before the damage.

A rhinoplasty surgeon is in the best position to recommend a suitable treatment for nasal fractures.

A Bone Pyramid

There are a variety of nasal fractures, and without treatment, these fractures could lead to breathing problems or a deformed or crooked nose. A fracture can develop in any place in the “bony pyramid” (the pyramid-shaped bony structure protruding from the nose) of the nose.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding locations.

Types of Nasal Fractures

The treatment for different types of fractures requires different types of osteotomy (the practice of rejoining and resetting bones).

Greenstick Fractures

These fractures develop along the nasal bone edges. Children usually develop these fractures as their bones are still developing and are highly malleable. For this reason, Greenstick fractures are usually partial rather than completely broken bones.

Saddle Deformity

This is a more serious type of fracture and one that leads to the nasal bridge and septum collapsing and becoming conclave into the face. This deformity is named after the saddle-like shape that it creates which is visible when the face is viewed in profile.

These types of fractures occur due to acute facial trauma or the disintegration of cartilage because of snorting drugs such as cocaine. To treat this condition, the surgeon takes cartilage or rib bone from a donor to rebuild the nasal bridge and septum.

Comminuted Fracture

Comminuted fractures involve the breaking of the bone into three or more fragments. The treatment of this type of fracture involves the removal of the extra bone fragments which can cause severe complications if left untreated. In addition, the surgeon will align the bones of the nose. This condition usually occurs with severe trauma or in elderly patients with weakened bones.

Le Fort Fractures

At times, a serious injury can cause damage to the bones behind the nose (maxillae). Two bones form the maxillae, and it comprises the upper jaw and palate providing support to the structure of the nose. Fractures in this region are known as Le Fort fractures and are classified into three categories.  

Le Fort I fractures develop in a horizontal position and impact the nostril and jaw. Le Fort II fractures affect the maxillae beneath the eye sockets surrounding the nasal bridge.

A Le Fort II fracture involves damage to the bones in the “bony-pyramid” region. This fracture goes from the nasal bridge to the mouth corners in an inverted V-shape. Le Fort III fractures cause damage to the bones surrounding the eyes or the orbital sockets.

Le Fort fractures warrant immediate medical attention as such fractures can lead to long-term brain and palate damage. An expert rhinoplasty surgeon can effectively treat Le Fort fractures.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

Nasal polyps can develop in various sizes and colors. They typically range from brownish-yellow to pink in color. Nasal polyps look like teardrops initially and gradually become larger to look like grapes on a stem.

They can occur in one or both nostrils simultaneously and grow alone or in clusters.

Polyp clusters or substantial polyps can cause issues in breathing and impact the sense of smell. Polyps can obstruct the sinuses and cause recurrent infections. The nose surgeon will assess the patient’s nasal polyps and recommend an appropriate treatment plan based on this evaluation.

Board certified facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty cosmetic surgery to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding communities.

Who may Develop Nasal Polyps?

Nasal polyps exist in around four to 40 percent of the population and are almost two to four times more common in men than in women. Polyps usually develop in people in their youth or middle age.

They are more likely to occur in individuals with recurring sinus infections, asthma, and allergies. Nasal polyps also have a higher possibility of developing in children with cystic fibrosis.

Diagnosis

An experienced surgeon can detect nasal polyps just by asking the patient questions on their symptoms and assessing the condition of their nose. A lighted instrument can enable the surgeon to see the nasal polyps within the nose.

Moreover, the surgeon may order the below mention tests to confirm the diagnosis:

• CT scan
• Nasal endoscopy
• Cystic fibrosis
• Skin prick allergy test

Treatment

Steroid Nose Drops or Spray

The surgeon may prescribe a steroid spray or nasal drops to the patient. These will help reduce the inflammation in the polyps. This is a standard course of treatment for patients with a single polyp or a cluster of small polyps. The side effects of the treatment may include:

• Headache
• Nosebleeds
• Sore throat

Steroid Pills

In case the patient has larger polyps or severe inflammation, they may require steroid pills. The doctor may prescribe these pills by themselves on along with a nasal spray.

Steroids can effectively decrease the size of the polyps. However, they can lead to complications such as weight gain. The surgeon will ask the patient to be on these pills for a few weeks and not for a longer duration.

Other Medications

Sometimes the surgeon may prescribe other medicines to address the conditions that may be aggravating the swelling. For instance, they may prescribe antifungal drugs to treat fungal allergies, antihistamines to treat allergic responses, and antibiotics to treat bacterial conditions.

Surgery

If the nasal polyps are substantial in size, or the patient does not respond to other treatments, the surgeon will recommend a surgical procedure to correct this condition.

Polypectomy

This is a common procedure to excise polyps. The procedure is done with the patient under local or general anesthesia. The surgeon will place a long, narrow pipe connected to a camera inside the patient’s nose to view the nasal polyps and sinuses.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty cosmetic surgery.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

Rhinoplasty cosmetic surgery is an effective treatment for enlarged turbinates. Turbinates are thin, narrow bones that project outwards from the sides of the septum inside the nasal cavity. Turbinates end in small, curled knobs.

