ABOUT RHINOPLASTY (NOSE JOB)

Over 1 million people undergo rhinoplasty (nasal surgery) every year. The highest rate of nose reshaping surgery by country is Brazil, followed by Mexico, America, and Iran. While it is more common for women to have nasal surgery, about 30% of rhinoplasties are performed on men. Nose plastic surgery is the second most common cosmetic procedure (after breast augmentation). The Nashville area has a similar trend with rhinoplasty being one of the most common cosmetic procedures performed.

Rhinoplasty means “to shape the nose”. Today this can be done through a vast array of techniques. Sometimes surgical procedures are used, and sometimes nose re-shaping can even be done using non-surgical methods. Procedures can be performed in the comfort our or spa surgical suite, or at a nearby outpatient surgical center.

Dr. Bryant performs all methods of rhinoplasty. Open, closed, and non-surgical (liquid) rhinoplasty. During your consultation, a customized treatment plan will be formed. The final method of nasal re-shaping will be based on your unique needs and goals. He is also one of the first adopters of using ultrasonic sculpting in rhinoplasty. This method uses a piezoelectric device which gently sculpts nasal shape and avoids breaking the nasal bones. The result is a more natural appearing contour along with a quicker recovery, less pain, and less bruising.

Dr. Bryant offers photo morphing during his rhinoplasty consults. During this photo morphing session, standard pre-operative photographs will be taken. Once these photos are taken, you will review them together. Some examples of what your nose may look like after surgery will be created. The purpose of these morphed photographs is to encourage conversation and ensure that both you and Dr. Bryant are on the same page regarding the changes you want to see.

Dr. Bryant enjoys creating incredibly natural appearing, beautiful rhinoplasty results. While every case is different, and some patients desire a striking change in appearance, he has found that most patients want to look like an improved version of themselves, not like a completely different person. Since he is well versed in all methods of nose re-shaping, he is very comfortable customizing his approach for each patient.

Before your procedure, you will meet with both Dr. Bryant and his surgical care coordinator. Your treatment plan will be reviewed and you will be provided with all pre-operative and post-operative instructions. Should your procedure require any medications, prescriptions will be provided as well. In most cases, patients experience minimal discomfort after surgery and simply take acetaminophen (Tylenol) as needed.

 

CLOSED RHINOPLASTY (No Scar)

This patient underwent a scarless, closed rhinoplasty to refine her nasal tip and improve her profile contour. She had no bruising and was back to her regular routine within 1 week. Because her rhinoplasty was closed, there were no visible external scars. Use of the piezoelectric ultrasonic tool allowed minimal bruising and no osteotomies.

 

AFRICAN AMERICAN RHINOPLASTY

This patient finally made time for herself after she retired. She wanted the tip of her nose to be less soft and to better fit her face. She underwent rhinoplasty which included narrowing her nostrils. This procedure is called an alar base reduction, and can dramatically improve the overall shape and aesthetic of the lower 1/3 of the nose. Using minimally invasive techniques, Dr. Bryant was able to help her recover quickly, and she was able to attend a wedding just one week after her surgery.

MINIMALLY INVASIVE RHINOPLASTY

This patient underwent a minimally invasive rhinoplasty. She wanted a subtle change with slightly more refinement. After photo is from 1 month after surgery.

 

MALE RHINOPLASTY

This patient underwent minimally invasive, refining septorhinoplasty. His concerns were both functional and aesthetic. In addition to requiring straightening of the nasal septum (septoplasty) and reduction of his nasal turbinates (inside), his nose was straightened and the tip was supported. Rhinoplasty surgery is one of the most commonly requested cosmetic procedures for men of all ages.

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The Nose, Nasal Surgery, and Sinus Surgery

The nose is a defining and central part of the face. It serves to both create form and beauty, but also has the vital function of allowing for comfortable breathing. The nose is a complex 3-dimensional structure composed of bone, soft-tissue and cartilage. It changes as we age in predictable ways. Patients see Lucas Bryant, MD in consultation for surgical and non-surgical nasal treatments including filler, laser, open rhinoplasty, closed rhinoplasty and revision rhinoplasty for both cosmetic and functional reasons.

Patients with nasal obstruction may benefit from treatments including turbinate reduction, septoplasty, and nasal valve repair. In most cases, patients have more than one cause for their nasal obstruction and congestion, and it’s important to correctly identify the true causes to ensure the best possible outcome.

Some patients with nasal congestion also suffer from acute or chronic sinus problems. The sinuses are part of the sino-nasal complex and drain into the nose. Sinus procedures such as endoscopic sinus surgery, debridement and balloon sinus dilation (balloon sinuplasty) can also be performed at the same time as rhinoplasty. These procedures generally have minimal to no change in the outward appearance. They are designed to improve the function of the nose and are typically covered by insurance in appropriate cases.

Patients who have cosmetic concerns may also benefit from improvement in their nasal function at the same time. In these cases, an open discussion with Dr. Bryant is important since breathing treatments like septoplasty may make a future cosmetic nasal surgery (rhinoplasty, nose job) more complicated. Dr. Bryant will review all these details of your specific case during your consultation. It is possible to have both your functional breathing or sinus problems addressed at the same time as your cosmetic concerns.

As a board certified facial plastic surgeon who completed residency training in otolaryngology-head and neck surgery as well as an accredited American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) fellowship, Dr. Bryant has an extremely intimate understanding of the anatomy and physiology of both the nose and paranasal sinuses. This makes him uniquely qualified to treat both the cosmetic and functional concerns his patients may have. He has helped advance the understanding of successful nasal surgery through his research of the pyriform aperture and nasal valve regions.

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