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What Is A Primary Rhinoplasty?

Primary rhinoplasty, also known as “nose job,” is a cosmetic procedure that aims to improve the appearance and function of the nose. It involves reshaping the bone, cartilage, and tissues of the nose to achieve a more balanced and harmonious facial profile. The procedure can address various aesthetic concerns, such as a hump on the bridge, a bulbous tip, a wide nostril base, or a crooked nose. Primary rhinoplasty can also address breathing problems caused by structural abnormalities in the nose, such as a deviated septum.

woman after rhinoplasty in Los Gatos

Potential Reasons for Primary Rhinoplasty:

  • Reshaping a prominent hump on the bridge of the nose
  • Refining the shape and size of the tip of the nose
  • Correcting a crooked or asymmetrical nose
  • Narrowing a wide or flared nostril base
  • Addressing a deviated septum that impairs breathing
  • Improving the overall proportion and balance of the nose in relation to the face
  • Correcting defects or deformities caused by injury or previous surgery

To learn more about rhinoplasty in Los Gatos, contact our office for an appointment.

Ultrasonic rhinoplasty: sculpt your nose with ultrasonic energy

Ultrasonic rhinoplasty, also known as piezo rhinoplasty, is an innovative surgical technique for reshaping nasal bones with precision and minimal trauma. Unlike traditional methods that use hammers and chisels, ultrasonic rhinoplasty utilizes a specialized tool called a piezotome, which emits ultrasonic energy to sculpt the bone without damaging surrounding tissues. This approach allows for smoother bone contours, reduced swelling, and improved aesthetic outcomes.

Septoplasty: The Solution for a Deviated Septum

Septoplasty is a surgical procedure that aims to correct a deviated septum, a common condition where the wall between the two nasal passages is crooked or off-center. A deviated septum can cause breathing difficulties, frequent nosebleeds, and sinus infections. Septoplasty involves repositioning or removing a part of the nasal septum to improve airflow and alleviate symptoms. This procedure is often performed in conjunction with primary rhinoplasty to improve the appearance and function of the nose.

Candidates for Primary Rhinoplasty:

  • Are in good overall health
  • Do not have any medical conditions that could increase the risks of surgery
  • Have realistic expectations about the outcome of the procedure
  • Are bothered by aesthetic or functional concerns related to the nose
  • Are at least 16 years old (or older, depending on the individual case)
  • Do not smoke or are willing to quit smoking before and after the surgery
  • Have a positive attitude and a willingness to follow pre and post-operative instructions
woman after rhinoplasty in Los Gatos

Your Primary Rhinoplasty Session

Before your primary rhinoplasty session with Dr. Z, you will have an initial consultation to discuss your goals, medical history, and any questions or concerns. During this consultation, Dr. Z will evaluate your nose’s structure and shape and develop a customized surgical plan that aligns with your unique facial features and preferences.

On the day of your rhinoplasty in Los Gatos, you will receive general anesthesia to ensure your comfort and safety. Depending on the complexity of your surgery, Dr. Z may use either a closed or open technique to access the bones and cartilage in your nose.

The closed technique involves incisions hidden inside the nose, while the open technique involves an incision made across the narrow strip of tissue between the nostrils.

Through the incisions, Dr. Z will reshape the bone and cartilage to sculpt the appearance of your nose. He may alter the position of the bones, make it look narrower or straighter, or build up some areas using cartilage or bone from your nose or another area of your body. Finally, the skin and tissues are re-draped over the new nasal structure. The procedure takes 1 to 3 hours and is performed on an outpatient basis.

plastic surgeon in Los Gatos

How does ultrasonic rhinoplasty work?