There are three types of turbinates. Superior turbinates are the bones found in the upper portion of the nose located between the eyes and nose. Middle turbinates are located in the middle part of the nose, and inferior turbinates lie right on top of the nostrils.

The plastic surgeon will assess the patient’s nose at the time of the pre-operative consultation to determine if enlarged turbinates surgery is appropriate for them.

Board certified facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty cosmetic surgery to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding locations.

Turbinate Rhinoplasty

Turbinate rhinoplasty can address turbinates that are swollen due to allergies or irritants. At times, the turbinate may become constricted if a deviated septum pushes it to one side.

As a result, the turbinate on the opposite side becomes larger to compensate for the constricted turbinate. This causes additional breathing problems.

Some surgeons remove tissue to reduce their size when treating enlarged turbinates while other do not eliminate any tissue. Instead, the surgeon fractures the turbinate outwards. Turbinates generate moisture and warm the air entering the nose to facilitate proper breathing.

Sometimes removing these turbinates can cause a painful condition known as atrophic rhinitis. However, if the surgeon breaks a turbinate in the outward direction and away from the septum and repositions it properly, it creates a larger airway. This allows proper breathing and functioning of the turbinates.

Surgical Procedure

Various techniques can be used to eliminate turbinate size. The procedure to correct the turbinate size is known as turbinate resection or turbinate reduction.

This surgery can be undertaken in an operating room or the surgeon’s office. The surgeon will typically perform a septoplasty and turbinate resection simultaneously.

The complete removal of a turbinate can impact overall turbinate function. This could lead to a very dry and crusty nose. The turbinate tissue may grow back in some cases. Such patients will need additional surgery to address the re-growth. This is still more acceptable than complete turbinate removal.

Certain techniques can decrease the size of a turbinate without the removal of turbinate tissue of the bone. Techniques such as coblation, radiofrequency reduction, and cauterization can help accomplish this reduction.

In these techniques, a part of the turbinate is warmed with a specialized instrument. The turbinate constricts after some time due to the formation of scar tissue from the process of heating.

Aspects of this Procedure

In some procedures, the surgeon may remove a part of the turbinate. While undertaking these procedures, the surgeon should ensure that adequate turbinate remains within the nose. The remaining turbinate can moisten and warm the air entering the nose.

Submucosal resection is a standard technique used in the treatment of enlarged turbinates. Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty cosmetic surgery.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

Rhinoplasty plastic surgery can help correct the commonly occurring problem of a deviated septum. The surgeon will evaluate the nature and extent of the deviated septum prior to developing an individualized surgical plan to correct it.

Board certified facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty cosmetic surgery to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding communities.

What is Septum Deviation?

The septum divides the nasal cavity into two narrow passageways starting at the upper nasal region where it connects to the nostrils. The septum comprises various bone and cartilage sections.

The lower part of the septum sits on the anterior nasal spine. This is a supportive bone and can be felt in the area where the nose joins to the upper lip.

Septum deviation refers to the shifting or development of the septum to one side of the nasal cavity instead of dividing it into two identical passageways. The septum either bends outward in the shape of a bow creating a C-shape or bend to one side creating an S-shape.

The surgeon will reshape either the bony upper part of the septum located on the top of the nose or the cartilaginous lower portion of the nose.

Sometimes the septum may move off the anterior spine. This condition is called a caudal septal deviation. In such cases, the surgeon will realign the base of the septum to the anterior nasal spine.

A deviated septum may be present from birth in some people while others may develop it due to a traumatic injury. This condition can obstruct breathing and cause recurring nosebleeds and facial pain. Rhinoplasty cosmetic surgery is a proven technique to correct the septal deviation.

Septoplasty Procedure

The time taken to complete a septoplasty procedure is usually between 30 and 90 minutes. The complexity of the procedure will determine the time taken for the surgery. The surgeon and patient can decide in advance whether the septoplasty will be performed under general or local anesthesia.

The surgeon usually commences the procedure by placing an incision in one area on the nose to access the septum. Subsequently, they will ease the deviated septum to its correct position. They will remove impediments such as undesirable bone pieces and cartilage. After that, the surgeon will reposition the mucous membrane.

The patient may need sutures to help the septum and membrane remain in position. Sometimes, packing the nose with cotton is all it takes to ensure that the septum and membrane remain in place.

Recovery

The surgeon will undertake the septoplasty as an outpatient procedure unless a significant complication occurs. This means that the patient can go back home on the day of the surgery itself. The nose will be inflamed, painful, and stuffed with cotton to prevent bleeding. In the next one or two days after the surgery, the surgeon will remove the packing.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and nearby areas for rhinoplasty cosmetic surgery.
For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.