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Rhinoplasty

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Rhinoplasty in Dallas, TX, with Dr. Yash

Rhinoplasty is surgery to reshape your nose and improve your facial appearance. Your nose is the central feature of your face, but it shouldn’t be the center of attention. A nose that is in balance with your other features allows your eyes and mouth to be your face’s main attractions. Rhinoplasty can also correct breathing problems caused by obstruction of the nasal airway. 

Sometimes referred to as a “nose job” or “nose reshaping,” rhinoplasty is a highly customized procedure that requires extensive surgical expertise and a deep understanding of facial anatomy. When performed by a skilled board-certified plastic surgeon, rhinoplasty can narrow a wide nose, reduce the size of a large or projecting nose, straighten a crooked or humped nose, or reshape the nasal tip. The goal of cosmetic rhinoplasty is to bring your nose into harmony with your other facial features so that your reshaped nose looks natural and symmetrical.

When performed to correct breathing problems (functional rhinoplasty), the goal is to open the nasal airway in addition to improving facial appearance.

Dr. Yash Avashia has specialized training and extensive experience in performing rhinoplasty and other cosmetic and reconstructive facial surgery procedures. He applies his surgical skill, aesthetic sense, and in-depth medical knowledge to produce beautiful and natural-looking results.

To learn more about how rhinoplasty in Dallas might benefit you, contact Dr. Yash Plastic Surgery to schedule a consultation.

Why Might I Consider Rhinoplasty?

before and after rhinoplasty
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Plastic surgeons perform rhinoplasty to alter the shape or size of a patient’s nose to improve their facial appearance. You might consider rhinoplasty if you are bothered by or self-conscious about your nose because it:

  • is out of proportion with your face — too large or too small, too wide or too narrow 
  • projects too far from your face
  • has a bulbous nasal tip or one that is upturned or drooping
  • has a hump you consider unattractive
  • is sunken or too low where it meets your eyebrows
  • is crooked, uneven, or asymmetrical
  • lacks or has too much definition

You might also consider rhinoplasty if the anatomy of your nose causes you breathing problems. This might happen if you have a deviated septum, for example, or if an injury causes an obstruction of the nasal airway.

As an expert in facial anatomy and aesthetics, Dr. Yash understands the many different ways facial features can be in or out of visual harmony. A strong or weak chin, for example, can make the nose appear to be too large or too small. He also respects the great diversity of the human face and form, customizing his approach to each of his patients’ anatomy and goals.

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Honesty and integrity are the cornerstones of Dr. Avashia’s process. He feels strongly that he needs to educate patients on what gives them the most value, and he focuses on what should be done instead of simply what could be done. He will only recommend procedures that will help achieve your goals. Dr. Avashia knows that not everyone “needs the knife,” and he will recommend nonsurgical solutions when appropriate in order to give you a more minimally invasive solution to achieve your goals.

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Whether you’re looking to reverse the signs of aging or improve the appearance of a specific area of your body, Dr. Avashia can help you achieve your desired goals. Visit Dr. Yash today to learn more.

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What to Expect in Your Nose Surgery Consultation

Before and after rhinoplasty

In your consultation with Dr. Yash, he will ask questions to understand what bothers you about your nose and your hopes for the surgery. He will examine your unique nasal structure—including the underlying bone, cartilage, and tissue—and consider the balance of your facial features. He will also review your medical history. A photographer will take images of your face from multiple angles, which will be used to help plan the details of the surgery. Dr. Yash will then show you rhinoplasty before-and-after pictures of other rhinoplasty patients who had similar concerns and goals to further clarify your wishes for the procedure and explain the kinds of changes that can be made.

After Dr. Yash has gathered information from the consultation, he will plan the details of your procedure and explain them to you. In some cases, he may recommend a different procedure, perhaps a change to another part of your face or non-surgical treatment for your nose. If rhinoplasty seems like the best solution for you, he will tell you what to expect before and after the surgery and describe the planned results. He will also review your rhinoplasty procedure cost with you and discuss payment options. His goal is to be fully transparent so that you can make a confident and educated decision.

Why Choose Dr. Yash as my Dallas Rhinoplasty Surgeon?

Rhinoplasty is a complex and challenging procedure, requiring great surgical skill. Dr. Yash has special expertise in performing nose surgery. He has extensive training in functional rhinoplasty, cosmetic rhinoplasty, revision rhinoplasty, and reconstructive nasal surgery. He uses all the skills gained from these different types of rhinoplasty to provide each patient the best approach and result. Additionally, Dr. Yash is known for his friendly demeanor and ability to connect with his patients on a personal level.

