Click here to schedule a consultation.
Primary Rhinoplasty (Cosmetic Nasal Surgery) performed by Dallas Plastic Surgeon Dr. Fred Hackney
Cosmetic nasal surgery is cosmetic surgery to improve the appearance of the nose. A natural looking nose is one, which is in balance with your facial features. Both men and women can benefit from nasal surgery but it is recommended that young people wait until their facial growth is complete-about age 13 or 14 for girls and 14 or 15 for boys.
You may be a good candidate for cosmetic nasal surgery if your nose is too large for your face, you have a bump on the bridge of your nose, your tip droops or your nose is crooked. Patients who have breathing difficulties may be helped by nasal surgery.
Dr. Hackney performs the open rhinoplasty technique. Incisions are made inside the nose and across the skin between the nostrils. This allows Dr. Hackney to see exactly what is wrong with the nose so he can best improve the appearance of the nose. This technique (secondary rhinoplasty) is especially helpful in correcting the appearance of a nose that has had multiple operations.
When you see Dr. Hackney for a consultation, he will examine the inside of your nose, the quality of your skin, the shape of your nose and the relationship of your nose to your other facial features. Several photographs from different angles will also be made of your nose. During the consultation Dr. Hackney will draw on the photographs what your nose could look like with surgery. Discussing the drawings and looking at the photographs with Dr. Hackney will help you understand what can be realistically accomplished with the cosmetic nasal surgery and help Dr. Hackney understand your goals and expectations. This process will enable Dr. Hackney and you to plan your nasal surgery so you get the best results possible.
Primary cosmetic nasal surgery surgery is usually a day surgery procedure. You must have someone stay with you for at least the night of surgery. You will have a small splint on the outside of your nose to provide stabilization for one week and you will have stitches on the bridge of skin in between your nostrils. The splint on the nose and the stitches will be removed one week after your surgery. Your nose will be swollen when the cast comes off and will gradually assume its new shape over the next several months.
Click here to schedule a consultation.
Secondary Rhinoplasty (Cosmetic Nasal Surgery)
To view before and after images of secondary rhinoplasty (nasal surgery) patients, click here.
Secondary cosmetic nasal surgery is performed to correct problems which persist or develop after a previous rhinoplasty. Sometimes the problems are minor and easily corrected, but if they are major, the secondary nasal surgery is always more difficult and requires more expertise than the first rhinoplasty surgery. This is due to the fact that the normal anatomy is no longer intact and the tissue planes which were present before the first surgery are now filled with scar tissue making it difficult to separate and reposition the remaining cartilages and bones. However, using the proper techniques, significant improvement and sometimes dramatic results can be achieved.
Since most patients for secondary nasal surgery have an unnatural looking nose that does not function properly and is not in balance and harmony with the other facial features, it is necessary to reshape the supporting framework of cartilage and bone and allow the skin to re-drape over the reconstructed framework, giving the nose its new shape. The patient's wishes in regard to the type of nose desired are always considered but there are limiting factors, such as the skin texture and thickness, the amount of scar tissue from the previous surgery and the facial proportions and contours. All this will be discussed with you during your consultation.
Click here to schedule a consultation.