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Do you have difficulty breathing through your nose? Was your nose ever broken? Are you unhappy with the shape of your nose? Rhinoplasty, the formal term for surgery that reshapes the nose, is one of the most common facial cosmetic surgery procedures.

Dr. Athré discusses Rhinoplasty

Regardless of the reason bringing patients into Dr. Athré’s Houston, Texas area office, rhinoplasty can create dramatically increased harmony and proportion to the face. Dr. Athré, whose offices are located in Houston, Texas, is one of the foremost rhinoplasty surgeons in the United States. Patients seek him out from all over the United States and from many international countries for his rhinoplasty and revision rhinoplasty experience

How much does rhinoplasty cost?

Rhinoplasty prices start at $9,000.

How long does rhinoplasty take?

A complete rhinoplasty procedure takes one to four hours.

How long is recovery from rhinoplasty?

Recovery time from rhinoplasty is approximately 10 days after the procedure.  But full recovery can take 6-8 months.

Is rhinoplasty painful?

During the rhinoplasty procedure, you will be given an anesthetic so that you won’t feel any pain. During recovery, you may feel mild to moderate discomfort as you heal, but most patients use only Extra Strength Tylenol.

Questions? Ask Us

Basic anatomy of the nose

The nose is composed of skin, bone, and cartilage. Five cartilaginous structures and the nasal bones come together to form the structure of the nose. Skin and soft tissue then drape over this triangular structure. Rhinoplasty involves manipulating the bony, cartilaginous, and soft tissue elements to improve breathing, straighten the nose and air passages, and enhance the aesthetic appearance of the nose.

About the nose

Your nose is the most defining feature of your face and one of the first things people notice about you. The nose can be improved by increasing or decreasing the overall size, removing an unwanted hump, changing the shape of the tip, narrowing the bridge, narrowing the width of the nostrils, or changing the angle between the nose and upper lip. Rhinoplasty can improve the balance between the nose and the rest of the face.

Over a lifetime of sun exposure, the skin of the nose can show signs of significant aging, such as uneven texture and age spots, large pores, roughness, and an overall decrease in elasticity. A medical grade sunblock is key in preventing such damage, while an individualized medical skincare regimen can improve the appearance of skin on the nose.

Surgical approaches

Rhinoplasty can be performed via an open approach or via a closed approach. The two approaches differ in the location of the incisions. The open approach involves an incision across the columella of the nose–the strip of skin that separates the nostrils. The advantage of this approach is that it allows complete visualization of all of the bony and cartilaginous structures of the nose.

The closed approach involves several incisions that are concealed within the nose. This approach is useful for minor adjustments to nasal structure. The disadvantage of this approach is that Dr. Athré’s ability to visualize the entire surgical area is drastically reduced. The choice between the type of approach is based on the complexity of the repair and the enhancement required.

Rhinoplasty is one of the most demanding surgical procedures and is one of the specialties undertaken at Athré Facial Plastics. Successful rhinoplasty requires the surgeon to take into account every variable including:

  • Skin color
  • Skin texture
  • Overall facial shape
  • Height of the patient
  • A patient’s aesthetic sense
  • Facial bone structure
  • Patient’s ethnicity

All of these above considerations as well as a complete physical exam, and a discussion regarding the patient’s desires and aesthetic norms are part of the initial consultation. If you’re considering rhinoplasty, or if you are unhappy with the nose surgery results you have achieved from another surgeon and are considering revision rhinoplasty near Houston, you’ll want to contact us to learn more about how the surgery is performed and how it can improve your looks, self-confidence, and/or health.

Revision Rhinoplasty

If you have had nasal surgery before and you are not happy with the results, read on to learn how Dr. Raghu Athré can help you achieve a satisfying outcome through revision rhinoplasty (nose surgery) at his Houston area practice.

Revision rhinoplasty is the formal term for surgery that reshapes and restructures the nose after previous nasal surgery, and it is one of the most demanding and complex facial plastic surgeries. This type of surgery is exceptionally complex because previous nasal surgery causes a certain amount of scarring. If the previous surgery was performed incorrectly, the scarring can significantly alter the shape of the nose and even adversely affect nasal airway breathing. Men and women in the Houston, Texas area, in all the surrounding states such as Oklahoma and Louisiana, and in several international countries, choose rhinoplasty surgeon Dr. Raghu Athré because he is both a board certified otolaryngologist and facial plastic surgeon and because he has had extensive experience performing rhinoplasty surgeries. Dr. Athré actually trained with Dr. William Silver, one of the forefathers of modern rhinoplasty in the United States.

Revision rhinoplasty is mostly performed via an open approach because the open approach allows better visualization of all of the nasal structures. The open approach involves a small incision on the columella of the nose (the strip of skin between the nostrils). This incision fades away and is imperceptible within 6 to 8 weeks after surgery. Many times, revision rhinoplasty will require ancillary procedures, such as ear cartilage grafting and rib cartilage grafting.