Am I a Good Candidate for Rhinoplasty in Dallas, TX?

You are probably a suitable rhinoplasty candidate if you:

  • are bothered by or self-conscious about the appearance of your nose
  • have an obstruction in your nose that interferes with normal breathing
  • are in good health
  • do not smoke
  • have realistic expectations for the procedure. (Rhinoplasty can improve the appearance of your nose and restore healthy breathing function. It can’t give you someone else’s nose.)

Cosmetic rhinoplasty is generally performed on adults and older teenagers, after the bone and cartilage structure of the nose has matured and stopped growing. Functional or reconstructive rhinoplasty can be conducted on younger patients to correct breathing problems or repair a significant defect.

What Can I Expect Before, During, and After My Rhinoplasty?

Before

Dr. Yash is a partner in the Dallas Plastic Surgery Institute and will perform your rhinoplasty in the Institute’s state-of-the-art surgery center. The Institute is the top facility for aesthetic surgery in Dallas and among the best in the country. You will arrive on surgery day, check-in, and meet with Dr. Yash and your anesthesia provider. You will then be carefully anesthetized with general anesthesia and after being taken back to the operating room.

During

Rhinoplasty is a highly individualized procedure. The exact approach that Dr. Yash will use for your surgery will depend on your anatomy and your goals, as determined in your consultation.

There are two basic approaches to rhinoplasty, with significant variation possible in the application of each.

Open or external rhinoplasty gives Dr. Yash the most flexibility and enables him to make more significant changes, so is the preferred approach for most patients. In an open rhinoplasty, a small incision is made just below the tip of the nose, between the nostrils. Through this incision, Dr. Yash is able to make changes anywhere on the nose. He can add cartilage grafts to build up parts up the nose and provide support for the new shape or remove bone, cartilage, and other tissue where it needs to be reduced. Cartilage grafts in an open rhinoplasty can also be used to open breathing passages that are blocking nasal respiration. The small incision used in this approach becomes almost invisible when it heals.
Endonasal or closed rhinoplasty uses incisions inside the nose, so it creates no external scar. With closed rhinoplasty, the extent of possible changes is more limited. Only the tip of the nose can be reshaped for long-term results. When this approach is used to make more significant changes to the overall shape of the nose, which Dr. Yash will not do, the revised nasal structure can weaken and shift over time. When this happens, revision surgery may be needed after a few years to correct the problems.

After

Rhinoplasty is performed as an outpatient procedure. Once you are alert again after your anesthesia, a friend or family member can drive you home. You can then return home to begin the recovery phase. Dr. Yash will provide you with a full list of post-operative instructions for you to follow and will be available if you have any immediate questions or issues.

What Can I Expect in Recovery?

In most cases, recovery from nose surgery is relatively quick and painless. You may experience some short-term discomfort, but this can usually be managed with pain medications. For one week after your surgery, you’ll have both internal and external nose splints to hold your reshaped nose in place while it heals. You’re likely to have minor bruising and swelling for the first week, which can be concealed with makeup. Some swelling may recur, especially in the morning, for a few months after your surgery. Dr. Yash will give you specific instructions on how to care for yourself in recovery, what medications to take, and when to come back for follow-up appointments.

Patients can typically return to work or school in about a week once the splint is removed. Dr. Yash will advise you to avoid all but light activities for the first two weeks, after which you can gradually build up to more strenuous activity over the following month.

Your nose should be fully healed by one to three months after your surgery.

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Rhinoplasty Results

Once the immediate swelling and bruising subside after the first week, you’ll see the improvements made by your rhinoplasty. The results will continue to improve over the next several months as residual swelling disappears, cartilage grafts take hold, and the reshaped nose tissue settles into its new position. It may take up to a year for your new nasal contour to fully refine.

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Schedule Your Dallas Rhinoplasty Consultation Today

Contact us today to schedule a consultation and learn how Dr. Yash can help you get the nose you’ve always wanted. He will listen to understand what you hope to achieve from the procedure and will give you his expert recommendation on the best approach to meet your needs. Dr. Yash provides exceptional care to patients from Dallas and the surrounding areas of Texas.

