Rhinoplasty: An Explanation of Its Popularity (08-2001)

Rhinoplasty (nasal surgery) is reported to be the sixth most popular cosmetic surgical procedure in the United States. The statistic is evidence of how much import is given to the nose and its appearance.

The surgeon's objective in rhinoplasty is to accent the positive, build on it and then also refine the negative. The surgeon aims to make the "new" nose fit the aesthetic facial proportions of the patient's face and of course, at the same time, to allow the nose to efficiently deliver air to the lungs. Several levels of assessment are necessary. One important aspect is the age of the patient. Most surgeons prefer not to operate on teenagers until they have stopped growing. Teens require especially careful evaluation as to their expectations and their motivation in having the surgery. Depending on family history, nasal cartilage and ear cartilage may increase in size, with aging. To this extent, reducing the size of the cartilage may be helpful in such patients.

At any age, careful clinical examination before surgery is imperative. This evaluation will include a thorough nasal assessment and a review of the patient's medical history. The surgeon will explain the factors that can influence the results of the procedure. The structure of nasal bones and cartilage, facial shape, skin thickness and age all play a part in the outcome of nose surgery. Breathing obstruction issues will be addressed. Surgically straightening a bent septum or thinning a thickened septum obstruction can improve breathing.

The best results are achieved when the surgeon and the patient work togther in evaluating and discussing pre-surgery conditions and objectives and by discussing the results which can be anticipated realistically. Nasal surgery can be a boost to the moral and self-esteem. It can be a way for a patient to breath freely, or it can do both.



For more information or to schedule an appointment with Dr. Hagerty, please call Mid Hudson Plastic Surgery Center at (845) 338-0789.