Rhinoplasty

Rhinoplasty is a very popular procedure at the Hunstad Center. Designed to improve the appearance of the nose and also improve nasal breathing. Both closed and open techniques are utilized but most commonly, the open technique is preferred. The open technique allows for all cartilage and bone components of the nose to be visualized and accurately shaped. The open technique also allows for a more dependable outcome and greater accuracy. The scar usually heals beautifully as you can see below. The scar crosses the columella between the nostrils, and is usually imperceptible within six to twelve weeks. During the procedure, excess cartilage is often removed and a suture technique is utilized to shape and reposition the cartilage. The hump or dorsum is often reduced to give an improved profile. If the nostrils are flaring, techniques for alar base resection are employed to lessen this. If the septum is deviated, which is a common problem; a septoplasty is performed which can significantly improve nasal breathing. Large structures within the nose can often lead to airway obstruction and these can be treated as well. There is usually swelling following a Rhinoplasty, which may persist for as long as six months. There is also numbness of the tip, which is temporary. Patients desiring Rhinoplasty may benefit from a chin implant as well. We use the extended anatomical design as our preference. These are very natural and can dramatically improve the final result of the Rhinoplasty.

Open Rhinoplasty-- this patient had a complete open rhinoplasty. The tip is much softer and more delicate with improved shape and contour. Notice the appearance from below with the improvement of the tip in the virtually invisible incision.






Chemical Peel & Open Tip Rhinoplasty-- this patient underwent a complete open rhinoplasty. She also had a special type of chemical peel known as a Croton oil peel. the complete open rhinoplasty corrected her broad bulbous tip and improved her profile, dorsum, and tip shape.







This is a 23 year female. She had a complete rhinoplasty (nose). She has a significant improvement in her tip, dorsum, and overall shape and appearance. All large dorsal hump was reduced improving the profile dramatically. This also allowed for tipped elevation.
Before	After

Open rhinoplasty has proven to be a very safe, effective, and highly predictable procedure. By adding a small incision across the columella (the skin between the nostrils) the entire structure of the nose can be visualized by Dr. Hunstad allowing for a more precise, controlled, and predictable result. This incision heels so beautifully that it is almost imperceptible. During a rhinoplasty, the shape is altered depending on your desires. Preoperative computer imaging is very effective when discussing rhinoplasty with Dr. Hunstad. The dorsum or hump can be revised, the width of the nose can be altered -- usually reduced, the nostril flaring and tip configuration are also adjusted according to your desire. A complete open rhinoplasty usually takes approximately two hours. Unlike previous rhinoplasty procedures, you can shower the next day after this operation. An inconspicuous aluminum splint with tan paper taping is applied. The discomfort following rhinoplasty is easily controlled with pain medications are provided and usually abates within a day or two. There is some swelling following a rhinoplasty but you can see the desired shape take place within a few weeks. The aluminum splint and tape as well as sutures are removed on the fifth day following the procedure.