Ultrasonic rhinoplasty, or piezo rhinoplasty, operates on the principle of ultrasonic vibration to reshape nasal bones with precision and minimal soft tissue damage. The piezotome emits ultrasonic waves that induce cavitation within bone tissue, resulting in precision bone removal with improved healing. This precise bone removal facilitates controlled bone reshaping without harming adjacent soft tissues. Unlike traditional techniques using manual instruments, ultrasonic rhinoplasty offers finer sculpting capabilities, reduced risk of bone splintering, and decreased postoperative swelling.

Benefits of ultrasonic rhinoplasty:

  • Allows for highly precise bone reshaping and enhances surgical outcomes
  • Minimizes damage to surrounding soft tissues, leading to less swelling and bruising
  • Preserves nasal tissues and results in more natural-looking results
  • Prevents bone splintering and inadvertent fractures
  • Causes less pain and discomfort during and after surgery
  • Involves quicker recovery times compared to traditional techniques
  • Involves smaller incisions, reducing the risk of visible scarring
  • Precision sculpting allows for superior nasal contouring and symmetry
man after rhinoplasty in Los Gatos

Your Journey to Recovery: Side Effects & Downtime

In the days following your rhinoplasty in Los Gatos, you can expect discomfort, swelling, and bruising around your nose and eyes. Dr. Z may provide pain medication and antibiotics to manage any pain or potential infection. Most patients can return to work or school within a week or two, although you may need to wear a splint or bandage on your nose during this time. The splint or bandage helps to support your nose and protect it from accidental bumps.

You will also need to avoid strenuous physical activity and exercise for a few weeks to avoid putting strain on your nose. You should also avoid blowing your nose, which can interfere with healing and cause bleeding. Over the next several weeks, you will gradually see the swelling and bruising subside and begin to notice the results of your primary rhinoplasty. Dr. Z will schedule follow-up appointments to monitor your healing progress.

Primary Rhinoplasty FAQs

Why is it called a "primary" rhinoplasty?

A primary rhinoplasty refers to the initial, first-time nose surgery a person undergoes to enhance its appearance or function. It’s termed “primary” to distinguish it from revision rhinoplasty, which corrects issues from a prior surgery.

What are the common reasons people choose to get a rhinoplasty?

Most people opt for rhinoplasty to address cosmetic concerns like reshaping the nose, reducing size, or improving symmetry. However, some may also consider a rhinoplasty in Los Gatos to address functional concerns, such as breathing difficulties due to structural issues.

Are there non-surgical alternatives to rhinoplasty?

Non-surgical options like dermal fillers can offer temporary nose enhancements but can’t address structural issues. Dermal fillers are suitable for minor adjustments, such as making the nose look more asymmetrical or enhancing the nasal tip, but for significant changes or functional improvements, surgical rhinoplasty remains the primary choice.

How long do the results of a rhinoplasty typically last?

The results of rhinoplasty last a lifetime. However, minor changes can occur in your nose shape and size over time due to natural aging.

Is there an ideal age to consider getting a rhinoplasty?

Most surgeons recommend delaying a rhinoplasty until facial growth is complete, typically around 15-16 for girls and 16-17 for boys. There’s no upper age limit, and individuals of all ages can consider rhinoplasty if they’re in good health and have realistic expectations.

Why Choose Dr. Z For Your Rhinoplasty In Los Gatos?

Dr. Z is a highly skilled plastic surgeon who received training in plastic and reconstructive surgery at Stanford. He specializes in stem cell biology and regenerative medicine, giving him a unique understanding of the aging process and how to enhance his patients’ regenerative potential. Dr. Z takes the time to listen carefully to each of his patient’s goals and works with them to develop a personalized surgical plan for their rhinoplasty in Los Gatos. Dr. Z is dedicated to helping every patient achieve their aesthetic goals with natural-looking, personalized results.


Preservation Rhinoplasty Demystified: What You Need to Know

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Preservation rhinoplasty is a groundbreaking technique in nasal surgery that departs from traditional approaches by prioritizing the preservation of natural nasal structures. Unlike conventional, structural rhinoplasty methods that involve extensive…

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