Rhinoplasty in Dallas, TX
Dr. Saman’s remarkable expertise in performing rhinoplasty stems from his experience and training in both ENT surgery and facial plastic surgery, making him uniquely qualified to perform the most challenging of the cases in Dallas and the surrounding neighborhoods of Texas.
Dr. Saman currently serves as the Medical Director of Head and Neck Oncological and Reconstructive Surgery at the Medical Center of Plano
Rhinoplasty, or nose surgery, is one of the most common and most challenging of all facial plastic surgery procedures. It can reshape by reducing or augmenting a person’s nose to achieve facial harmony and boost self-confidence. Rhinoplasty may be performed as a reconstructive procedure to correct a birth defect or an injury, such as a broken nose.
Rhinoplasty may be performed for functional rather than cosmetic reasons as well. Combining nose reshaping with septoplasty or endoscopic sinus surgery can effectively treat certain breathing problems, such as those caused by a deviated septum.
About Nasal Reconstruction
The nose can be affected by many conditions that may leave it disfigured, requiring reconstruction. These include trauma, skin cancers and resection, such as Mohs surgery, rhinophyma, as well as congenital deformities.
Nasal reconstruction dates back to 3000 B.C., first documented in Edwin Smith’s papyrus of Egyptian medical texts. Sushruta of India described the more modern methods of nasal reconstruction in 500 B.C. Since that time, reconstructive techniques have evolved tremendously. Given the prominence of the nose and its central location on the face, nasal reconstructive surgery requires a thorough understanding of nasal anatomy and function.
About Revision Rhinoplasties
Patients who have had previous rhinoplasty elsewhere and are unsatisfied with the cosmetic outcome and/or breathing form a large portion of Dr. Saman’s rhinoplasty practice. As a specialist surgeon trained both as an ENT surgeon as well as a facial plastic surgeon, Dr. Saman is uniquely qualified to address both the shape and the function of the nose.
After primary rhinoplasty, the soft tissue of the nose undergoes several changes including scarring and thinning. In addition, the underlying cartilage may have been cut out too much creating areas of airway collapse and undue narrowing. Sometimes, there are persistent bony irregularities and deviations that need to be addressed.
Most revision rhinoplasties will need an external approach to address deformities caused by the previous surgeries. Minor revisions may be performed through a scarless approach. Sometimes, there will be a need for additional cartilage to create a strong foundation to mold a new nose that best fits the patient’s face. This cartilage may be taken from the ear or the rib using a small well-hidden incision.
Classic teaching in cosmetic rhinoplasty training pertains to the surgery of the Caucasian female nose, virtually ignoring the gender and ethnic considerations of other patients. However, most patient desiring cosmetic reshaping of their noses prefer to maintain their characteristic ethnic and gender identity.
In case of gender, when performing male rhinoplasty, Dr. Saman maintains strong masculine lines and features while addressing areas of concern. An overly feminized look is avoided through meticulous analysis of the nose and consideration of patient’s specific desires.
When it comes to ethnic rhinoplasty, Dr. Saman has extensively studied the features of various ethnic nasal shapes. The African-American nose is characteristically very different from the Asian or the Latino noses, for example, marked by less rigid lower lateral cartilages, wider alar bases and shorter nasal bones.
The Middle Eastern and Greek nasal features are unique and cannot be adequately addressed using the basic Caucasian rhinoplasty techniques. Many of our Middle Eastern patients who have had previous rhinoplasty elsewhere return to our practice in Plano for revision work with complications, such as pinched nasal tip, nasal bone collapse, or difficulty breathing. These complications can be avoided if the original rhinoplasty analysis is customized for the patient’s ethnic features.
About Your Consultation
When you come into Saman ENT & Facial Plastic Surgery for your cosmetic rhinoplasty consultation, Dr. Saman will first listen to your wishes and desires to have a clear understanding of your goals. He will then perform a complete examination of the nose, including assessing facial angles, nasal skin and cartilage assessment, septum analysis, evaluation of the strength of the nasal valves, and much more. In certain cases, an endoscopic evaluation of the internal nose will be performed for a more detailed analysis of the entire nose.
At this point, your photos will be taken for computer simulation to discuss the finer details of your rhinoplasty. By the end of your consultation you will have a clear idea of what we can offer you to achieve your cosmetic and functional goals.
The Rhinoplasty Procedure
Rhinoplasty is an outpatient ambulatory procedure. The procedure itself may take anywhere from two to four hours, depending on the complexity and the need for obtaining additional grafts. Once the procedure is completed, a nasal cast and splints will be placed. The cast and splints will be removed at your post-operative visit. If your surgery was performed via the external approach, your sutures will be removed on your post-operative visit. Generally, patients are seen at one week and three weeks post-operatively. The most common complaint the first week after surgery is “stuffiness.” This is due to intranasal swelling and subsides. Your face may feel puffy, and this swelling will go down as your healing takes place. You will be given detailed surgery instructions at the time of scheduling.
To learn more about rhinoplasty and to determine if the surgery is right for you, contact our office today. Take the next step and learn about important financing information and get answers to your questions. Saman ENT & Facial Plastic Surgery serves the communities of Dallas, Plano and other nearby areas.
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