FAQs About Rhinoplasty in Dallas, TX

Dr. Yash will give you pre-operative instructions for the days before your surgery. These will include a special skin-care program and anti-bacterial treatments for the inside of your nose.
Open rhinoplasty involves an incision along the thin ridge on the underside of your nose, between your nostrils. This incision will leave a faint scar, but it is well concealed by the contours of your nose and almost invisible after it is fully healed. Closed rhinoplasty leaves no external scars, as the incisions are made inside the nose.
Rhinoplasty is performed after your facial bones and nasal cartilage have stopped growing, typically at about age 16 for females and 17 for males. However, this age can vary. You can tell whether your growth has slowed by noticing how quickly your height and shoe size are increasing. If you’re getting taller or your shoe size increases every six months, that’s a signal that you should wait on rhinoplasty. If you’re within an inch or two of your projected adult height, your bone and cartilage structure have probably matured enough to have the surgery.

Dr. Yash has developed a non-surgical alternative to cosmetic rhinoplasty that combines different types of injectable dermal fillers and Botox®. This approach follows the fundamental principles of surgical rhinoplasty based on your facial anatomy. The results are attractive and natural-looking, but they are not permanent. Treatment with injectables cannot be used to correct breathing problems or reduce the nose’s size or width. Dr. Yash also offers other facial procedures like facelifts and brow lifts

Dr. Yash strongly recommends performing rhinoplasty under general anesthesia.  This is the safest approach for your surgery as it secures your airway.  Rhinoplasty can be a painful operation and it’s always desirable to be asleep during the operation. 

You can expect to have an internal and external splint on your nose with significant swelling and bruising.  The bruising improves over the course of the first week along with the swelling.  Chewing may be slightly uncomfortable for the first few days, so patients often rely on soft foods and liquids for nutrition. A drip pad is placed after surgery under your nose to collect minor drainage that normally subsides by day 2 after surgery. 

When you arrive for your consultation, try to have a clear, well-defined idea of your rhinoplasty goals.  Take some time before your appointment to look at yourself in the mirror from three angles: (1) front, (2) side, (3) basal, or with your head tilted back.  Analyze your nose from top – down.  Distill your concerns to the “top 3 concerns.”  Dr. Yash will ask you to describe your top 3 concerns during your consultation. This serves as the foundation for the conversation you will have with Dr. Yash about your cosmetic goals for rhinoplasty.  If you have functional airway obstruction, remember to describe that as well.

Before your rhinoplasty surgery, remember to pick up all your prescriptions from the pharmacy. Dr. Yash’s patient coordinator will have gone over these medications with you during your preoperative appointment.  Your medications will include pain control, antibiotic, anti-inflammatory steroids, antibacterial ointment, and nasal spray for internal moisturizing.  You should start using the nasal spray two days prior to surgery to moisturize your nose’s internal lining. You should also start applying the antibacterial ointment to your nostrils to help reduce the risk for infection after surgery. 

After your surgery, you should plan on taking ample rest.  You should have your head elevated on three pillows when lying in bed for the first week.  Icing is critical to help reduce swelling, bruising, and pain. Dr. Yash advises his patients to begin icing immediately after surgery and continuing this for the first week.  Remember to take your pain medications on time for the first few days after surgery as you don’t want to fall behind on pain control. 

Immediate recovery is roughly one to two weeks at which point your splints and sutures are removed, bruising has subsided, and you’re able to appreciate the early result.  The first 6 to 8 weeks are considered early phases in your recovery during which you should follow certain activity restrictions to protect your nose as it settles from surgery. Long term results are truly appreciated at 9-12 months after surgery.

Patient normally return to work one week after surgery after splints and sutures are removed. They can wear make-up at this time and are more comfortable with returning to work after one week.

You should plan on taking rest for 6-8 weeks after surgery.  Working out will elevate your heart rate and can increase your nasal swelling.  Contact sports should be avoided for 8 weeks as it subjects your nose to the risk of injury at a delicate time when it is still healing.

Dr. Yash’s philosophy on rhinoplasty is to customize the operation to your aesthetic goals.  He will take time during your consultation to listen to you in order to develop a customized plan for your rhinoplasty.

The nose is considered part of your airflow conduit.  It is actually the narrowest part of your airway.  There are specific anatomic areas in the nose that can cause obstruction to your airflow.  This may be due to congenital nasal deformity or acquired, after an injury or trauma.  Functional rhinoplasty seeks to improve the anatomic areas of obstruction to improve airflow.  Patients who suffer from airflow obstruction find these operations to be very gratifying.