Ethnic Rhinoplasty

Have you ever noticed that Hispanic people look different from Caucasian people who look different from Indian people who look different from Persian people? All of us have an ethnic heritage, and, as a result, have certain facial characteristics that identify us. Our nose frequently is that identifying characteristic. Many times, the nose can be out of balance with other facial features. Patients of various ethnicities don’t ask to change their ethnicity. They still want to look like themselves. However, they may wish to modify small characteristics that will bring their nose into proportion with the rest of their face–though still allowing them to look like themselves. This is the challenge of ethnic rhinoplasty, and it is one of the specialties of Athré Facial Aesthetics. If there is one thing that AFA is known for, it is ethnic rhinoplasty. Dr. Athré specializes in rhinoplasty procedures for Hispanic, Persian, Asian, and African-American patients.

Ultrasonic Rhinoplasty

Instruments used for rhinoplasty have not significantly changed since the early 1900’s when modern rhinoplasty was “invented”.  One of the newest innovations in rhinoplasty is the Piezotome or ultrasonic rhinoplasty.  Ultrasonic Rhinoplasty has revolutionized the field of rhinoplasty by decreasing bruising, swelling, and blood loss in the procedure.  Dr. Raghu Athré is the only rhinoplasty surgeon in the Houston and Texas geographical areas utilizing this technology.

Traditional rhinoplasty instruments include Joseph saws, osteotomes, and rasps.  A picture of a Joseph saw is shown below.

As you can see, these instruments do not differ greatly from woodworking instruments.  Just as in woodworking, these instruments are used to cut, and shape.  The overall bone cut is performed by a saw.  Incisions in the bone are made with osteotomes (a fancy word for chisel), and cut edges are smoothed with rasps.  This is a perfectly acceptable technique to perform rhinoplasty.  However, this technique has some shortcomings including: rough edges when bone is cut, inability to perfectly predict bone cuts, and jagged incision lines.  Just as in woodworking, using a chisel to cut through bone can sometimes lead to unpredictable fractures in the bone.  Also, these instruments require frequent sharpening to minimize these issues.

Ultrasonic rhinoplasty using a micro cutting bit to oscillate at a high frequency and essentially dissolve the bone in a precise way.  The cuts made are cleaner, with less irregularities of the bone surface, and LESS BLEEDING.  The average traditional rhinoplasty has a blood loss of approximately 25 cc or 5 teaspoons.  The average ultrasonic rhinoplasty has a blood loss of less than 5 cc or 1 teaspoon!!!!!

This translates to less bleeding, less swelling, less bruising and less overall down time.  Patients with large dorsal humps, and patients with thinner skin are especially good candidates for an ultrasonic rhinoplasty.

An ultrasonic rhinoplasty costs approximately $1000 more than a traditional rhinoplasty to cover the cost of the tips used.

Dr. Raghu Athré is one of the foremost rhinoplasty surgeons in the United States.  His need to continually rhinoplasty better and easier for the patient is the reason why he is the first surgeon in Texas to introduce ultrasonic rhinoplasty to his practice.

Computer Imaging in Rhinoplasty Surgery

Computer imaging is one of the newest technologies in the field of facial plastic surgery. Dr. Athré utilizes computer imaging for most of his rhinoplasty cases. His Houston-area patients benefit from this technology because they gain a better sense of what the results could look like.

A nose that may look perfectly fine on a 5 foot 2 inch blond Caucasian female would definitely not look appropriate on a 6 foot tall ethnic female. Therefore, the computer-imaging program allows us to go through multiple variations of possibilities so that the patient and the physician can both be on the same page with respect to what is desired and what can be accomplished.

Imaging Performed by Dr. Athré

One of the things that is unique to Athré Facial Aesthetics is that Dr. Athré does all of his own computer imaging. At many other practices, computer imaging will be performed offsite or even by nurses or other ancillary personnel. The problem with this is that the surgeon is the only person who can evaluate the patient and realistically determine what can be accomplished in the operating room. Some limitations may be anatomic considerations, such as prominent nasal bones or lack of cartilaginous strength. Each of these variables is an essential element to consider when formulating a surgical plan.

Rhinoplasty Aftercare

*Individual results may vary

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Athré Facial Plastics offers a wide range of facial plastic surgery options and non-surgical cosmetic and skincare treatments. Find the right one for you by contacting our office at (281) 557-3223 or by clicking the button below to request a virtual consultation.

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Dr. Athré is one of the few cosmetic and reconstructive surgeons in Houston who is a double board-certified Facial Plastic Surgeon, certified in Otolaryngology, Head/Neck Surgery, and Facial Plastic Surgery.

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